Paramedic Services Feasibility Paramedic Services Feasibility Studies Project:Studies Project:

Presentation to StakeholdersPresentation to Stakeholders

February 16, 2007

2

TodayToday’’s Meeting Objectivess 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

3

BackgroundBackground• 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

4

Background 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 22nd 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)

5

Executive Sponsor

Advisory CommitteeSponsor

CommunicationSupportProgram Manager

Response Time FrameworkPM – TBD

Team – TBD Stakeholders - TBD

System Oversight and Reporting

PM – TBDTeam – TBD

Stakeholders - TBD

Hospital Medic StudyPM – Consultant TBD

Team – Consultant TBDStakeholders - TBD

Deployment and SchedulingPM – TBD

Team – TBDStakeholders - TBD

FacilitiesPM – Alan TregebovTeam – AJ Tregebov

ArchitectStakeholders - TBD

StakeholderGroup

EPSC and Regional Council

Project StructureProject Structure

6

Response Time FrameworkResponse 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 at90% reliability

• A Fire department first response time interval standard of 6:00 minutes at 90% reliability

7

Response Time FrameworkResponse 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

8

System Oversight and ReportingSystem 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

9

Deployment and SchedulingDeployment 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

10

FacilitiesFacilities• 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

11

Facilities Facilities –– Evaluation CriteriaEvaluation Criteria

• Location Access to Arterial roadsTraffic Limitations

• Zoning: Existing zoning and OP designationPotential for development without variances or rezoning

• Exterior Staff Parking, Visitor ParkingEmergency Vehicle parking potential

12

Facilities Facilities –– Evaluation CriteriaEvaluation 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

13

Facilities Facilities –– Evaluation CriteriaEvaluation Criteria• Interior Facilities – Staff areas, Offices

Office area – floor area No. of work stationsTelephone, radio communications equipmentKitchen, Lunch room capacity, featuresStaff Washrooms (no. of fixtures)Staff Shower facilitiesLounge, rest area description, capacityBarrier Free descriptionPotential for expansionGeneral physical conditionsLife safety ReviewBuilding Code compliance review

14

Potential Locations 2007Potential Locations 2007--20082008• 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

15

Potential Locations 2010Potential Locations 2010--20122012• 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

16

Facilities Facilities –– Next StepsNext 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

17

Hospital Medic StudyHospital 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

18

Communications Strategy 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

19

StakeholdersStakeholders• 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

20

Items for DiscussionItems for Discussion

• What is your general feedback on the Feasibility Study Project approach?

• Are there other Stakeholders who should be invited to participate?

21

Next Steps 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