Resource Allocation Plan Review. Michael MacDougall Les Fisher George Papadopoulos
|
|
- Irma Cain
- 5 years ago
- Views:
Transcription
1 Resource Allocation Plan Review Michael MacDougall Les Fisher George Papadopoulos
2 Background BCEHS is the legislated authority to provide emergency health services in British Columbia BCEHS coordinated over half a million emergency responses and inter-facility transfers in
3 Purpose of review To provide the right resource to the right patient in the right amount of time To increase specificity (exclude true negatives) of the Resource Allocation Plan in the interest of patient and public safety
4 BCEHS Dispatch 2 parts Medical Priority Dispatch System (MPDS) Determines complaint/event and acuity Resource Allocation Plan (RAP) Determines qualification and response type
5 Medical Priority Dispatch System (MPDS) Scripted caller interrogation tool used at BCEHS since 1997 Used internationally in over 2,300 agencies Valid and reliable; improves accuracy, safety and efficiency of call interrogation Sets international standards for emergency dispatch curriculum, certification and accreditation
6 Medical Priority Dispatch System (MPDS) Caller interrogation is codified into three parts, e.g.: Protocol: 06 Breathing Problems Determinant: 06 D 02 D (Delta) Sub-determinant: 02 Difficulty speaking in between breaths
7 Resource Allocation Review (RAP) Determines response qualification, lights and sirens and first responders to a given MPDS code Provincial in scope First BCEHS RAP (1997) determined by physicians; reviewed five times since, most recently in 2010
8 Resource Allocation Review (RAP) RAP is codified into three parts, e.g.: ALS HOT FR ALS: HOT: FR: Advanced Life Support required Lights and sirens response First Responders attend
9 MPDS and RAP together MPDS: 06 D 02 RAP: ALS HOT FR BCEHS responds to a caller complaining of breathing problems and difficulty speaking between breaths utilizing Advanced Life Support, lights and sirens, and First Responders
10 RAP Review Provide the right resource to the right patient in the right amount of time Evidence-based Patient-centric Statistically-predicated Assumptions: MPDS and ATS are valid/reliable Resources are not used efficiently No current option for patient treat and release Reviews are done in the interest of safety, continuous improvement, stewardship and efficiency
11 RAP Review In order to match MPDS with clinical indicators, the working group: 1. Derived the Australasian Triage Scale (ATS) A valid and reliable clinical triage scale Based in clinical indicators, not potential resource use Used Patient Care Record elements to derive the ATS 2. Developed indicators to inform decision making Examined over 630,000 calls over two years Transport statistics and vital signs recorded Match of ATS to MPDS priority Cardiac arrest incidence
12 RAP Review Modified Delphi methodology Examined and discussed data and indicators for each MPDS protocol Voted each RAP element (Advanced Life Support, lights and sirens, First Responders) Less than full agreement resulted in discussion and re-voting (twice maximum) Consensus-based (> 50%) changes Unresolved elements deferred to adjudication group
13 RAP Working Group Membership had an average of over 20 years of experience with EHS/FR Physicians, Paramedics, Dispatchers, Managers and First Responders All participants were satisfied to very satisfied with the RAP review process facilitation, methodology and overall process
14 By the numbers 32 unique pre-hospital protocols 128 unique protocols/determinants 1,213 unique protocols/determinants/sub-determinants The working group reviewed 868 valid combinations Senior leadership from Medical Programs and Operations reviewed and adjudicated recommendations from the working group, including items without consensus
15 Examples of RAP changes 29 D 02 Traffic/Transportation Incidents (Major incident) Old RAP: ALS HOT (with FR) 5,500 calls per year 70% transported to hospital by BLS <1.5% required critical intervention New RAP: BLS HOT (with FR)
16 Examples of RAP changes 17 B 01 Falls (Possibly dangerous body area) Old RAP: BLS HOT (with FR) 12,000 calls per year 84% transported to hospital by BLS <1% required critical intervention New RAP: BLS COLD (no FR)
17 Results By applying the approved changes to 2012 data, one can generally anticipate: 22% reduction in ALS calls 29% reduction in HOT responses 35% reduction in FR responses 800,000 km reduction in BCEHS lights and sirens response driving (annualized)
18 Selected References 1. Rowe, B (ed.) Evidence-Based Emergency Medicine. 2. Clawson, et al. Principles of Emergency Medical Dispatch. The National Academies of EMD, fourth edition, Monash Institute of Health Services Research. Consistency of Triage in Victoria s Emergency Departments. Victorian Department of Human Services, Craig A, et al. Evidence-Based Optimization of Urban Firefighter First Response to Emergency Medical Services Incidents. Prehospital Emergency Care, 2010;14: Pardey T. The clinical practice of Emergency Department Triage: Application of the Australasian Triage Scale: An Extended Literature Review. Master's thesis, University of Newcastle, Farrohknia N, et al. Emergency Department Triage Scales and Their Components: A Systematic Review of the Scientific Evidence. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2011, 19: Dean JM, et al. Probabilistic linkage of computerized ambulance and inpatient hospital discharge records: a potential tool for evaluation of emergency medical services. Ann Emerg Med. 2001;37(6): Newgard CD. Validation of probabilistic linkage to match de-identified ambulance records to a state trauma registry. Acad Emerg Med. 2006;13: Newborn, et al. Allocating resources in health care: alternative approaches to measuring needs in resource allocation formula in Ontario. Health & Place, Vol. 4, No. 1, pp , 1998
19 Questions
BCEHS Resource Allocation Plan 2013 Review. Summary Report
BCEHS Resource Allocation Plan 2013 Review Summary Report November 2013 1 EXECUTIVE SUMMARY As the legislated authority to provide emergency health services in British Columbia, BC Emergency Health Services
More informationExternal Review of the Development of the 2013 British Columbia Emergency Health Services Resource Allocation Plan
External Review of the Development of the 2013 British Columbia Emergency Health Services Prepared for Dr. William Dick, Vice-President, Medical Programs, BCEHS April 2014 Page 1 Executive Summary Key
More informationThe experience of linking Victorian emergency. medical service trauma data
The experience of linking Victorian emergency medical service trauma data Malcolm J Boyle Monash University, Department of Community Emergency Health and Paramedic Practice, P.O. Box 527, Frankston 3199,
More informationIntegrating Evidence- Based Pediatric Prehospital Protocols into Practice
Integrating Evidence- Based Pediatric Prehospital Protocols into Practice Manish I. Shah, MD Assistant Professor of Pediatrics Program Director, EMS for Children State Partnership Texas Objectives To provide
More informationAmbulance Response 90th Percentile Times
Time Perth County Paramedic Services Perth County EMS Provincial Response Time Reporting: Prior to the downloading of land ambulance services in 2000 to the upper tier municipalities (UTM) and Designated
More informationSouth Central Region EMS & Trauma Care Council Patient Care Procedures
South Central Region EMS & Trauma Care Council Patient Care s Table of Contents PCP #1 Dispatch PCP #2 Response Times PCP #3 Triage and Transport PCP #4 Inter-Facility Transfer PCP #5 Medical Command at
More informationORIGINAL RESEARCH ABSTRACT
ORIGINAL RESEARCH Assessing call demand and utilization of a secondary triage emergency communication nurse system for low acuity calls transferred from an emergency dispatch system Mark Conrad Fivaz,
More informationREQUEST FOR QUOTATION (RFQ)
REQUEST FOR QUOTATION (RFQ) RFQ Title: Emergency Physician Online Support Province of British Columbia RFQ Number: EPOS-ETP-PRP-051112 Issue date: November 13, 2012 Closing date: November 26, 2012 Closing
More informationJustice Institute of British Columbia COURSE OUTLINE
Course Outline, Page 1 of 6 Justice Institute of British Columbia COURSE OUTLINE Course Code: PARA200 Course Title: Fundamentals of Paramedical Care 1 Prerequisite Courses: : School: Division/Academy/Centre:
More informationTechnology Overview. Issue 13 August A Clinical and Economic Review of Telephone Triage Services and Survey of Canadian Call Centre Programs
Technology Overview Issue 13 August 2004 A Clinical and Economic Review of Telephone Triage Services and Survey of Canadian Call Centre Programs Publications can be requested from: CCOHTA 600-865 Carling
More information(K) Primary care specialty family/general practice, internal medicine, or pediatrics.
19 CSR 30-40.303 Medical Director Required for All: Ambulance Services and Emergency Medical Response Agencies That Provide Advanced Life Support Services, Basic Life Support Services Utilizing Medications
More informationParamedic First Responder Policies and Procedures December 1, 2015
Emergency Medical Services Division Paramedic First Responder Policies and Procedures December 1, 2015 Kern County Fire Department Station 58 Pine Mountain Club Edward D. Hill EMS Director Kristopher Lyon,
More informationChapter 1, Part 2 EMS SYSTEMS EMS System A comprehensive network of personnel, equipment, and established to deliver aid and emergency medical care
1 3 4 5 6 7 8 9 10 11 1 Chapter 1, Part EMS SYSTEMS EMS System A comprehensive network of personnel, equipment, and established to deliver aid and emergency medical care to the community. IN-HOSPITAL COMPONENTS
More informationChapter 1. Learning Objectives. Learning Objectives 9/11/2012. Introduction to EMS Systems
Chapter 1 Introduction to EMS Systems Learning Objectives Define the attributes of emergency medical services (EMS) systems List 14 attributes of a functioning EMS system Differentiate the roles and responsibilities
More informationJoint Position Statement on Emergency Medical Services and Emergency Medical Services Systems
Joint Position Statement on Emergency Medical Services and Emergency Medical Services Systems National Association of State EMS Directors and National Association of EMS Physicians Correspondence: National
More informationNATIONAL AMBULANCE SERVICE ONE LIFE PROJECT
February 2015 NATIONAL AMBULANCE SERVICE ONE LIFE PROJECT Improving patient outcomes from Out Of Hospital Cardiac Arrest David Hennelly AP MSc Jan 2015 THE ONE LIFE PROJECT IS BEING LED BY THE NATIONAL
More informationNEW MEXICO TRAUMA PROCESS IMPROVEMENT PLAN
2014 NEW MEXICO TRAUMA PROCESS IMPROVEMENT PLAN TRAUMA PERFORMANCE IMPROVEMENT COMMITTEE This manual contains a descriptive overview of the PI model and emphasizes a continuous multidisciplinary effort
More informationAmbulance Service of NSW: review the capacity of the paramedic to identify the low risk patient: final report
University of Wollongong Research Online Australian Health Services Research Institute Faculty of Business 2011 Ambulance Service of NSW: review the capacity of the paramedic to identify the low risk patient:
More informationTRANSPORT POLICY. F. Pediatric: Consult Mary Bridge if unsure as to where to transport the patient. Include parents in care as much as possible.
I. Transport Criteria. II. A. ALS versus BLS transport: TRANSPORT POLICY 1. If the patient meets ALS criteria, they must be transported by the crew of a licensed, verified ALS ambulance agency; with at
More informationSAN LUIS OBISPO COUNTY HEALTH AGENCY
SAN LUIS OBISPO COUNTY HEALTH AGENCY Public Health Department Emergency Medical Services Division 2156 Sierra Way, San Luis Obispo, CA 93401 805-788-2511 FAX 805-788-2517 www.sloemsa.org Operations MEETING
More informationCanadian Major Trauma Cohort Research Program
Canadian Major Trauma Cohort Research Program March 2006 John S. Sampalis, PhD Funding Provided by: Canadian Health Services Research Foundation National Trauma Registry Quebec Trauma Registry Fonds de
More informationChapter 1 - Introduction to Emergency Medical Care
Introduction to Emergency 1 OBJECTIVES 1.1 Define key terms introduced in this chapter. Slides 16-18, 26 27, 42 44 1.2 Give an overview of the historical events leading to the development of modern emergency
More informationSTEMI Receiving Center Designation Process
PURPOSE STEMI Receiving Center Designation Process Rev. 2-6-2013 To define requirements for designation of a hospital as a ST-elevation myocardial infarction (STEMI) receiving center for the Austin-Travis
More informationChapter 190 Emergency Medical Service: Overview and Ground Transport
Chapter 190 Emergency Medical Service: Overview and Ground Transport Episode Overview There are multiple designs for EMS systems, including public and private services, those operating at basic and advanced
More informationEast Gippsland Primary Care Partnership. Assessment of Chronic Illness Care (ACIC) Resource Kit 2014
East Gippsland Primary Care Partnership Assessment of Chronic Illness Care (ACIC) Resource Kit 2014 1 Contents. 1. Introduction 2. The Assessment of Chronic Illness Care 2.1 What is the ACIC? 2.2 What's
More informationClinical Data Set. something!
Ontario EMS Clinical Data Set From nothing to something! To provide each patient with the world-class care, exceptional service and compassion we would want for our loved ones. Learning Objectives 1. Describe
More informationEMS in Wisconsin Past, Present, and Future
EMS in Wisconsin Past, Present, and Future Marv Birnbaum Paramedic Systems of Wisconsin Appleton, 13 September 2006 We ve Come a Long Way, Baby! Sort of! All of the opinions expressed herein are mine and
More informationThe Royal College of Surgeons of England
The Royal College of Surgeons of England Provision of Trauma Care Policy Briefing This policy briefing outlines the view of the Royal College of Surgeons of England in relation to the planning and provision
More informationCOUNTY OF SAN LUIS OBISPO HEALTH AGENCY. Pu b l i c H e a l t h D ep a r t m en t. Penny Borenstein, M.D., M.P.H.
COUNTY OF SAN LUIS OBISPO HEALTH AGENCY Pu b l i c H e a l t h D ep a r t m en t Emergency Medical Services Division Jeff Hamm Health Agency Director Penny Borenstein, M.D., M.P.H. Health Officer Executive
More informationJohn Brown, MD, FACEP Medical Director Emergency Medical Services Agency Department of Emergency Management. February 16, 2010
Status of Emergency Medical Services and Medical Oversight in San Francisco John Brown, MD, FACEP Medical Director Emergency Medical Services Agency Department of Emergency Management February 16, 2010
More informationCity of La Crosse Emergency Medical Services
City of La Crosse Emergency Medical Services Prepared by Tom Tornstrom, Director of Operations June 2011 Frequently Asked Questions Question: Why does the La Crosse Fire Department often arrive at scenes
More informationParamedicine models: the future for rural and remote Australia Peter O Meara
Paramedicine models: the future for rural and remote Australia Peter O Meara @omeara_p National Rural Health Care Conference, 26-29 April 2017. Cairns, Australia. latrobe.edu.au CRICOS Provider 00115M
More informationFire Control - Ambulance Rescue
69 Fire Control - Ambulance Rescue Mission Dedicated to the preservation of life, property, and the environment. Our goal is to provide quality, costeffective professional services predicated upon the
More informationEmergency Medical Services: More Than Just a Ride to the Hospital
Emergency Medical Services: More Than Just a Ride to the Hospital Manish I. Shah, MD, MS Prehospital Domain Lead EMS for Children Innovation and Improvement Center Associate Professor Department of Pediatrics
More informationNational EMS Advisory Council Recommendations. Recommendation. Safety Committee
Safety Committee The National EMS Advisory Council recommends NHTSA work with FICEMS to assure integration and utilization of EMS illnesses, injury, and fatality surveillance databases across federal agencies.
More informationNational Association of EMS Physicians
National Association of EMS Physicians A National Strategy to Promote Prehospital Evidence-Based Guideline Development, Implementation, and Evaluation MISSION Engage EMS stakeholder organizations, institutions,
More informationCase Study: New Orleans and Minneapolis, a Tale of Two Cities
Case Study: New Orleans and Minneapolis, a Tale of Two Cities Carl H. Schultz, MD Professor of Emergency Medicine Director, Disaster Medical Services Overview Need for Scientific Inquiry Measuring effectiveness
More informationPARAMEDIC. Paramedic Degree and Certificate
Area: Health & Education Dean: Dr. Steven Boyd Coordinator: Dr. Grant Goold Phone: (916) 484-8843 or (916) 484-8902 Counseling: (916) 484-8572 http://www.arc.losrios.edu/programs_of_study/ Health_and_Education/Paramedic.htm
More informationStrengthening Trauma Systems: a new Australia-India research partnership
Strengthening Trauma Systems: a new Australia-India research partnership Russell L. Gruen MBBS PhD FRACS Director, The National Trauma Research Institute Professor of Surgery & Public Health, The Alfred
More informationBestCare Ambulance Services, Inc.
BestCare Ambulance Services, Inc. 35 Bedford Avenue Gilford, NH 03249-2204 603/527-9119 Transfers 603/527-3553 Business Quality Assurance Policy Plan and Procedure Effective Date: 12/1999 Reviewed: 3/2000
More informationINSTRUCTION. Course Package EMS 125A EMERGENCY MEDICAL RESPONDER. APPROVED: February 3, 2012 EFFECTIVE: SPRING MCC Form EDU 0007 (rev.
EMS 125A EMERGENCY MEDICAL RESPONDER APPROVED: February 3, 2012 EFFECTIVE: SPRING 2012 Prefix & Number EMS 125A formerly EMS 122 Course Title: Emergency Medical Responder (EMR) Purpose of this submission:
More informationA STRATEGIC-BASED EMERGENCY MEDICAL SERVICES BLUEPRINT FOR OKLAHOMA CITY
A STRATEGIC-BASED EMERGENCY MEDICAL SERVICES BLUEPRINT FOR OKLAHOMA CITY Executive Summary Oklahoma City s Emergency Medical Service (EMS) system is rightfully regarded as one of the finest in our nation.
More informationSTEP 1: STEP 2: STEP 3: STEP 4: STEP 5: Version: 1.0 Document Reference: 7716
Welsh Ambulance Services NHS Trust National Collaborative Commissioning: Quality and Delivery Framework Ambulance Quality Indicators: October - December 2017 STEP 1: STEP 2: STEP 3: STEP 4: STEP 5: AQI
More informationSAN JOSE ; Memorandum CAPITAL OF SILICON VALLEY
PSFSS COMMITTEE: 03/17/J6 ITEM: (d) 1 CITY OF & 2 SAN JOSE ; Memorandum CAPITAL OF SILICON VALLEY TO: PUBLIC SAFETY, FINANCE, AND STRATEGIC SUPPORT COMMITTEE FROM: Curtis P. Jacobson SUBJECT: FIRE DEPARTMENT
More informationNZS 8156:2008. New Zealand Standard. Ambulance and paramedical services. Superseding NZS 8156:2002 NZS 8156:2008
New Zealand Standard Ambulance and paramedical services Superseding NZS 8156:2002 NZS 8156:2008 Committee Representation This Standard was prepared under the supervision of the P 8156 Committee for the
More informationIt is a great pleasure and privilege for me to attend the 29 th annual meeting of The Japanese Association for The Surgery of Trauma, in Hokkaido.
It is a great pleasure and privilege for me to attend the 29 th annual meeting of The Japanese Association for The Surgery of Trauma, in Hokkaido. This is truly the most beautiful place to be in, especially
More informationSan Luis Obispo Emergency Medical Services Agency. Continuous Quality Improvement Plan
San Luis Obispo Emergency Medical Services Agency Continuous Quality Improvement Plan February 2016 1 Table of Contents 1. Introduction. 3 Vision Statement Philosophical Statement of Professional Ethics
More informationDRAFT DRAFT DRAFT TITLE 28. HEALTH AND SAFETY PART VII. EMERGENCY MEDICAL SERVICES. Subpart A. EMERGENCY MEDICAL SERVICES SYSTEM
TITLE 28. HEALTH AND SAFETY PART VII. EMERGENCY MEDICAL SERVICES Subpart A. EMERGENCY MEDICAL SERVICES SYSTEM CHAPTER 1021. ADMINISTRATION OF THE EMS SYSTEM Subchapter A. GENERAL PROVISIONS GENERAL INFORMATION
More informationTabletop Exercise on Mass Casualty Incident Triage, Does it Work?
Research Article imedpub Journals www.imedpub.com Health Science Journal DOI: 10.21767/1791-809X.1000566 Tabletop Exercise on Mass Casualty Incident Triage, Does it Work? Keebat Khan * Hamad General Hospital
More informationEmergency Medical Services for Children
Emergency Medical Services for Children EMSC Program Background Mission of the Emergency Medical Services for Children Program: to ensure state-of-the-art emergency medical care for ill or injured children
More informationEmergency Medical Dispatch Provider Criteria for Endorsement
Emergency Medical Dispatch Provider Criteria for Endorsement Wayne County Medical Control Authority Protocol for Emergency Medical Dispatch Programs As Mandated Under PA 375 of 2000, Section 20919. (1)
More informationAttachment B ORDINANCE NO. 14-
ORDINANCE NO. 14- AN ORDINANCE OF THE COUNTY OF ORANGE, CALIFORNIA AMENDING SECTIONS 4-9-1 THROUGH 4-11-17 OF THE CODIFIED ORDINANCES OF THE COUNTY OF ORANGE REGARDING AMBULANCE SERVICE The Board of Supervisors
More informationManual. For. Independent Peer Reviews, Independent Scientific Assessments. And. Other Review Types DRAFT
Manual For Independent Peer Reviews, Independent Scientific Assessments And Other Review Types DRAFT 08-28-13 International Center for Regulatory Science George Mason University Arlington VA TABLE OF CONTENTS
More informationhttp://www.bls.gov/oco/ocos101.htm Emergency Medical Technicians and Paramedics Nature of the Work Training, Other Qualifications, and Advancement Employment Job Outlook Projections Data Earnings OES Data
More informationCommunity Integrated Paramedicine:
Community Integrated Paramedicine: An Emerging Model to Improve Outcomes in Rural AZ Will Humble, MPH Director, Health Policy and Evaluation The University of Arizona Center for Population Science and
More informationChapter 59. Learning Objectives 9/11/2012. Putting It All Together
1 Chapter 59 Putting It All Together 2 Learning Objectives Discuss how assessment based management contributes to effective patient and scene assessment. Describe factors that affect assessment and decision
More informationCertification/Recertification Frequently Asked Questions
Certification/Recertification Frequently Asked Questions Both CPR Pro and CPR Basic are taught by the American Red Cross. Which one do I need for my recertification? Either will meet the requirement; however
More informationInitiative Qualitätsmedizin (IQM)
Initiative Qualitätsmedizin (IQM) Association Initiative Quality in Medicine Routine data :: Transparency :: Peer Review Who is IQM? non profit association has been founded by 15 hospitals in 2008 our
More informationIntroduction to the EMS System
Because of permissions issues, some material (e.g., photographs) has been removed from this chapter, though reference to it may occur in the text. The omitted content was intentionally deleted and is not
More informationHealth. Business Plan to Accountability Statement
Health Business Plan 1997-1998 to 1999-2000 Accountability Statement This Business Plan for the three years commencing April 1, 1997 was prepared under my direction in accordance with the Government Accountability
More informationBergen Community College Division of Health Professions Paramedic Science Program
Bergen Community College Division of Health Professions Paramedic Science Program PAR 200 Paramedic Cardiac and Trauma Care Semester and Year Winter 2015 Course and Section Number PAR 200-001 Meeting Times
More informationPosition Statement on Cancer Chemotherapy Administration and Care
August 31, 2010 Position Statement on Cancer Chemotherapy Administration and Care This document presents CANO/ACIO s position, based on best evidence, for the provision of care to persons receiving cancer
More informationEmergency Medical Services in the United States of America 1995 Tom Scott, MA
Emergency Medical Services in the United States of America 1995 Tom Scott, MA The delivery of Emergency Medical Services (EMS) in the United States can best be characterized as being as diverse as the
More informationLAKE VALLEY FIRE PROTECTION DISTRICT JOB DESCRIPTION Apprentice Firefighter/Paramedic
LAKE VALLEY FIRE PROTECTION DISTRICT JOB DESCRIPTION Apprentice Firefighter/Paramedic Nature of Agency The is a local government agency created and operated pursuant to California State Law; by the Fire
More informationThe Future of Emergency Care in the United States Health System. Regional Dissemination Workshop New Orleans, LA November 2, 2006
The Future of Emergency Care in the United States Health System Regional Dissemination Workshop New Orleans, LA November 2, 2006 Sponsors Josiah Macy, Jr. Foundation Agency for Healthcare Research and
More informationMINISTRY OF HEALTH AND LONG-TERM CARE. Summary of Transfer Payments for the Operation of Public Hospitals. Type of Funding
MINISTRY OF HEALTH AND LONG-TERM CARE 3.09 Institutional Health Program Transfer Payments to Public Hospitals The Public Hospitals Act provides the legislative authority to regulate and fund the operations
More informationLow Acuity Emergency Department Visits. Joanna Cohen, MD June 2018
Low Acuity Emergency Department Visits Joanna Cohen, MD June 2018 Goals and Objectives Identify and quantify low acuity ED visits Analyze challenges associated with low acuity ED visits Assess the impact
More informationExpected Death in the Home Protocol EDITH. Guidelines for Implementation
EDITH Guidelines for Implementation Hospice Palliative Care Teams for Champlain Champlain Community Care Access Centre Centre d accès aux soins communautaires de Champlain Table of Contents 1. Overview...
More informationFinal Accreditation Report
Guidance producer: Resuscitation Council (UK) Guidance product: 2010 resuscitation guidelines Date: 2 August 2012 Version: 1.4 Final Accreditation Report Page 1 of 19 Contents Introduction... 3 Accreditation
More informationLori Moore-Merrell Rob Santos Doug Wissoker Ron Benedict Nicole Taylor Randy Goldstein Greg Mears Jane Brice Jason D. Averill Kathy Notarianni
Lori Moore-Merrell Rob Santos Doug Wissoker Ron Benedict Nicole Taylor Randy Goldstein Greg Mears Jane Brice Jason D. Averill Kathy Notarianni 2 September 2010 Report on EMS Field Experiments Lori Moore-Merrell
More informationBEFORE THE BOARD OF COUNTY COMMISSIONERS FOR MULTNOMAH COUNTY, OREGON ORDINANCE NO.
BEFORE THE BOARD OF COUNTY COMMISSIONERS FOR MULTNOMAH COUNTY, OREGON ORDINANCE NO. Amending Multnomah County Code Chapter 21 Health 21.400 Emergency Medical Services. (Language stricken is deleted; double
More informationNHS Ambulance Services
Report by the Comptroller and Auditor General NHS England NHS Ambulance Services HC 972 SESSION 2016-17 26 JANUARY 2017 4 Key facts NHS Ambulance Services Key facts 1.78bn the cost of urgent and emergency
More informationHeadline consensus statement
Consensus Statement on Saving Lives and Improving Health and Wellbeing between the Association of Ambulance Chief Executives (AACE) and the Chief Fire Officers Association (CFOA) 17 th March 2016 1. This
More informationPre-hospital emergency care key performance indicators for emergency response times
Pre-hospital emergency care key performance indicators for emergency response times Item Type Report Authors (HIQA) Publisher (HIQA) Download date 05/09/2018 21:43:37 Link to Item http://hdl.handle.net/10147/324297
More informationSupplementary Online Content
Supplementary Online Content Hansen CM, Kragholm K, Pearson DA, et al. Association of bystander and first-responder intervention with survival after out-of-hospital cardiac arrest in North Carolina, 2010-2013.
More informationCounty of Haliburton Department of Human Resources
County of Haliburton Department of Human Resources P.O. Box 399 Minden Ontario K0M 2K0 705-286-1333 ph. 705-286-4829 fax www.haliburtoncounty.ca January 5, 2017 Haliburton County Paramedic Service is accepting
More informationMOUNTAIN-VALLEY EMS AGENCY POLICY: POLICIES AND PROCEDURES TITLE: ALS or LALS EMERGENCY MEDICAL RESPONDER AUTHORIZATION
POLICY: 412.00 POLICIES AND PROCEDURES TITLE: ALS or LALS EMERGENCY MEDICAL APPROVED: Signature On File In EMS Office EFFECTIVE DATE: 1/1/2016 Executive Director REVISED: Signature On File In EMS Office
More informationLHH Acute Care Transfers Update
LHH Acute Care Transfers Update July 12, 2016 LHH Joint Conference Committee Background LHH patients requiring acute hospital care frequently cannot be admitted to ZSFG, which may result in compromised
More informationOne vs. two paramedics: Does ambulance crew configuration affect scene time or performance of certain clinical skills?
Attachment A One vs. two paramedics: Does ambulance crew configuration affect scene time or performance of certain clinical skills? By Eric Hawkins A Master's Paper submitted to the faculty of the University
More informationTriage of children in the
Triage of children in the emergency department Jocelyn Gravel MD, MSc Emergency department CHU Sainte-Justine June 7 th 2011 Disclosure No financial relationship to disclose or potential conflicts of interest
More informationStaff & Training. Contra Costa County EMS Agency. Table of Contents EMT Certification Paramedic Accreditation
Contra Costa County EMS Agency Staff & Training Table of Contents 2000 Administrative Policy Number Formally EMT Certification 2001 1 Paramedic Accreditation 2002 2 MICN Authorization / Reauthorization
More informationD.N.P. Program in Nursing. Handbook for Students. Rutgers College of Nursing
1 D.N.P. Program in Nursing Handbook for Students Rutgers College of Nursing 1-2010 2 Table of Contents Welcome..3 Goal, Curriculum and Progression of Students Enrolled in the DNP Program in Nursing...
More informationComparison: ITLS Provider and Trauma Nursing Core Course (TNCC)
Overview International Trauma Life Support (ITLS) is a global organization dedicated to preventing death and disability from trauma through education and emergency care. ITLS educates emergency personnel
More informationNote performance against the 30 minute standard for SAS call outs broken down by category of calls across NHS Highland Board area
Argyll & Bute CHP Committee Date of Meeting: 27 October 2010 Item No: 11.3 UPDATE ON STRATEGIC OPTIONS FRAMEWORK FOR EMERGENCY AND URGENT RESPONSE IN REMOTE AND RURAL COMMUNITIES AND MEMORANDUM OF UNDERSTANDING
More informationCanadian Hospital Experiences Survey Frequently Asked Questions
January 2014 Canadian Hospital Experiences Survey Frequently Asked Questions Canadian Hospital Experiences Survey Project Questions 1. What is the Canadian Hospital Experiences Survey? 2. Why is CIHI leading
More informationAMMENDED MINUTES EMERGENCY MEDICAL SERVICES & TRAUMA SYSTEM STROKE SYSTEM EXECUTIVE COMMITTEE. November 5, :00 A.M.
AMMENDED MINUTES EMERGENCY MEDICAL SERVICES & TRAUMA SYSTEM STROKE SYSTEM EXECUTIVE COMMITTEE November 5, 2008 10:00 A.M. MEMBERS PRESENT David Slattery, M.D., Chairman Allen Marino, M.D., MAB Chairman
More informationCardiff & Vale of Glamorgan Community Health Council
MONITORING VISIT REPORT Service/ward monitored: Date/time: Monitoring team: UHB/Trust staff: Purpose of visit Brief description of area visited: Cardiff East Ambulance Station 14 th January 2015 2.00pm
More informationINSTRUCTIONS FOR COMPLETING EMT COURSE APPROVAL PACKET
INSTRUCTIONS FOR COMPLETING EMT COURSE APPROVAL PACKET In accordance with Title 22 of the California Code of Regulations, Chapter 2, Sections 100057 and 100069 agencies offering EMT training must secure
More informationTRIAGE SYSTEMS FOR TRAUMA CARE
Indep Rev July-Aug 2014;16(7-9) IR-333 TRIAGE SYSTEMS FOR TRAUMA CARE Awais Shuja FRCS (Ed), FCPS Assistant Professor of Surgery Independent Medical College, Faisalabad. Correspondence Address: Awais Shuja
More informationGUIDELINES FOR CRITERIA AND CERTIFICATION RULES ANNEX - JAWDA Data Certification for Healthcare Providers - Methodology 2017.
GUIDELINES FOR CRITERIA AND CERTIFICATION RULES ANNEX - JAWDA Data Certification for Healthcare Providers - Methodology 2017 December 2016 Page 1 of 14 1. Contents 1. Contents 2 2. General 3 3. Certification
More informationTraining Bulletin. Ebola Virus Disease. Issue Number Version 4.0 September 2015
Training Bulletin Ebola Virus Disease Issue Number 114 - Version 4.0 September 2015 Emergency Health Services Branch Ministry of Health and Long-Term Care To all users of this publication: The information
More informationWelcome to Emergency Services E-911
Welcome to Emergency Services E-911 Peach County s E-911 Center is the centralized public safety answering point for all 9-1-1 calls within Peach County including the city of Byron and the city of Fort
More informationEmergency Medical Services Program
County of Santa Cruz HEALTH SERVICES AGENCY 1080 EMELINE AVENUE, SANTA CRUZ, CA 95060 (831) 454-4120 FAX: (831) 454-4272 TDD: (831) 454-4123 EMERGENCY MEDICAL SERVICES PROGRAM Policy No. 7000 Reviewed
More informationEMERGENCY MEDICAL TECHNICIAN PART TIME (Fire Rescue)
EMERGENCY MEDICAL TECHNICIAN PART TIME *** Temporary/Part-time No benefits *** **This position may require a physical ability/agility test** Must have the physical, developmental and mental ability to
More informationMedical and Clinical Services Directorate Clinical Strategy
www.ambulance.wales.nhs.uk Medical and Clinical Services Clinical Strategy Unique reference No: Version: 1.4 Title of author: Medical and Clinical Services No of Pages: 11 Implementation date: Next review
More informationContinuous Quality Improvement (CQI) Plan Whatcom County EMS and Trauma Care Council
Continuous Quality Improvement (CQI) Plan Whatcom County EMS and Trauma Care Council 2015 The Continuous Quality Improvement (CQI) Program provides leadership to the EMS community by collaborating with
More informationAnalyzing Readmissions Patterns: Assessment of the LACE Tool Impact
Health Informatics Meets ehealth G. Schreier et al. (Eds.) 2016 The authors and IOS Press. This article is published online with Open Access by IOS Press and distributed under the terms of the Creative
More informationMedical Emergency Preparedness in Primary Care. Eman Sharaf, MD, Arab Board FM, Clinical Fellowship Emergency*
1 Bahrain Medical Bulletin, Vol. 32, No. 3, September 2010 Family Physician Corner Medical Emergency Preparedness in Primary Care Eman Sharaf, MD, Arab Board FM, Clinical Fellowship Emergency* Since the
More informationMONTGOMERY COUNTY OFFICE OF EMS Medical Advisory Committee Minutes Meeting Date: November 18, 2015 Start: 9:30a.m. End: 11:30 a.m.
MONTGOMERY COUNTY OFFICE OF EMS Medical Advisory Committee Minutes Meeting Date: November 18, 2015 Start: 9:30a.m. End: 11:30 a.m. estimate Location: Public Safety Training Campus 1175 Conshohocken Rd.
More informationContra Costa EMSC Pediatric Emergency Training Program Comparison
Training Comparison ENPC Nurse Course Directed to Room Nurses. Initial Presents core level Nurses knowledge to and 16 hours Association psychomoter skills with 8 in associated with nursing hour cooperatio
More information