manitobamanitobas’s ems revie · growth in demand manitoba ems fleet monthly km driven 700000...
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Manitoba’s EMS ReviewManitoba s EMS Review
Manitoba Health
EMS in ManitobaEMS in Manitoba
EMS Call ProfileEMS Call Profile
10%
Non‐EmergentUrgent
90%
Call DemandsCall Demands
• High Utilization AreasHigh Utilization Areas– 8% to 15% growth annually
• Provincially – 24% last 5 years– 59% last 10 years
Growth in DemandGrowth in Demand
Manitoba EMS Fleet Monthly KM Driven
700000
750000
800000
y
550000
600000
650000
400000
450000
500000
300000
350000
nuary/06
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Jan M Sep
No
Jan M Sep
No
Jan M Sep
No
Jan M Sep
No
Jan M Sep
No
Jan M Sep
No
Jan M Sep
No
Jan M
Increasing hSophistication
Deployment ModelDeployment Model
The EMS ReviewThe EMS Review
• To examine and guide:To examine and guide:
“Evolving the EMS system in Manitoba into a moreEvolving the EMS system in Manitoba into a more integrated, responsive, reliable and sustainable system in Manitoba”system in Manitoba
Review FindingsReview Findings
Paramedics SystemParamedics as a
Profession
Medical Leadership
System Status
Managementg
Hot ButtonHot Button
• StationStation Consolidation
Education
Paramedics as a Profession
Employment Model
Education
Paramedics as a Profession
Employment Model
Education
Paramedics as a Profession
Employment Model
Employment ModelsEmployment Models
On Call Casual
Volunteer Model
Full Time Model
Employment ModelsEmployment Models
On Call Casual
Volunteer Model
Full Time Model
Future StateFuture State
Medical LeadershipMedical Leadership
Current StateCurrent State
Provincial Medical Director Determines Scope
Regional Medical Director Determines Scope
Paramedic
Provincial Medical Director
Regional Medical DirectorRegional Medical DirectorRegional Medical DirectorRegional Medical DirectorRegional Medical DirectorR i l M di l DigRegional Medical DirectorRegional Medical DirectorRegional Medical DirectorRegional Medical DirectorRegional Medical Director
ParamedicsParamedicsParamedicsParamedicsParamedicsParamedicsParamedicsParamedicsParamedicsParamedicsParamedicsParamedicsParamedics
Consistency In PracticeConsistency In Practice
Future StateFuture State
Provincial Medical Director Determines ScopeOffice of Medical Direction
Regional Medical Director Implements Scope
Paramedic
Consistency In PracticeConsistency In Practice
2011 Flood2011 Flood
System Status ManagementSystem Status Management
System Status ManagementSystem Status Management
System Status ManagementSystem Status Management
Penalty!Penalty!
System Status ManagementSystem Status Management
System Status ManagementSystem Status Management
• 176 Ground Ambulances176 Ground Ambulances • 24 Basic Air Ambulance Fixed Wing Aircraft2 if fli h• 2 Lifeflight Jets
• 1 Rotary Wing Aircraft
New ToolsNew Tools
• Provincial SystemProvincial System• Dynamic DeploymentG i• Geo‐posting
Provincial SystemProvincial System
ConsolidationConsolidation
• Part of the review examined stationPart of the review examined station infrastructure.
Why?Why?• Deployment Plan
– Changes in demographics– Changes in populations
Why?Why?
• Patient SafetyPatient Safety• Consistency in Response Time
di bili i Skill l• Predictability in Skill Levels• Maintenance of Skill Levels
What is NOT!What is NOT!
• A budget cutting exerciseA budget cutting exercise• A removal of services C i l l f• Creating two levels of care
Before Anything HappensBefore Anything Happens
• Computer ModelingComputer Modeling • Community Engagement
P f f C t N– Performance of Current vs. New– Community Feedback
• Capacity in Place• Movement to New Deployment• Public Reporting
Manitoba’s EMS ReviewManitoba s EMS Review