Paramedic Services Feasibility Studies Project: Presentation to Stakeholders February 16, 2007
Today s s Meeting Objectives Welcome and introductions Describe the project structure and our approach to the Feasibility Study Receive your feedback on the project scope and findings to date Identify other stakeholders who should be consulted Discuss next steps 2
Background On October 26, 2006, Regional Council received a report prepared by HealthAnalytics entitled "Evaluation and Recommendations for Capital Planning and Development of the Peel Regional Paramedic Service The report included over 50 recommendations on proposed changes to Peel s Paramedic Services division, and the Region s EMS system as a whole At this meeting, Council directed staff to assess the feasibility of the recommendations contained in the HealthAnalytics report 3
Background Council also directed that that all stakeholders, including the City of Brampton, the City of Mississauga and the Town of Caledon Fire and Emergency Services, be included in the consultation process regarding Capital planning and development of the Peel Regional Paramedic Service The Feasibility Study Project is in its early stages; no staff recommendations have been developed to date Staff will be meeting with EPSC on February 22 nd to provide a briefing on the status of the Feasibility Study Project (for information only). No staff recommendations on any aspect of the HealthAnalytics report will be made to EPSC or Regional Council until the feasibility studies have been completed (targeted for second quarter 2007) 4
Project Structure EPSC and Regional Council Executive Sponsor Advisory Committee Sponsor Stakeholder Group Program Manager Communication Support Response Time Framework PM TBD Team TBD Stakeholders - TBD System Oversight and Reporting PM TBD Team TBD Stakeholders - TBD Deployment and Scheduling PM TBD Team TBD Stakeholders - TBD 5 Facilities PM Alan Tregebov Team AJ Tregebov Architect Stakeholders - TBD Hospital Medic Study PM Consultant TBD Team Consultant TBD Stakeholders - TBD
Response Time Framework The HealthAnalytics report recommends system-wide response times for the Peel s EMS system (including Paramedic Services and local Fire Departments) For life-threatening emergencies: A Region of Peel EMS System unit response time standard of 6:00 minutes at 90% reliability An Ambulance response time interval standard of 12:00 minutes at 90% reliability A Fire department first response time interval standard of 6:00 minutes at 90% reliability 6
Response Time Framework For all non-life threatening emergencies, HealthAnalytics recommends a Region of Peel EMS System and Ambulance unit response time standard of 12:00 (12 minutes, zero seconds) The Response Time Framework feasibility study will assess the system-wide implications of implementing the HealthAnalytics response time recommendations The study will also analyze the pro s and con s of targeting an overall response time of 12:00 versus response times less than twelve minutes 7
System Oversight and Reporting The HealthAnalytics report indicates: that there is no single authority that oversees the Region s Emergency Medical Services (EMS) system; that there is no standardized method of collecting and reporting EMS system data making it virtually impossible to determine whether Regional EMS targets are being met This study will assess the feasibility of: HealthAnalytics recommendations regarding roles and responsibilities for overseeing Peel s EMS system Specific recommendations related to data collection and system reporting 8
Deployment and Scheduling The study will analyze and report on HealthAnalytics recommendations for deployment and staffing: A hybrid model for deploying vehicles and staff based on: the use of existing ambulance stations collocation or cohabitation at police or fire stations, where appropriate limited posting of vehicles at strategically selected intersections (i.e. only where no other options exist) acquiring or developing other sites for ambulance stations, where necessary A station-based rather than centralized book-on book-off model A deployment strategy and related shift assignments based on a three shift model 9
Facilities Building on the hybrid model, HealthAnalytics specified 29 locations across the Region in which to locate ambulance stations (either stand-alone or co-located with Fire or Police stations) Alan Tregebov (architect) has been retained to investigate the feasibility of locating Paramedic staff and vehicles at existing Fire or Police Stations The output of the study will be a multi-year capital plan specifying all proposed facility locations The plan will also indicate how the plan will be phased in as well as interim locations to address immediate issues 10
Facilities Evaluation Criteria Location Access to Arterial roads Traffic Limitations Zoning: Existing zoning and OP designation Potential for development without variances or rezoning Exterior Staff Parking, Visitor Parking Emergency Vehicle parking potential 11
Facilities Evaluation Criteria Interior Facilities Truck Bays: Apparatus bays Maintenance/restocking facilities Equipment and Supplies - Storage Cleaning / wash down capacity Telecommunications, warning equipment Building Code compliance review 12
Facilities Evaluation Criteria Interior Facilities Staff areas, Offices Office area floor area No. of work stations Telephone, radio communications equipment Kitchen, Lunch room capacity, features Staff Washrooms (no. of fixtures) Staff Shower facilities Lounge, rest area description, capacity Barrier Free description Potential for expansion General physical conditions Life safety Review Building Code compliance review 13
Potential Locations 2007-2008 2008 Review is limited to locations specified in HealthAnalytics Report Facilities requiring minimal renovation or upgrades (e.g. space in existing Fire Stations) Intended for short-term (transitional) use Further review is required 6745 Mavis Rd MFD Station 121 4090 Creditview Rd MFD Station 112 62 Port St. West MFD Station 104 10530 Creditview Rd BFD Station 210 9756 The Gore Rd BFD Station 219 6085 Old Church Rd CFD Station 302 (existing joint use expansion) 91 Sandalwood Pkwy EMS Station 08 1900 Boylen Rd. # 1 EMS Station 09 14
Potential Locations 2010-2012 2012 Review is limited to locations specified in HealthAnalytics Report Assumes that space will become available in existing structure in the future, or that redevelopment of the site could accommodate EMS facility Further review is required 15 Fairview Rd West MFD Station 101 1735 Britannia Rd. East MFD Station 109 8 Rutherford Rd. South BFD Station 201 657 Queen St. West BFD Station 204 28 Ann Street CFD Station 301 (existing joint use expansion) 3611 Charleston Sideroad CFD Station 301 15
Facilities Next Steps Of the 29 priority locations identified by HealthAnalytics, 14 have been identified as having joint use or co-location potential (including 2 existing joint use facilities that require expansion) 8 of the sites could come on stream in 2007-2008 5 of the sites would come on stream in 2010-2012 Where potential facilities have been identified, further discussions with the local Fire Departments or MOHLTC is required to work through logistics, maintenance and financial issues, etc. Mr. Tregebov will research other buildings and/or sites that have potential to be developed as Paramedic Stations within a 1 km radius of the locations identified in the HealthAnalytics report 16
Hospital Medic Study HealthAnalytics recommends that Paramedics be deployed in area hospitals to offload CTAS 3 and 4 patients. The objective is to get vehicles back on the road more quickly An external consulting firm will be retained to conduct the study The feasibility study will assess: Program options Staffing requirements for a Hospital Medic program at each hospital location Space requirements for the program relative to each hospital and determine whether adequate space is available Opportunities for efficiencies within the emergency department patient distribution software, triage configurations, etc. Options for funding the program 17
Communications Strategy Staff is developing a communications strategy which is intended to identify appropriate methods of keeping stakeholders and employees informed of progress on the Feasibility Project The next steps are: To develop an overall communications plan for keeping EMS staff and the General Public informed of progress on the Feasibility Study (e.g. creation of a dedicated web page, regular targeted emails, etc.) To develop a Communications Plan for each of the five studies To facilitate input from stakeholders 18
19 Stakeholders To date, the following stakeholder groups have been identified: Peel Regional Council and EPSC Peel Paramedics Paramedic Union (OPSEU) Peel Paramedic Association (PPA) Fire Services Fire Associations Police Services Area Hospitals Base Hospital Program Emergency Health Branch (MOHLTC) CACC LHINs
Items for Discussion What is your general feedback on the Feasibility Study Project approach? Are there other Stakeholders who should be invited to participate? 20
Next Steps You can indicate your interest in participating as a stakeholder in the Feasibility Study by sending an email to peelems@peelregion.ca or by contacting Peter Dundas at 905-791-7800 ext. 3921 or at peter.dundas@peelregion.ca Ongoing information regarding the Feasibility Study can be found at http://www.peelregion.ca/emergncy/paramedics/2007-feasibility-study.htm 21