Paramedic Services Feasibility Paramedic Services Feasibility Studies Project: Studies Project: Presentation to EPSC Presentation to EPSC February 22, 2007
Background Background • 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 2
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 3
Project Structure Project Structure EPSC and Regional Council Executive Sponsor Advisory Committee Stakeholder Sponsor Group Communication Program Manager Support Response Time System Oversight and Deployment and Framework Reporting Scheduling PM – TBD PM – TBD PM – TBD Team – TBD Team – TBD Team – TBD Stakeholders - TBD Stakeholders - TBD Stakeholders - TBD Facilities Hospital Medic Study PM – Alan Tregebov PM – Consultant TBD Team – AJ Tregebov Team – Consultant TBD Architect Stakeholders - TBD Stakeholders - TBD 4
Response Time Framework Response Time Framework • The HealthAnalytics report recommends system-wide response times for the Region’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 at 90% reliability • A Fire department first response time interval standard of 6:00 minutes at 90% reliability 5
Response Time Framework Response 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 6
System Oversight and Reporting System 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 7
Deployment and Scheduling Deployment 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 8
Facilities Facilities • Building on the “hybrid” model, HealthAnalytics specified 29 locations across the Region in which to locate ambulance stations. • These locations are a combination of existing EMS stations, Police stations and Fire Stations • Alan Tregebov (architect) has been retained to investigate the feasibility of locating Paramedic staff and vehicles at each of the 29 locations. • 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 9
Facilities – – Evaluation Criteria Evaluation Criteria Facilities • Location Access to Arterial roads Traffic Limitations • Zoning: Existing zoning and OP designation Potential for development without variances or rezoning • Exterior Staff Parking, Visitor Parking Emergency Vehicle parking potential 10
Facilities – – Evaluation Criteria Evaluation Criteria Facilities • Interior Facilities – Truck Bays: Apparatus bays Maintenance/restocking facilities Equipment and Supplies - Storage Cleaning / wash down capacity Telecommunications, warning equipment Building Code compliance review 11
Facilities – – Evaluation Criteria Evaluation Criteria Facilities • Interior Facilities – Staff areas, Offices Office area – floor area No. of work stations Telephone, radio communications equipment Kitchen, Lunch room capacity, features Staff Washrooms (no. of fixtures) Staff Shower facilities Lounge, rest area description, capacity Barrier Free description Potential for expansion General physical conditions Life safety Review Building Code compliance review 12
Existing Facilities Identified by HealthAnalytics Existing Facilities Identified by HealthAnalytics • Of the 29 locations identified in the HealthAnalytics Report, the following are currently used by Paramedic Service as EMS Stations: 28 Ann Street CFD Station 302 Current co-location* 3611 Charleston CFD Station 309 Current co-location* Sideroad 6085 Old Church Road CFD Station 303 Current post location** 91 Sandalwood Pkwy EMS Station 08 Current EMS stand alone station 1900 Boylen Rd. # 1 EMS Station 09 Current EMS stand alone station * PRPS has designated space within Fire Stations which are staffed by either volunteer or part time fire fighters ** PRPS has limited use of facility (e.g. washrooms, kitchen, etc.) 13
Additional Locations 2007- -2008 2008 Additional Locations 2007 • Of the 29 sites identified by HealthAnalytics, the architect has noted the following five locations that could potentially come on stream over the next two years • These facilities require minimal renovation or upgrades • Intended for short-term (transitional) use • Further discussions with local Fire Departments are required 6745 Mavis Rd. MFD Station 121 Cohabitation potential 4090 Creditview Rd. MFD Station 112 Cohabitation potential 62 Port St. West MFD Station 104 Cohabitation potential 10530 Creditview Rd. BFD Station 210 Cohabitation potential 9756 The Gore Rd. BFD Station 219 Potential EMS stand-alone station (building requires significant upgrading 14
Potential Locations 2010- -2012 2012 Potential Locations 2010 • Of the 29 sites identified by HealthAnalytics, the architect has noted the following 7 locations that could potentially come on stream in 2010-2012 • Assumes that space will become available in existing structure in the future, or that redevelopment of the site could accommodate EMS facility 15 Fairview Rd W. MFD Stn. 101 Co-location assuming MFD Maintenance Division and Administrative Offices are relocated 1735 Britannia Rd. E. MFD Stn. 109 Co-location assuming MFD training facilities are relocated 6745 Mavis Rd MFD Stn. 121 Co-location – would require redevelopment of property 9756 The Gore Road BFD Stn. 219 EMS Stand-alone - would require redevelopment of property 10530 Creditview BFD Stn. 210 Co-location – would require redevelopment of property 8 Rutherford Rd. S. BFD Stn. 201 Co-location or EMS stand-alone – would require redevelopment of property 657 Queen St. W. BFD Stn. 204 Co-location – would require redevelopment of property 15
Unsuitable Locations Unsuitable Locations • Of the 29 sites identified by HealthAnalytics, the following 15 sites are considered to be unsuitable as EMS locations: 4595 Glen Erin Dr. MFD - insufficient building and parking space 1 1578 Finfar Ct. EMS - poor access to arterial roads 2 3461 Dixie Road Community Police Stn. - 7 days 10AM-8PM, security restrictions 3 6677 Meadowvale Town Community Police Stn. - mall interior, limited hours, security 4 Centre restrictions 499 Ray Lawson Blvd. Community Police Stn. - 7 days 10AM-8PM, security restrictions 5 6 2951 Corvair Dr. Community Police Stn. - 7 days 10AM-8PM, security restrictions 51 Mountainash Rd Community Police Stn. - 7 days 10AM-8PM, security restrictions 7 Continued… 16
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