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F INAL R EPORT: P ARAMEDIC S ERVICES M ASTER P LAN (2017‐ 2027)
APEXPRO CONSULTING INC. AUGUST 26, 2016
APEXPRO CONSULTING INC. EXCELLENCE COMMITMENT PARTNERSHIP – EVERY CLIENT! EVERY TIME! 30 KARL CRT., THORNHILL ON L4J 8H7 CANADA
August 26, 2016 Mr. Jordan Steffler Strategic & Quality Improvement Specialist Public Health and Emergency Services Region of Waterloo 99 Regina Street, South Waterloo, ON N2J 4V3 Dear Mr. Steffler: PARAMEDIC SERVICES MASTER PLAN (2017‐2027) It is with great pleasure that we submit our final report on the above project. As described within the report, EMS demand is escalating rapidly due to an aging population, and while Waterloo Region manages the Paramedic Services well, performance is falling behind due to insufficient EMS resourcing to meet demand. Improving services through optimization has been an important aspect of this project. Significant attention was given to researching best practices and leading edge ideas, including advancements in incident triage, in‐vehicle software interface to the dispatch centre (to replace voice dispatch), and community paramedicine. Notwithstanding future success that may arise from optimization, our report concludes that additional EMS resources are needed to address the declining service level. Recommendations in this regard are included in the document. The assessment within this report is intended to serve as an objective basis for Regional Council’s decision‐making over the next 10 years; this, so as to ensure appropriate goals and resourcing of staff and equipment going forward, and for balancing service levels and costs. It is our opinion that by developing this Master Plan, Waterloo Region has taken a proactive approach to future service planning, which will ensure the Region’s ongoing capability to provide residents with quality Paramedic Services, that are both timely and efficient. Thank you for giving us the opportunity to work on this most interesting assignment. APEXPRO CONSULTING INC.
Marvin Rubinstein President c.c.
Dr. Liana Nolan, Commissioner/Medical Officer of Health Stephen Van Valkenburg, Director/Chief Paramedic Services
www.apexproconsultinginc.com Tel 416.505.7897
[email protected] FINAL REPORT: PARAMEDIC SERVICES MASTER PLAN (2017‐2027)
Table of Contents COVER LETTER PREAMBLE ............................................................................................................................ iv EXECUTIVE SUMMARY ......................................................................................................... vi PAST ACCOMPLISHMENTS ......................................................................................... vi EMERGING FUTURE CHALLENGE .............................................................................. vii SERVICE PLANNING GOING FORWARD ................................................................... viii OPTIMIZATION STRATEGIES ...................................................................................... ix NEAR‐TERM EMS RESOURCING REQUIREMENTS ....................................................... x SERVICE TARGETS GOING FORWARD ........................................................................ xi 1
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INTRODUCTION ......................................................................................................... 1 1.1
CONTEXT ....................................................................................................... 1
1.2
MASTER PLAN OBJECTIVES ........................................................................... 2
1.3
PROJECT APPROACH ..................................................................................... 2