True North Health Advisor Council · Intuitive Technologies – iRequest, Optima, Logis • Community Paramedics and Support Programs • PEOLC – Palliative End of Life Care Program

True North Health Advisor Council

AHS EMS Community Presentation 2019

September 25th 2019


AHS centralized oversight of one Provincial EMS system

74 Agencies combined into either:• AHS – Direct Delivery EMS• Contracted Provided EMS

EMS – A Decade of Progress

September-20-19


EMS Response Area Zama

Alberta Response Regions• Area – 661, 848 sq/km• Population – 4,330,206

North Zone Region• Area – 450,646• Population 492,946

September-20-19


September-20-19

EMS Resources Ambulances Resources Provincial North Zone Ambulances 404 80

BLS 284 50ALS 120 30

Air Ambulances Resources Fixed Wing 11 8Rotary Wing 5 2

Other ResourcesNAT 24 4IFT 62 0Stations 228 56


Provincial Events* 2015/16 2016/17 2017/18 2018/19

Emergency 911 344,469 325,128 349,724 358,314

Inter-Facility 173,171 165,203 174,036 179,189

Total 517,640 512,167 544,744 554,991

North Zone Events**

Emergency 911 32,632 34,798 40,019 40,726

Inter-Facility 25,606 27,875 27,216 27,562

Total 59,465 64,030 68,821 70,442

EMS Activity

* Source: Tableau ** Source: NZ Monthly Activity ReportTotals do not include “Other Events”

September-20-19


Paramedics(DD & Contract)

• 115 Advanced Care• 257 Primary Care• 18 EMR’s

Responded to~40,019 – 911 Events~27,216 – IFT EventsAHS Fiscal Year

Your EMSStations• 23 AHS Direct Delivery• 22 Contract Providers• ~ 80 EMS Units

September-20-19


September-20-19

EMS Successes

EMS Flight Simulator

EMS Ambulance Simulator


September-20-19

Paramedic Safety & Training

• Psychological Health & Safety Programs • Power Lift & Load Stretchers• Pre-employment physical testing• High-fidelity Patient simulation training• Fatigue Management and set rest periods• Intuitive deployment (Logis & Optima)

EMS Successes


September-20-19

EMS Successes

Delray – PAWS programPsychological Awareness &

Wellness Support


September-20-19

Medical Oversight & Q.A.

• Transport Physician and Medical Director Online Support 24/7

• Medical Control Protocols (MCPs)• Robust Quality Assurance and Audit• Annual Competency Recertification

EMS Successes


September-20-19

EMS SuccessesEMS Stroke Ambulance

Community Care Paramedic Program


September-20-19

Coordinated Responses• Patient and family first focus• Intuitive awareness of all EMS Resources• Auto deployment of ALS and STARS• Trauma bypass to Air Ambulance• Stroke bypass to CT Scan or Air Ambulance• Centralize deployment with GPS• Provincial communications in all units

EMS Successes


September-20-19

Increased Patient Movement• Steady increases in all event Volumes • Increased wait times and time on task• Increased low acuity transfers

Capacity Strategies• Non Ambulance transfers (NAT)• Intuitive Technologies – iRequest, Optima, Logis• Community Paramedics and Support Programs• PEOLC – Palliative End of Life Care Program• ATR – Assess Treat and Refer Program

EMS System Challenges


September-20-19

EMS System ChallengesParamedic (ACP) retention/recruitment

Recruitment Strategies:• Grow Our Own – Working with Northern Lakes College• High School First Responder and Cadet Program• Labour Mobility from other Provinces• ACP Working Ratios within Alberta• Australian Labour Mobility – Charles Stuart University


September-20-19

EMS System ChallengesOpioid Crisis• Increased Clusters of Events

Mitigation Strategies• Public Awareness Campaigns • EMS Naloxone Take Home Kit Project • Supporting Community Initiatives


September-20-19

Our Communities

Area One - Mackenzie


September-20-19

Area One – Model

7 EMS Resources• High Level – 2 ALS• Rainbow Lake – 1 BLS• Fort Vermilion – 1 BLS• La Crete – 1 ALS & 1 BLS• Zama – 1 BLS

Our Communities

Air AmbulanceClosest Air Resources:• High Level • Fort Vermilion • Peace River


September-20-19

Area One Activity

Emergency 45%

Non Emerg13%

IFT's39%

Other3%

EVENTS• 3236Total Events

• 1469Emergency Events

• 403Non EmergEvents

• 1268IFT Events

• 96Other Events

Data sourced by all Area One Stations 2018/19


September-20-19

Area one – Response IntervalsResponse Interval for D & E (High Acuity) Events for High Level, La Crete, Fort Vermilion, Rainbow Lake and Zama City


September-20-19

Unit Hour Utilization – Time on Task

Area One – System Capacity

Snapshot: January to March 2019


September-20-19

5

2

144

787

1668

0 200 400 600 800 1000 1200 1400 1600 1800

Area One

EMS Transport Destinations

High Level Fort Vermilion La Crete Rainbow Lake Other

Area One - Transport Destinations

High Level

Fort Vermilion

La Crete

September-20-19

For any additional questions please contact:Rob Barone – EMS Associate Executive Director

[email protected] or 780-538-1253

North Zone Update True North Health Advisory Council September 2019 Page 1 of 3

North Zone Update True North Health Advisory Council

September 2019 Workforce News Area 1 Ongoing RN and LPN Nursing Recruitment underway in all Area 1 Sites. Successful RN Locum Vacation Coverage for RN’s in Area 1 over the summer period. 2 regularized relief RN Positions filled and ongoing recruitment for the remaining 3 positions. Public Health Nurse Fort Vermillion Recruitment is underway for a fulltime Public Health Nurse in Fort Vermillion Mental Health Therapist Currently in the process of successfully filling the Mental Health Therapist position. Services to the communities were offered during the summer months by a temporary full time Mental Health Therapist. Registered Psych Nurse Efforts continue to secure a full time RN. A locum Nurse who began in July continues to provide services, bringing many years of experience in the nursing and mental health field and is a welcome addition. Wildfire Support Addiction and Mental Health services were very active in providing support to evacuees and professionals throughout the north during a very busy wildfire season. Addiction and Mental Health staff had been posted in various locations where residents have been through evacuation or on alert for evacuation over the summer months. AMH have responded to all requests for help successfully with a high degree of professionalism. Since residents have returned to Paddle Prairie, AHS has been providing temporary visiting Mental Health Therapist and Indigenous Liaison staff from other teams in the North Zone in the community but a long term sustainable plan for supporting the community is required. Since Addiction and Mental Health has been in the community, client contacts have taken place in a variety of settings. Currently exploring what long term supports are needed and funding opportunities. Major Events and Initiatives La Crete Enhanced Respite Day Program The program had 10 clients registered and has been well received by the community. Work continues to encourage program participation to support clients and families. Community Ketch-Up, High Level Mental Health Promotion staff attended a community gathering focusing on celebrating the end of the school year, beginning of the school year and promoting community togetherness since returning after wildfire evacuations. The event was organized by the town of High Level, AHS Health Promotion, Resiliency Committee, Fort Vermillion School Division, Wellness Coaches in partnership with school divisions and various local organizations. More than 400 residents came out to enjoy in the get-together.


Area 1 HCA Tri-Partnership All 12 students have successfully completed their training to be able to work as certified Health Care Aids. Wildfire Repatriations Successful LTC Resident Repatriations back to our Area 1 Communities with welcome home celebrations Mental Health First Aid, Boreal Housing Foundation Mental Health Promotion Facilitator provided Mental Health First Aid training to administration, health care aids, finance, licensed practical nurses, and custodian staff members at Heimstaed Lodge in La Crete. Training was well received with approximately 15 people in attendance. CoAct Collaborative Care is a health care approach in which inter-professional teams work together in partnership with patients and families to achieve optimal health outcomes. The CoAct program is being rolled out September 2019 at all Area 1 sites. Influenza Influenza planning has commenced for the 2019/2020 season. AHS is working with its community partners (physicians, pharmacies, long term care and continuing care facilities) to increase access to vaccine for residents. The official launch of Influenza outreach clinics will commence on October 21, 2019. Larger community and public immunization clinics will commence on October 28. As in the past, the vaccine will be offered at Public Health facilities, local pharmacies and physician offices. For more specific information regarding clinic locations and times please contact Health Link at 811 or visit ahs.ca/influenza. Programs/Services Updates Alberta Breast Cancer Screening Program Screen Test is a provincial screening service that works to educate and increase the number of women, aged 50 to 74, who have regular breast cancer screening using mammograms (breast x-ray). Screening is the best way to find breast cancer early, when treatment has the best chance of working. Screen Test, as part of the Alberta Breast Cancer Screening Program (ABCSP), offers mammograms and information on breast health to women in Calgary, Edmonton, and over 120 communities in rural Alberta. This service uses two mobile mammography clinics to ensure eligible women in rural communities are able to get breast cancer screening. These trailers are “clinics on wheels” complete with a reception area, dressing rooms and an exam room. To find out about the Screen Test mobile program, when the trailer will be in your community, or to book an appointment, call toll-free 1-800-667-0604. Women’s Wellness Women’s Wellness clinics continue to be offered as follows: Monday, Wednesday, and Fridays at the LaCrete Ambulatory Care Center from 8:30 am – 4:00 pm Alternate weeks in High Level and Fort Vermillion as required. Call 780-502-9320 for an appointment.


Indigenous Cultural Awareness Population, Public and Indigenous Health is committed to partnering with The North Peace Tribal Council to provide AHS staff with Indigenous cultural Awareness training. AHS Mobile Health Van AHS has commenced a mobile health services program this summer throughout the North Zone. The AHS Mobile Health Van has been travelling throughout NZ communities providing health information, support and services. This program was made possible by the Northern Lights Health Foundation and funding from Suncor Energy. The Mobile Health Van was in High level and area from June 1 until July 5th and was utilized in Paddle Prairie after the wildfire when the community returned home.

Operational Plans / Performance Measures Initiatives Immunization True North community immunization coverage rates as of June 30, 2019:

Public Health Office

Immunization Rate Immunization Rate 4th dose of pertussis

containing vaccine by 2nd birthday

1st dose of measles containing vaccine by 2nd birthday

Provincial Targets 97% 98% Fort Vermilion 22.2% 33.3% High Level 26.7% 40.0% La Crete 10.6% 36.2%

Paddle Prairie 57.1% 85.7%

Rainbow Lake 100.0% 100.0%

Documents

True North Health Advisor Council · Intuitive Technologies – iRequest, Optima, Logis • Community Paramedics and Support Programs • PEOLC – Palliative End of Life Care Program