ambulance services in australasia 2013
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Ambulance Services in Australasia 2013. Agenda. Overview Who is CAA? Dimensions and Services Current Issues Demand Performance and Measurement Regulation Questions. www.caa.net.au. Who is the CAA ?. The Council of Ambulance Authorities Inc. Established in 1962 - PowerPoint PPT PresentationTRANSCRIPT
Ambulance Services in Australasia 2013
Overview
Who is CAA?
Dimensions and Services
Current Issues
Demand
Performance and Measurement
Regulation
Questions
Agenda
www.caa.net.au
The Council of Ambulance Authorities Inc.
Established in 1962
Incorporated in 2002 (+ first staff member)
Charity (no income tax)
Ten members – public ambulance services
Governed by a Board of ten Directors
Small secretariat, headed by CEO
Australasia’s equivalent of AACE
Who is the CAA ?
www.caa.net.au
• AACE
• Paramedic Chiefs of Canada
International Links
www.caa.net.au
Dimensions
www.caa.net.au
Population:»Australia 22.6m»New Zealand 4.5m»TOTAL 27.1m
(UK 62.7m)
Activity (Incidents): Emergency 1.7m
Urgent 0.9m Non-Urgent 1.2m TOTAL 3.8mNot Transported 0.4m (11%
Patients)
CAA’s Member Services
www.caa.net.au
8 Australian Services• ACT Ambulance Service• Ambulance Service New South Wales• Ambulance Tasmania• Ambulance Victoria• Queensland Ambulance Service• SA Ambulance Service• St John, Northern Territory• St John, Western Australia
2 New Zealand Services• St John, New Zealand• Wellington Free Ambulance
Australian Capital Territory
The UK would fit into Australia 31.6 times (into New Zealand 1.1 times) Texas fits 11 times!Note: NZ not to scale in this map
Governance
www.caa.net.au
Non-Government - Contract
State Government - Health Departments
State Government – Emergency Services
Departments
Dimensions
www.caa.net.au
$2.5 billion
80% Operational Staff (=13,400 FTE)
8,900 Volunteers
30% of Response LocationsCovered only by Volunteers
PAID STAFF(FTE 000s)
STATIONS VEHICLES INCIDENTS
St John, WA 1,126 189 597 230,000
St John, NT 167 9 58 N/A
SA Ambulance 1,210 114 399 256,000
Queensland Ambulance 3,895 266 1,244 833,000
AS New South Wales 4,360 267 1,574 973,000
ACT Ambulance 224 7 46 39,000
Ambulance Victoria 3,449 230 1,092 795,000
Tasmanian Ambulance 357 49 164 68,000
St John, NZ 1,705 189 913 416,000
Wellington Free 214 9 30 71,000
TOTAL 16,707 1,329 6,117 3,681,000
2011-12 Annual Report Data More on CAA web site
www.caa.net.au
Demand
Performance Measurement
Regulation
Emergency Management
Current Issues
www.caa.net.au
Continued increase
Incidents and patient numbers: 4.5%+ growth pa
(higher in NZ than Aus)
Reduce non-emergency load
Out-sourcing, secondary triage and referral
Community Paramedicine - ‘Urgent Community Care’
Better integration with health services - end ‘ramping’
Developing the value proposition – support future investment
Demand
www.caa.net.au
From process measures to patient outcomes
Eg. ‘Response time’ to ‘Survival to discharge’; Pain…
Balanced suite of indicators
Would look familiar to you
Systems – EPRs - ‘Big Data’ for ambulance
Performance Measurement
www.caa.net.au
Paramedics
Registration or black list (Code of Conduct)?
Australia different to New Zealand?
Risk Management or cultural change ?
Paramedic practice
Clinical Governance
Third party providers
Event Medical Services
NEPT
Industrial
Regulation
www.caa.net.au
Floods, Fires, Cyclones, Earthquakes
Increased incidence - due to climate change
Increased exposure to risk
Including reputational risk
Greater Recognition of Ambulance Capability needed
Management of care and resources in the field
Delivery of health care in uncontrolled environments
Resourcing Ambulance Capacity
‘Surge’ resourcing
Emergency Management
www.caa.net.au
A seat at the table
A strong voice for the sector
Appreciation of the ambulance role
Attention to our issues
My Mission
www.caa.net.au
Questions ?
www.caa.net.au