ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000...
Transcript of ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000...
![Page 1: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/1.jpg)
Manitoba’s EMS ReviewManitoba s EMS Review
Manitoba Health
![Page 2: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/2.jpg)
![Page 3: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/3.jpg)
EMS in ManitobaEMS in Manitoba
![Page 4: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/4.jpg)
![Page 5: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/5.jpg)
![Page 6: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/6.jpg)
![Page 7: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/7.jpg)
![Page 8: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/8.jpg)
![Page 9: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/9.jpg)
![Page 10: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/10.jpg)
EMS Call ProfileEMS Call Profile
10%
Non‐EmergentUrgent
90%
![Page 11: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/11.jpg)
Call DemandsCall Demands
• High Utilization AreasHigh Utilization Areas– 8% to 15% growth annually
• Provincially – 24% last 5 years– 59% last 10 years
![Page 12: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/12.jpg)
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
March/06
May/06
July/06
ptem
ber…
ovem
ber…
nuary/07
March/07
May/07
July/07
ptem
ber…
ovem
ber…
nuary/08
March/08
May/08
July/08
ptem
ber…
ovem
ber…
nuary/09
March/09
May/09
July/09
ptem
ber…
ovem
ber…
nuary/10
March/10
May/10
July/10
ptem
ber…
ovem
ber…
nuary/11
March/11
May/11
July/11
ptem
ber…
ovem
ber…
nuary/12
March/12
May/12
July/12
ptem
ber…
ovem
ber…
nuary/13
March/13
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
![Page 13: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/13.jpg)
Increasing hSophistication
![Page 14: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/14.jpg)
![Page 15: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/15.jpg)
Deployment ModelDeployment Model
![Page 16: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/16.jpg)
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
![Page 17: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/17.jpg)
![Page 18: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/18.jpg)
Review FindingsReview Findings
Paramedics SystemParamedics as a
Profession
Medical Leadership
System Status
Managementg
![Page 19: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/19.jpg)
Hot ButtonHot Button
• StationStation Consolidation
![Page 20: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/20.jpg)
Education
Paramedics as a Profession
Employment Model
![Page 21: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/21.jpg)
Education
Paramedics as a Profession
Employment Model
![Page 22: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/22.jpg)
![Page 23: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/23.jpg)
![Page 24: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/24.jpg)
![Page 25: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/25.jpg)
![Page 26: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/26.jpg)
Education
Paramedics as a Profession
Employment Model
![Page 27: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/27.jpg)
Employment ModelsEmployment Models
On Call Casual
Volunteer Model
Full Time Model
![Page 28: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/28.jpg)
Employment ModelsEmployment Models
On Call Casual
Volunteer Model
Full Time Model
![Page 29: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/29.jpg)
Future StateFuture State
![Page 30: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/30.jpg)
Medical LeadershipMedical Leadership
![Page 31: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/31.jpg)
Current StateCurrent State
Provincial Medical Director Determines Scope
Regional Medical Director Determines Scope
Paramedic
![Page 32: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/32.jpg)
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
![Page 33: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/33.jpg)
Consistency In PracticeConsistency In Practice
![Page 34: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/34.jpg)
Future StateFuture State
Provincial Medical Director Determines ScopeOffice of Medical Direction
Regional Medical Director Implements Scope
Paramedic
![Page 35: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/35.jpg)
Consistency In PracticeConsistency In Practice
![Page 36: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/36.jpg)
2011 Flood2011 Flood
![Page 37: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/37.jpg)
System Status ManagementSystem Status Management
![Page 38: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/38.jpg)
![Page 39: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/39.jpg)
System Status ManagementSystem Status Management
![Page 40: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/40.jpg)
System Status ManagementSystem Status Management
![Page 41: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/41.jpg)
Penalty!Penalty!
![Page 42: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/42.jpg)
System Status ManagementSystem Status Management
![Page 43: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/43.jpg)
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
![Page 44: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/44.jpg)
New ToolsNew Tools
• Provincial SystemProvincial System• Dynamic DeploymentG i• Geo‐posting
![Page 45: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/45.jpg)
Provincial SystemProvincial System
![Page 46: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/46.jpg)
ConsolidationConsolidation
• Part of the review examined stationPart of the review examined station infrastructure.
![Page 47: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/47.jpg)
Why?Why?• Deployment Plan
– Changes in demographics– Changes in populations
![Page 48: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/48.jpg)
Why?Why?
• Patient SafetyPatient Safety• Consistency in Response Time
di bili i Skill l• Predictability in Skill Levels• Maintenance of Skill Levels
![Page 49: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/49.jpg)
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
![Page 50: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/50.jpg)
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
![Page 51: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/51.jpg)
![Page 52: ManitobaManitobas’s EMS Revie · Growth in Demand Manitoba EMS Fleet Monthly KM Driven 700000 750000 800000 550000 600000 650000 400000 450000 500000 300000 350000 n uary/06 M arch/06](https://reader030.fdocuments.in/reader030/viewer/2022041103/5f0222fb7e708231d402c0ba/html5/thumbnails/52.jpg)
Manitoba’s EMS ReviewManitoba s EMS Review