GENERAL MEETING WEDNESDAY, SEPTEMBER 28, 2005 WATERLOO INN MINUTES

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Amice Craig
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1 ASSOCIATION OF MUNICIPAL EMERGENCY MEDICAL SERVICES OF ONTARIO GENERAL MEETING WEDNESDAY, SEPTEMBER 28, 2005 WATERLOO INN MINUTES PRESENT: REGRETS: RECORDER: Terri Burton 1. ADOPTION OF AGENDA 2. ADOPTION OF MINUTES DATED KINGSTON RADISSON MAY PRESENTATION: JAY FITCH RESPONSE TIME STANDARDS Cardiac patients became a benchmark for systems International standards are political throughout the world, there is no accepted general response time North America 8:59 standard UK 8:00 minutes Hong Kong 12:00 minutes (there has been significant call growth over the past 10 years) NSW 10:00 minutes The method in measuring response times is important Response times are described as the interval between when EMS has gained enough information to start a response, and the time an equipped ambulance arrives on scene. There are many different response time measurements worldwide

PRESENTATION: JAY FITCH RESPONSE TIME STANDARDS Cardiac patients became a benchmark for systems International standards are political throughout the world, there is no accepted general response time

2 Acuity and density bands look at differences within regions, differential standards for urban/suburban and rural standards Unit Hours negative outcomes Out of service Crew at meetings Not a full crew Non operational activities Out of area on long distance calls Move to clinically validated dispatch program including self help instructions More training for control staff including certification Quality improvement efforts Control of communications is imperative, using technology to deploy resources 4. PRESENTATION: HURRICANE KATRINA - SLIDE SHOW 5. PRESENTATION: PHIL MASTERS ADVANCED TRAFFIC MANAGEMENT 6. JOHN CUNNANE & GUILLERMO FUENTES THE NEW NIAGARA DISPATCH SYSTEM An RFP was put out, and awarded to Niagara to run a pilot project that will be evaluated over the next 5 years The current system being used is MARVLIS M Mobile A Area R - Routing V Vehicle L Location I Information S System Information and data is transmitted to paramedics in the field The parameters of demand run in real time, at the dispatch centre. It compares five years of historical data and plots it onto a map probable future calls are shown, this is overlaid by supply of vehicles at that time and the condition of the vehicle Every 20 seconds, the AVL vehicle location is updated, outlining coverage for probable demand 911 AMI ALI drop screen, test call presented on line categorizing and prioritizing, showing time lines of calls

Quality improvement efforts Control of communications is imperative, using technology to deploy resources 4. PRESENTATION: HURRICANE KATRINA - SLIDE SHOW 5.

3 Stringent timelines have been established 60 seconds to have the call out the door 7. VENDOR EXHIBITS 8. OTHER BUSINESS: 8.1 CHEQUE PRESENTATION Both Rick Armstrong and John Prno presented a cheque in the amount of $ to Ed Wilson and Mary Bales of Heartwood Place (safe and affordable housing ). The funds presented were raised through the AMEMSO silent auction. 8.2 MINUTES The minutes from the previous meeting will be circulated to members via after the meeting. 8.3 TREASURES REPORT The treasurers report was distributed to the membership and reviewed by Denis Merrall. The un audited report for 2004 was prepared by the accountant, and there is a financial report as of September Denis announced that AMEMSO made a donation of $10,000 to the Medics Care Fund in support of paramedics displaced by Hurricane Katrina. 8.4 ELECTION Dan McCormick was announced as the new northern executive member. 8.5 EMPLOYMENT STANDARDS ACT Supportive documentation was requested in regard to the meal break issues, as a presentation will be made to the MOH on this issue. The suggestion was made that operators come together to establish a workable plan for meal breaks. 8.9 COLLEGE OF PARAMEDICINE A steering committee was put in place two years ago, town hall meeting were held throughout Ontario. The mandate was to gain support from paramedics themselves, a survey was produced 69% of PCPs and 55% ACPs agreed to a regulated professional paramedic college. It was noted

The funds presented were raised through the AMEMSO silent auction. 8.2 MINUTES The minutes from the previous meeting will be circulated to members via email after the meeting. 8.3 TREASURES REPORT The treasurers report was distributed to the membership and reviewed by Denis Merrall.

4 that the next step to move forward would be to respond to the MOH with the results no later than November The implementation of the college would take approx. 2-5 years REPRESENTATION ZONES It was recommended that AMEMSO representation be re-zoned and include two representatives for each zone Recommendation: carried DNR FORM At this time, the DNR committee is re-writing the MOH DNR policy to form part of the BLS standards. The suggestion was made to keep it simple, new updates will be available in the Spring of EHS may mandate training, it is anticipated that it will be CD based for service training AIR AMBULANCE Northern services have experienced difficulties wilt the air ambulance program. Problems included doors being too small and awkward for loading of patients, causing injury to paramedics. Motion: That AMEMSO ask the Ministry of Health and Long-Term Care to require the provision of lift assist device on all air ambulances which require lifting a stretcher higher than 45 inches from the ground Motion: Carried 8.13 DATA Difficulty in obtaining Ministry data continues to be an issue. The concern raised was that to obtain accurate data direct access to ARIS would be required. There has been no result to obtain CACC data to date. The suggestion was made that a working group be formed to track when the MOH does not give access to the data. The membership supported the need to continue pressuring the MOH for access to the data RANK INSIGNIA There is a mixture of rank insignia across the province, the suggestion was made that a working group be established to create a generic

11 DNR FORM At this time, the DNR committee is re-writing the MOH DNR policy to form part of the BLS standards.

5 ranking. Members interested in participating have been asked to contact Rick Armstrong AWARDS Awards were presented to the following: Innovation: Halton EMS, Sheridan College, York EMS EMS Television Feature of the Year: Superior North EMS and Confederation College EMS News Photo of the Year: Region of Waterloo EMS MEETING ADJOURNED

15 AWARDS Awards were presented to the following: Innovation: Halton EMS, Sheridan

County of Brant Ambulance

County of Brant Ambulance CCTU New Business I received a copy of the Ministry Press release on the implementation of the Critical Care Paramedic Initiative proposed for the province and the Hamilton Region. The HHS has not been