BC Ambulance Service Detailed Response - Audit of Air Ambulance Services March 14, 2013

Size: px
Start display at page:

Download "BC Ambulance Service Detailed Response - Audit of Air Ambulance Services March 14, 2013"

Transcription

1 BC Ambulance Service Detailed Response - Audit of Air Ambulance Services March 14, 2013 BC Ambulance Service (BCAS) appreciates the efforts of the Office of the Auditor General in undertaking the audit of the air ambulance component within our Critical Care Transport (CCT) Program. BCAS was open to the audit process and provided information and staff expertise to the best of our ability to help ensure the findings would be of maximum benefit to our service as well as our patients, staff and the health care system. In short, BCAS accepts the Auditor General s recommendations and is addressing many of the report s findings. The audit conclusions are consistent with BCAS s efforts in recent years to evolve air ambulance service from being mainly focused on daily operations and efforts driven, to one that balances being responsive to changing patient and health authority needs with also having strategic direction and active performance management, or being more outcomes driven. BCAS is developing concrete service standards and improving our data collection to ensure it is timely, accurate and provides the information needed to monitor performance and make evidence-based changes when required. BCAS believes in continually improving all of our services and will use the audit findings to further enhance our air ambulance operations. Audit Timing This audit was undertaken at a very unique juncture in BCAS s organizational history. In 2010, the provincial government announced that the Emergency and Health Services Commission (EHSC) would be officially moved into the health sector and become a division of the Provincial Health Services Authority (PHSA). There are three agencies within the EHSC BCAS, BC Bedline (BCBL) and Trauma Services BC; BCAS is by far the largest of the three entities. PHSA s mandate to plan and coordinate accessible, effective and high-quality province-wide health care services made it the logical home for the EHSC. Aligning with PHSA has integrated BCAS within the provincial health care system and enabled the EHSC to implement new systems and processes that support quality care and improved patient and paramedic safety. In May 2011, the government introduced amendments to the Emergency and Health Services Act to complete the transition of the EHSC to the PHSA, but the bill didn t pass. The legislation was introduced again in February Today, the EHSC is aligned with PHSA but the full benefits of becoming officially part of the health sector will be realized once the legislation is passed. Recommendation #1 - Actively manage the performance of its air ambulance services to achieve desired service standards for the quality, timeliness and safety of patient care. As noted in the report, BCAS has developed some specific performance measures for air ambulance service and this is an area that the CCT Program has been working to improve. This section of the response will outline what work has been done to date and what will be done in the future to establish, measure and report performance standards for air ambulance service. Following the conclusion of three separate and complex aircraft procurement processes in 2011 and 2012, BCAS was able to focus on improving the CCT Program. In late 2012, BCAS undertook a review of air ambulance services and determined that there was no one person responsible for both the aviation (aircraft safety and 1

2 maintenance) and operations (care quality, staff and patient safety, staffing) components. As a result, the program s four-person management structure was changed in January 2013 and a director is now responsible for strategic planning and performance reporting across the program, with the ultimate aim of improving patient care. The air ambulance service in B.C. is unique because BCAS is the only agency in North America that operates ground, fixed-wing and rotary-wing ambulance service on a provincial scale. The ground and air ambulance services in B.C. are integrated which has many advantages, including the ability to provide care that is consistent, effective and closely aligned with regional and provincial health services. The air ambulance industry throughout the world is evolving and most are at the early stages of developing similar performance management programs. Each air ambulance service provider does their business differently, so the industry itself does not have agreed-upon standards. To this end, BCAS is working with the Air Medical Physicians Association (AMPA) to develop industry-wide quality metrics. BCAS will use the newly-developed AMPA standards to form the basis of our performance management system, scheduled for implementation by late Fall Quality of Care - BCAS s CCT Program is built on a foundation of robust medical oversight and integration with specialist physicians, making it unique in North America. CCT paramedics are in daily contact with critical care intensivist physicians, many of which have multiple specialties, prior to, during and following transports involving patients with complex medical conditions. This real-time assessment and feedback by specialist physicians helps ensure that the patient care being provided by paramedics is of the highest quality. As well as providing ongoing medical oversight, the critical care physicians are involved in training the CCT paramedics. This complete integration of specialist physicians into the initial and ongoing training and oversight of the CCT paramedics has resulted in a clinical team that provides a very high level of care. Other air ambulance systems generally utilize emergency room physicians rather than critical care intensivists with many subspecialties for clinical oversight. BCAS takes three main factors into consideration when reviewing the clinical competency of CCT paramedics: 1) skills maintenance ability to apply a particular intervention and apply it at the correct time during the course of treatment; 2) call exposure frequency/duration of skills application; 3) and technological competency ability to apply skills using new equipment. BCAS requires CCT paramedics to document that they have undertaken a prescribed number of specific medical interventions to ensure that they are maintaining their specialized skills. CCT Program clinical staff review the documentation submitted by individual paramedics on a quarterly basis. When the clinical team has identified that a paramedic(s) has not undertaken sufficient specific intervention(s) to maintain skills in an area of their practice, a mandatory maintenance of competency session is held. This ongoing education helps ensure that CCT paramedics are confident in their skills for procedures that they have not recently applied. The CCT system in B.C. ensures that patients with critical illnesses or injuries receive the highest paramedic care available as soon as possible. When BCAS CCT paramedics arrive in a rural hospital, they have, in effect, reduced the time it takes for the patient to receive critical care. The results of a 2008 study led by B.C. critical care physician, Dr. Peter E. Dodek, found that that high acuity patients had better medical outcomes and spent less time in hospital when critical care paramedics were requested by the sending hospital sooner and spent more time treating the patient prior to transport. The study, titled The role of transport intervals in outcomes for critically ill patients who are transferred to referral centers, was published in the Journal of Critical Care. The study can be found online at 2

3 Further to the systems and processes outlined in the Key Findings section of this report, BCAS is pursuing formal accreditation by the Canadian Medical Association (CMA) of the CCT paramedic training program. The aim is to achieve accreditation in When complete, B.C. will be the second jurisdiction in Canada to provide a CMAaccredited training program for CCT paramedics. Further to this, the BCAS CCT Program regularly responds to requests for information from other air ambulance providers about the operations and training program for our Infant Transport (paramedic) Team. BCAS is also an active member of the Canadian Association of Pediatric Health Centres and sits on their Transport Systems Practitioner Profile Working Group which is developing competencies for Canadian maternal, neonatal and pediatric CCT teams. BCAS s transition into PHSA and the health sector has brought with it a robust infrastructure of patient care quality systems that are currently being implemented throughout the organization including care quality reviews; a patient safety identification, assessment and notification system; a patient safety learning culture; and processes that emphasize learning from colleagues good catches and near misses to help ensure continuous improvement on both an individual practitioner and system-wide basis. BCAS s CCT Program was among the first in the organization to implement a Patient Care Quality Committee. The committee reviews identified patient safety issues, monitors emerging quality trends and recommends system changes to the EHSC Quality Council. Timeliness of Service As stated in the report, approximately 90 per cent of air ambulance transports are for patients in hospital who require a higher level of care at another facility. These air ambulance transports, called inter-facility transfers, are undertaken primarily with fixed-wing aircraft. BCAS dispatchers and BCBL call takers work with physicians at both the sending and receiving hospitals, as well as our own transport physicians and other specialists, to ensure that the patients with the most critical illnesses and injuries are transferred first. The report also references two innovative dispatch protocols that BCAS developed to decrease transport time for trauma patients with critical injuries - Autolaunch and Early Fixed-Wing Activation (EFWA). Autolaunch is the simultaneous dispatching of a ground ambulance and air ambulance helicopter for specific calls, reducing the time it takes to get a patient to a trauma receiving facility. BCAS developed the trauma Autolaunch protocol based on a similar program created by the Mayo Clinic. BCAS s Autolaunch protocol, first implemented on Vancouver Island and the Gulf Islands in 2004, was quickly expanded to include the Lower Mainland and Fraser Valley; BCAS has since implemented Autolaunch in the East Kootenay. BCAS has also assisted other air ambulance providers in implementing their own Autolaunch protocol. BCAS s EFWA, the early notification of an air ambulance aircraft by responding ground paramedics, also improves the timeliness for patients to get the care they require. BCAS recognized the need to get patients located in the North to appropriate care following traumatic injury, which was most often located in the Lower Mainland. BCAS approached Northern Health with the idea for EFWA in 2011 and the protocol was first implemented in March Currently, EFWA is expanding throughout Northern B.C. and BCAS is in discussions with the Interior Health Authority about implementing the protocol in parts of the Kootenays. The report notes that BCAS is developing a performance reporting system for timeliness of air ambulance service. BCAS is currently working to improve the reliability of the performance data and meet the targets set. In 2013, the CCT Program management team will continue working with paramedics to develop performance metrics and will use manual processes to collect data until a stable, reliable information system can be developed. Patient Safety There are a number of processes in place to ensure the safety of patients, as well as the paramedics and flight crew, during air ambulance transports. All identified issues are reported to management who work to find a solution in a timely manner. BCAS is working to formally track safety concerns identified by the CCT Program Occupational Health and Safety Committee to ensure that any systemic problems are identified. BCAS complies with all regulations outlined by WorkSafeBC and Transport Canada. In 2012, BCAS developed an audit process to review the safety of our contracted aircraft providers. The process includes expertise from four external subject matter experts and CCT Program staff who will undertake the 3

4 following in 2013: 1) flight operations audits to ensure that the aircraft and flight crews are meeting the safety standards and regulations outlined by Transport Canada, 2) aircraft maintenance audits to ensure the aircraft are being maintained in accordance with the manufacturer s instruction and procedures, and that documentation meets Transport Canada requirements, and, 3) contract compliance audits to ensure that the aircraft and equipment meet the technical and performance criteria of our contract, as well as pilot experience, training, safety, emergency and standard operation procedural requirements. Between March and September 2013, all BCAS aircraft contractors will be audited. In 2014/15, the internal audit process will be expanded to include high-use ad hoc air, or charter, carriers. As recommended, BCAS will establish service standards and take a proactive approach to managing the performance of the air ambulance system with a specific focus on developing and tracking measures for quality, timely and safe patient care. Recommendation #2 Periodically review whether the distribution of staff and aircraft across the province is optimal for responding to demand for air ambulance services. There are a number of elements that are considered when determining where to base aircraft including: call volume, call type, patient referral patterns, location of specialized health care services, airport size and accessibility, paramedic training sites/opportunities, and economies of scale for base operations. Given the provincial scope of the air ambulance service in B.C., the paramedics and flight crew only start and end their shifts at the bases, which are utilized for shift change, restocking supplies and aircraft and equipment maintenance. Many specialized medical services are located in the Lower Mainland and BCAS transfers a large number of patients to this area. BCAS dispatchers coordinate responses and assign CCT paramedics, the subject of this audit, to, on average, 25 calls each day using both ground and air ambulances. BCAS actively engages specialists in the areas of cardiac services, trauma care, stroke services, pediatric, neonatal and obstetrics to ensure that air ambulance patient care and transport is operating effectively and paramedic care is consistent with patient and provincial health system requirements. Last year, BCAS initiated a project with the Fraser Health Authority to improve services for patients suffering from a particularly severe type of heart attack. This project led to a new protocol which ensures that these patients are provided with the proper paramedic care enroute and transports them to the hospital that can best provide treatment for this condition. As the audit points out, this ongoing evolution of service to meet patient needs has not been complemented by periodic blank slate reviews of service locations. As recommended, in order to determine whether our aircraft and personnel are in the best locations geographically to provide the best possible care for patients throughout the province, BCAS will undertake a blank slate review. We will also continue to pursue service enhancements in specific regions with our health authority partners when opportunities are identified. Recommendation #3 - Regularly identify and review a sample of air ambulance dispatch decisions to ensure resources are allocated with due consideration for patient needs and available resources. As noted in the report, dispatching air ambulances is an extremely complex process with constantly changing priorities and patient and weather conditions. The audit report mentions that BCAS reviews dispatch decisions when opportunities, issues or complaints arise. In 2012, BCAS centralized all ground and air inter-facility patient transfer coordination and dispatch services in the Lower Mainland into what is now known as the Patient Transport Coordination Centre (PTCC). This reorganization laid the foundation for the closer alignment of BCBL and BCAS as BCBL transitions to become the Patient Transfer Network (PTN) in Now, BCAS and BCBL call takers are co-located next to each other in the dispatch centre. 4

5 This close partnership has improved the patient transfer flow processes by increasing efficiencies and consistency of service throughout the province. The consolidation of patient transfer dispatch services has also led to better overall ambulance resource planning because dispatchers can see all available resources ground and air at the same time. Previously, the ground and air ambulance dispatch systems were completely separate. The creation of the PTCC has resulted in fewer empty legs whereby a ground or air ambulance is returning to its base or station without a patient onboard. Better transfer planning and reducing empty legs improves overall patient flow throughout the health care system by increasing efficiencies in ambulance services and freeing up beds in hospitals, clearly demonstrating the benefits of a combined ground and air dispatch centre model. BCAS will work with PTN to review individual inter-facility transfers to ensure that the needs of all involved patients, physicians, and service providers are being met throughout the continuum of care and the system is operating efficiently. The closer alignment of the PTCC and PTN will enable the agencies to share resources and partner in reviewing and auditing performance. Throughout our history, BCAS has conducted anecdotal reviews of our cost-per-patient transported by air ambulance to determine efficiency of service. These informal reviews have shown that BC has the lowest costper-patient in Canada. However, as noted by the Auditor General, it is difficult to objectively compare the drivers of air medical transport systems throughout North America due to their vast differences in service models. In 2013, BCAS will reassess whether it is possible to accurately compare costs-per-patient to other air ambulance providers in Canada. As recommended, BCAS will regularly review air ambulance dispatch decisions in order to ensure services are operated as efficiently as possible while also considering patient needs and available resources. Conclusion The EHSC and its agencies and programs operate by a philosophy of continuous improvement and are developing a robust Key Performance Indicators reporting system to monitor our performance against predetermined targets. BCAS s goal is to implement a more consistent and systematic program for monitoring and tracking performance of air ambulance operations. We are actively working to improve our performance management system and are confident that we will make the improvements identified in this audit report. 5

Report 13: March 2013. www.bcauditor.com

Report 13: March 2013. www.bcauditor.com Report 13: March 2013 Striving for QUALITY, TIMELY and Safe Patient Care: an audit of air ambulance services in B.C. www.bcauditor.com 8 Bastion Square Victoria, British Columbia Canada V8V 1X4 Telephone:

More information

Air Ambulance and Critical Care Transport Resource Allocation Action Plan. September 17, 2015

Air Ambulance and Critical Care Transport Resource Allocation Action Plan. September 17, 2015 Air Ambulance and Critical Care Transport Resource Allocation Action Plan September 17, 2015 INTRODUCTION In September 2013, BC Emergency Health Services (BCEHS) contracted consultant Chris Nickerson to

More information

Provide Appropriate Care: Ensure the right care is provided to the right patient with the right resource at the right time.

Provide Appropriate Care: Ensure the right care is provided to the right patient with the right resource at the right time. 2 STRATEGIC PLAN 2015-2018 Who We Are BC Emergency Health Services (BCEHS) is responsible for the delivery, coordination and governance of out-ofhospital emergency health services and inter-facility patient

More information

Air Ambulance and Critical Care Transport Resource

Air Ambulance and Critical Care Transport Resource BC Emergency Health Services Air Ambulance and Critical Care Transport Resource Allocation Process Review Chris Nickerson May 12, 2014 Critical Care Resource Allocation Review Page 1 Table of Contents

More information

Chapter 8 Department of Health and Community Services Air Ambulance

Chapter 8 Department of Health and Community Services Air Ambulance Department of Health and Community Services Air Ambulance Contents Background.............................................................. 115 Scope...................................................................

More information

Medical Helicopter Operations in Rural Areas. Medical Helicopter Operations in Rural Areas

Medical Helicopter Operations in Rural Areas. Medical Helicopter Operations in Rural Areas Medical Helicopter Operations in Rural Areas Joint Commission on Health Care Subcommittee on Healthy Living & Health Services Anita Ashby, RN MSN CEN NREMT-P P CMTE Wellmont Health System Paul Davenport,

More information

Shaping our Physician Workforce

Shaping our Physician Workforce Shaping our Physician Workforce Our Vision Every Nova Scotian should have access to a family doctor and other primary care providers. When Nova Scotians need to see a specialist, they should get the best

More information

Medical Flight Specialist. Total Points Rating 5 4 5 7 5 4 5 2 5 Points 233 67 32 33 150 87 103 43 54 802

Medical Flight Specialist. Total Points Rating 5 4 5 7 5 4 5 2 5 Points 233 67 32 33 150 87 103 43 54 802 Job Class Profile: Medical Flight Specialist Pay Level: CG-36 Point Band: 790-813 Accountability & Decision Making Development and Leadership Environmental Working Conditions Factor Knowledge Interpersonal

More information

Ambulance Dispatcher II. Interpersonal Skills Physical Effort Concentration Complexity

Ambulance Dispatcher II. Interpersonal Skills Physical Effort Concentration Complexity Job Class Profile: Ambulance Dispatcher II Pay Level: CG-32 Point Band: 704-717 Accountability & Decision Making Development and Leadership Environmental Working Conditions Factor Knowledge Interpersonal

More information

Report to City of Edmonton

Report to City of Edmonton Medevac Transport Report to City of Edmonton Medevac Transport Donna L. Towers Consulting Inc. Page 1 of 1 Report: 2009DCM032 Attachment 5 Table of Contents Introduction p.3 Executive Summary p.4 Current

More information

2008 / 2009. Focused. Professionalism Accountability Responsiveness Teamwork Wellness. Focused 2008 / 2009. British Columbia Ambulance Service

2008 / 2009. Focused. Professionalism Accountability Responsiveness Teamwork Wellness. Focused 2008 / 2009. British Columbia Ambulance Service Focused 2008 / 2009 o n d e l i v e r i n g c a r e Focused 2008 / 2009 British Columbia Ambulance Service 1 Table of Contents Overview Provincial Profile Regional Profile Vision, Mission and Goals Services

More information

Emergency and Health Services Commission. Annual Report 2011/12. EHSC Annual Report 2011/12

Emergency and Health Services Commission. Annual Report 2011/12. EHSC Annual Report 2011/12 Emergency and Health Services Commission Annual Report 2011/12 1 Message from the Executive Message from the EHSC President and PHSA President and CEO We are pleased that 2011/12 was a year of success

More information

ABOUT US VISION AND MISSION

ABOUT US VISION AND MISSION ABOUT US TrustAir Aviation Ltd. is a Hungarian company founded to provide the highest quality of air ambulance care. At TrustAir Aviation Ltd. we are committed to provide professional aero-medical care,

More information

MedFlight Advantage & Advantage Global Terms & Conditions

MedFlight Advantage & Advantage Global Terms & Conditions MedFlight Advantage & Advantage Global Terms & Conditions MedFlight Advantage Global Travel benefit is for all of the MedFlight Advantage (helicopter and ground critical care), MedCare Ambulance transports,

More information

Module Two: EMS Systems. Wisconsin EMS Medical Director s Course

Module Two: EMS Systems. Wisconsin EMS Medical Director s Course : EMS Systems Wisconsin EMS Medical Director s Course Objectives List the components of EMS systems Outline organizational and design options for EMS systems Outline system staffing and response configurations

More information

Sixth Annual Native American Health Care Conference May 18 19, 2015 San Diego, CA

Sixth Annual Native American Health Care Conference May 18 19, 2015 San Diego, CA Sixth Annual Native American Health Care Conference May 18 19, 2015 San Diego, CA 1 2 Native American Air Ambulance Our History 1995 Rick Heape begins operation of Native American Air Ambulance(NAAA) with

More information

SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 450

SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 450 SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 450 PURPOSE: To establish minimum standards for the integration of EMS aircraft and flight personnel into the EMS prehospital patient transport

More information

Ministry of Health and Long-Term Care. Follow-up to VFM Section 3.04, 2013 Annual Report RECOMMENDATION STATUS OVERVIEW

Ministry of Health and Long-Term Care. Follow-up to VFM Section 3.04, 2013 Annual Report RECOMMENDATION STATUS OVERVIEW Chapter 4 Section 4.04 Ministry of Health and Long-Term Care Land Ambulance Services Follow-up to VFM Section 3.04, 2013 Annual Report RECOMMENDATION STATUS OVERVIEW # of Status of Actions Recommended

More information

109-2-7. Ground and air ambulance staffing. Licenses shall be issued for three types of

109-2-7. Ground and air ambulance staffing. Licenses shall be issued for three types of 109-2-7. Ground and air ambulance staffing. Licenses shall be issued for three types of ambulance vehicles and aircraft. These ambulances shall be known as type I, type II, and type V. Each operator shall

More information

Department of Health. Web version. Helicopter Ambulance Program

Department of Health. Web version. Helicopter Ambulance Program Department of Health Helicopter Ambulance Program 157 Executive Management Carol Bellringer Brian Wirth Principals Jeff Gilbert Erroll Kavanagh Table of contents Main points... 161 Background... 163 Audit

More information

Health and Safety in Action Safe and Healthy Workplaces for BC s Health Care Workers

Health and Safety in Action Safe and Healthy Workplaces for BC s Health Care Workers Health and Safety in Action Safe and Healthy Workplaces for BC s Health Care Workers Provincial Workplace Health Call Centre - Initiative #2 Final Report Initiative Sponsor: Dave Keen Initiative Sponsor:

More information

NAPCS Product List for NAICS 62191: Ambulance Services

NAPCS Product List for NAICS 62191: Ambulance Services NAPCS List for NAICS 62191: Ambulance Services 62191 1 Ambulance Providing emergency or non-emergency transportation and medical assistance in a vehicle (surface or air) that includes equipment, supplies,

More information

Medicare Ambulance Services

Medicare Ambulance Services DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Official CMS Information for Medicare Fee-For-Service Providers Medicare Ambulance Services ICN 903194 May 2011 This publication

More information

Alberta s Air Ambulance Service Delivery Model Improvements. Presented to Mackenzie County Municipality July 16, 2013

Alberta s Air Ambulance Service Delivery Model Improvements. Presented to Mackenzie County Municipality July 16, 2013 Alberta s Air Ambulance Service Delivery Model Improvements Presented to Mackenzie County Municipality July 16, 2013 Medevac and EMS Experts Sue Conroy, Senior Vice President, Emergency Medical Services

More information

Infrastructure and System Design for Optimal Inter-facility Transports Maternal, Newborn & Paediatric

Infrastructure and System Design for Optimal Inter-facility Transports Maternal, Newborn & Paediatric Infrastructure and System Design for Optimal Inter-facility Transports Maternal, Newborn & Paediatric Hilary E.A. Whyte, MB. MSc. FRCPI. FRCPC Professor of Paediatrics, U of Toronto, Medical Director,

More information

THE FIRST DEDICATED DEEP WATER AIR MEDICAL TRANSPORT SYSTEM

THE FIRST DEDICATED DEEP WATER AIR MEDICAL TRANSPORT SYSTEM THE FIRST DEDICATED DEEP WATER AIR MEDICAL TRANSPORT SYSTEM PHI, the company of firsts, introduces the S-76 C++ Air Medical Helicopter, the first and most advanced dedicated deep-water air medical helicopter

More information

END OF LIFE PROGRAM PRIORITIES UPDATE

END OF LIFE PROGRAM PRIORITIES UPDATE END OF LIFE PROGRAM PRIORITIES UPDATE June 2014 Island Health End of Life Program Priorities Update 2014 Page 1 Background: Every year, approximately 6,000 people die of natural causes on Vancouver Island.

More information

EMS Subspecialty Certification Review Course. Learning Objectives 2. Medical Oversight of EMS Systems 2.1 Medical Oversight

EMS Subspecialty Certification Review Course. Learning Objectives 2. Medical Oversight of EMS Systems 2.1 Medical Oversight EMS Subspecialty Certification Review Course Medical Oversight of EMS Systems 2.1 Medical Oversight Version Date: 7.31.15 Learning Objectives 1 Upon the completion of this program participants will be

More information

TRAUMA IN SANTA CRUZ COUNTY 2009. Kent Benedict, MD, FACEP EMS Medical Director, Santa Cruz County EMS. November 1, 2010

TRAUMA IN SANTA CRUZ COUNTY 2009. Kent Benedict, MD, FACEP EMS Medical Director, Santa Cruz County EMS. November 1, 2010 TRAUMA IN SANTA CRUZ COUNTY 2009 Kent Benedict, MD, FACEP EMS Medical Director, Santa Cruz County EMS November 1, 2010 The Santa Cruz County Emergency Medical Services (EMS) 2009 annual comprehensive review

More information

EMS Aircraft Operations

EMS Aircraft Operations Page 1 Policy: Field Care Patient Management EMS Aircraft Operations I. AUTHORITY California Code of Regulations, Title 22, Division 9, Chapter 8, Articles 1-5 II. PURPOSE A. To establish guidelines for

More information

Integrated Quality and Safety Framework

Integrated Quality and Safety Framework Integrated Quality and Safety Framework Updated: Dec 2015 Developed by: Patient Experience and Quality Improvement Department Page 2 of 12 Contents Introduction 4 Background 4 Glossary of Key Terms 4 Purpose

More information

SUBJECT: TRANSPORT OF PATIENTS FROM REFERENCE NO. 520 CATALINA ISLAND

SUBJECT: TRANSPORT OF PATIENTS FROM REFERENCE NO. 520 CATALINA ISLAND areas of the island, for example, travel time from the Isthmus to Avalon is approximately 45-60 minutes by boat or ground transport. 3. Air transport is the preferred means for transporting critical patients

More information

The history of air ambulance dates back to unsophisticated balloon transports of injured. War in the 19th century, through the early years of

The history of air ambulance dates back to unsophisticated balloon transports of injured. War in the 19th century, through the early years of By Raul Mendoza The history of air ambulance dates back to unsophisticated balloon transports of injured soldiers during the Crimean War in the 19th century, through the early years of aviation, the Korean

More information

Alberta Health. Primary Health Care Evaluation Framework. Primary Health Care Branch. November 2013

Alberta Health. Primary Health Care Evaluation Framework. Primary Health Care Branch. November 2013 Primary Health Care Evaluation Framewo Alberta Health Primary Health Care Evaluation Framework Primary Health Care Branch November 2013 Primary Health Care Evaluation Framework, Primary Health Care Branch,

More information

Becoming an Air Methods Flight Nurse or Flight Paramedic

Becoming an Air Methods Flight Nurse or Flight Paramedic Becoming an Air Methods Flight Nurse or Flight Paramedic What It Takes Today, hundreds of thousands of people nationwide are living healthy, active lives, and enjoying time with family and friends because

More information

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual Emergency Medical Services Administrative Policies and Procedures Policy Subject Helicopter

More information

East Midlands Ambulance Service NHS Trust. Service Delivery Model

East Midlands Ambulance Service NHS Trust. Service Delivery Model East Midlands Ambulance Service NHS Trust Service Delivery Model EXECUTIVE SUMMARY This paper outlines the new service operating model proposed for East Midlands Ambulance Service NHS Trust which has the

More information

State of Wisconsin. Department of Health and Family Services Division of Public Health. Bureau of Local Health Support and Emergency Medical Services

State of Wisconsin. Department of Health and Family Services Division of Public Health. Bureau of Local Health Support and Emergency Medical Services State of Wisconsin Department of Health and Family Services Division of Public Health Bureau of Local Health Support and Emergency Medical Services 2006 Interfacility Transport Guidelines Table of Contents

More information

4.11. Ontario Works Program. Chapter 4 Section. Background. Follow-up on VFM Section 3.11, 2009 Annual Report

4.11. Ontario Works Program. Chapter 4 Section. Background. Follow-up on VFM Section 3.11, 2009 Annual Report Chapter 4 Section 4.11 Ministry of Community and Social Services Ontario Works Program Follow-up on VFM Section 3.11, 2009 Annual Report Chapter 4 Follow-up Section 4.11 Background Under the Ontario Works

More information

A Workplace Safety Strategy for Nova Scotians

A Workplace Safety Strategy for Nova Scotians A Workplace Safety Strategy for Nova Scotians 2013 2017 Together, workers and employers will make Nova Scotia the safest place to work in Canada. A safe Nova Scotia is a productive Nova Scotia Deaths,

More information

Rehabilitation System Standards

Rehabilitation System Standards TRAUMA DISTINCTION Standards Protocols Performance Indicators Excellence and Innovation Program Overview Rehabilitation System Standards Trauma Distinction recognizes trauma systems that demonstrate clinical

More information

Patient Flow and Care Transitions Strategy 2013-2018. Updated September 2014

Patient Flow and Care Transitions Strategy 2013-2018. Updated September 2014 Patient Flow and Care Transitions Strategy 2013-2018 Updated Introduction Island Health s Patient Flow and Care Transitions 2013-2018 Strategy builds on the existing work within the organization to address

More information

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization Pediatric Alliance: A New Solution Built on Familiar Values Empowering physicians with an innovative pediatric Accountable Care Organization BEYOND THE TRADITIONAL MODEL OF CARE Children s Health SM Pediatric

More information

NATIONAL PROFILES FOR AMBULANCE SERVICES CONTENTS

NATIONAL PROFILES FOR AMBULANCE SERVICES CONTENTS NATIONAL PROFILES FOR AMBULANCE SERVICES CONTENTS Profile Title AfC Banding Page Emergency Service Call Taker* 2 2 Patient Transport Services (PTS) Driver 2 Ambulance Services Driver (PTS) Higher Level*

More information

OVERVIEW AND MEMBERSHIP BENEFITS

OVERVIEW AND MEMBERSHIP BENEFITS OVERVIEW AND MEMBERSHIP BENEFITS What is the benefit of EagleMed membership to you? Although you do not have to be a member to be transported, membership offers several important benefits: First, as one

More information

Health Minister Horne misinformed about medevac system Doctors say government will be putting lives at risk

Health Minister Horne misinformed about medevac system Doctors say government will be putting lives at risk Press Release Website: www.saveourmedevac.ca January 21, 2013 For Immediate Release 8:00 pm Health Minister Horne misinformed about medevac system Doctors say government will be putting lives at risk Edmonton:

More information

STRATEGIC PLAN 2013-2016. One Island health system supporting improved health for Islanders

STRATEGIC PLAN 2013-2016. One Island health system supporting improved health for Islanders STRATEGIC PLAN 2013-2016 One Island health system supporting improved health for Islanders 02 Message from the Board Chair 03 Executive Summary 04 Introduction 05 Performance & Accountability Framework

More information

helicopter fixed wing 1. An aging demographic.

helicopter fixed wing 1. An aging demographic. It is estimated that there are around 400,000 helicopter EMS missions flown each year. There are an additional 100,000 150,000 fixed wing medical flights each year. In 2002, there were roughly 400 dedicated

More information

Yorkshire Ambulance Service NHS Trust. Performance and Quality Update September 2015

Yorkshire Ambulance Service NHS Trust. Performance and Quality Update September 2015 Yorkshire Ambulance Service NHS Trust Performance and Quality Update September 2015 Our Communities YAS is the only NHS provider serving the whole Yorkshire region Provides: A&E ambulance service; non-emergency

More information

The Future of Physician Assistants in Rural Canada

The Future of Physician Assistants in Rural Canada The Future of Physician Assistants in Rural Canada Jack Buchanan, MPAS, CCPA, CAPA Pacific Chapter President Presentation Objectives The role of the Physician Assistant (PAs) and how they can benefit rural

More information

Consultant Report. Nova Scotia Emergency Health Services: Analysis of LifeFlight Air Ambulance Services. 20 October 2006

Consultant Report. Nova Scotia Emergency Health Services: Analysis of LifeFlight Air Ambulance Services. 20 October 2006 Consultant Report Nova Scotia Emergency Health Services: Analysis of LifeFlight Air Ambulance Services 20 October 2006 303 Marshall Road, Box 170 Platte City, MO 64079 (816) 431-2600 www.fitchassoc.com

More information

Giving you peace of mind 24 hours a day Wherever you operate

Giving you peace of mind 24 hours a day Wherever you operate Giving you peace of mind 24 hours a day Wherever you operate Contents Contents Introduction - Medilink International 2 Your Business in Safe Hands 10 Our People 11 Our Services 11 Health & Safety 12 Audit

More information

Future Directions for Surgical Services in British Columbia. Executive Summary

Future Directions for Surgical Services in British Columbia. Executive Summary Future Directions for Surgical Services in British Columbia Strategic Context Executive Summary In a high functioning health system which is structured for patient centered care and services, patients

More information

Emergency Medical Services in Maryland/ Medical Orders for Life Sustaining Treatment

Emergency Medical Services in Maryland/ Medical Orders for Life Sustaining Treatment Emergency Medical Services in Maryland/ Medical Orders for Life Sustaining Treatment Sarah Sette Assistant Attorney General for the Maryland Institute for Emergency Medical Services Systems (MIEMSS) Emergency

More information

Framework for Cooperative Market Conduct Supervision in Canada

Framework for Cooperative Market Conduct Supervision in Canada Framework for Cooperative Market Conduct Supervision in Canada November 2015 1 Purpose The Framework for Cooperative Market Conduct Supervision in Canada ( Cooperative Framework ) is intended to provide

More information

3.04 Land Ambulance Services

3.04 Land Ambulance Services Chapter 3 Section Ministry of Health and Long-Term Care 3.04 Land Ambulance Services Background RESPONSIBILITIES The provision of land ambulance services in Ontario is governed by the Ambulance Act (Act).

More information

PARTNERS FOR LIFE AMBULANCE VICTORIA STRATEGIC PLAN 2010 2012

PARTNERS FOR LIFE AMBULANCE VICTORIA STRATEGIC PLAN 2010 2012 PARTNERS FOR LIFE AMBULANCE VICTORIA STRATEGIC PLAN 2010 2012 1. Ambulance Victoria s Role Ambulance Victoria is a critical link in Victoria s health care system. AV provides pre-hospital care for patients

More information

NATIONAL COMPETITION POLICY REVIEW. Of the AMBULANCE SERVICES ACT 1986 GOVERNMENT RESPONSE

NATIONAL COMPETITION POLICY REVIEW. Of the AMBULANCE SERVICES ACT 1986 GOVERNMENT RESPONSE NATIONAL COMPETITION POLICY REVIEW Of the AMBULANCE SERVICES ACT 1986 GOVERNMENT RESPONSE PART 1 INTRODUCTION In 1995, all Australian governments agreed, through the Competition Principles Agreement, to

More information

A Regulatory Framework for Nurse Practitioners in British Columbia

A Regulatory Framework for Nurse Practitioners in British Columbia 2855 Arbutus Street Vancouver, BC V6J 3Y8 Tel 604.736.7331 1.800.565.6505 www.crnbc.ca A Regulatory Framework for Nurse Practitioners in British Columbia In December 2000, the Ministry of Health announced

More information

PART VII. EMERGENCY MEDICAL SERVICES

PART VII. EMERGENCY MEDICAL SERVICES Commonwealth of Pennsylvania Pennsylvania Code Title 28. Health and Safety Chapters 1001 -- 1015 PART VII. EMERGENCY MEDICAL SERVICES Chapter 1001. ADMINISTRATION OF THE EMS SYSTEM 1003. PERSONNEL 1005.

More information

Prepared By: Health Care Committee REVISED:

Prepared By: Health Care Committee REVISED: SENATE STAFF ANALYSIS AND ECONOMIC IMPACT STATEMENT (This document is based on the provisions contained in the legislation as of the latest date listed below.) BILL: SB 874 Prepared By: Health Care Committee

More information

March 21, 2011. Dear Ranking Member Costello:

March 21, 2011. Dear Ranking Member Costello: U.S. Department of The Inspector General Office of Inspector General Transportation Washington, DC 20590 Office of the Secretary of Transportation March 21, 2011 The Honorable Jerry F. Costello Ranking

More information

SUBJECT: CRITICAL CARE TRANSPORT (CCT) PROVIDER REFERENCE NO. 414

SUBJECT: CRITICAL CARE TRANSPORT (CCT) PROVIDER REFERENCE NO. 414 Nurse-Staffed CCT: A ground or air ambulance interfacility transport of a patient who may require skills or treatment modalities that exceed the paramedic scope of practice but do not exceed the RN scope

More information

Travel times and ambulance coverage for proposed hyper-acute stroke units and major trauma centres in London

Travel times and ambulance coverage for proposed hyper-acute stroke units and major trauma centres in London Travel times and ambulance coverage for proposed hyper-acute stroke units and major trauma centres in London 1 Overview Healthcare for London conducted substantial analysis to calculate travel times to

More information

Nuffield Joint Travel Scholarship to Remote and Rural Australia. October/November 2007

Nuffield Joint Travel Scholarship to Remote and Rural Australia. October/November 2007 REMOTE AND RURAL STEERING GROUP Nuffield Joint Travel Scholarship to Remote and Rural Australia October/November 2007 Introduction A successful application was made by Mrs Fiona Grant, Remote and Rural

More information

Telehealth Governance Environmental Scan

Telehealth Governance Environmental Scan June 4, 2013 Telehealth Governance Environmental Scan Summary of Findings Nancy Gabor, Sr. Strategy Analyst, IMITS Telehealth Lower Mainland Consolidated IMITS IMITS is a consolidated Information Management/Technology

More information

COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures

COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT Final - May 2, 2002 Russ Blind Interim Director Robert Barnes, M.D. Medical Director TABLE OF CONTENTS Section: Topic: Page #: I. Definitions 3-4 II.

More information

Progress on the System Sustainability Programme. Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014

Progress on the System Sustainability Programme. Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014 Agenda Item: 9.1 Subject: Presented by: Progress on the System Sustainability Programme Dr Sue Crossman, Chief Officer Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014 Purpose of Paper:

More information

Guide to the National Safety and Quality Health Service Standards for health service organisation boards

Guide to the National Safety and Quality Health Service Standards for health service organisation boards Guide to the National Safety and Quality Health Service Standards for health service organisation boards April 2015 ISBN Print: 978-1-925224-10-8 Electronic: 978-1-925224-11-5 Suggested citation: Australian

More information

We look forward to the meeting, which will also address the next steps in the study process.

We look forward to the meeting, which will also address the next steps in the study process. Airport & Aviation Consultants November 26, 2013 Mr. Randall Malik Ms. Michelle Hannah Executive Director Project Manager Cuero Development Corporation TxDOT Aviation Division 212 East Main Street 125

More information

DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. Health Facilities and Emergency Medical Services Division

DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. Health Facilities and Emergency Medical Services Division DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT Health Facilities and Emergency Medical Services Division 6 CCR 1015-3 - Chapter 5 Air Ambulance Rules Pertaining To Emergency Medical and Trauma Care System

More information

Chapter 9. a The Future of Pediatric Cardiac Surgery and The Western Canadian Children s Heart Network INTRODUCTION

Chapter 9. a The Future of Pediatric Cardiac Surgery and The Western Canadian Children s Heart Network INTRODUCTION REPORT OF THE REVIEW AND IMPLEMENTATION COMMITTEE FOR THE REPORT OF THE MANITOBA PEDIATRIC CARDIAC SURGERY INQUEST Chapter 9 a The Future of Pediatric Cardiac Surgery and The Western Canadian Children

More information

ARKANSAS STATE BOARD OF HEALTH DIVISION OF EMERGENCY MEDICAL SERVICES AND TRAUMA SYSTEMS RULES AND REGULATIONS FOR MASS CASUALTY INCIDENTS

ARKANSAS STATE BOARD OF HEALTH DIVISION OF EMERGENCY MEDICAL SERVICES AND TRAUMA SYSTEMS RULES AND REGULATIONS FOR MASS CASUALTY INCIDENTS ARKANSAS STATE BOARD OF HEALTH DIVISION OF EMERGENCY MEDICAL SERVICES AND TRAUMA SYSTEMS RULES AND REGULATIONS FOR MASS CASUALTY INCIDENTS Promulgated Under the Authority of Act 1255 OF 1997 Effective

More information

Security Management Systems (SEMS) for Air Transport Operators. Executive Summary

Security Management Systems (SEMS) for Air Transport Operators. Executive Summary Security Management Systems (SEMS) for Air Transport Operators Executive Summary March 2011 Security Management Systems (SeMS) for Air Transport Operators Introduction and Scope Executive Summary In early

More information

Response to Consultation. Strengthening Home and Community Care: Successful Transition to a New Model

Response to Consultation. Strengthening Home and Community Care: Successful Transition to a New Model Response to Consultation Strengthening Home and Community Care: Successful Transition to a New Model February 16, 2016 Strengthening Home and Community Care: Successful Transition to a New Model Introduction

More information

Patient Experiences with Acute Inpatient Hospital Care in British Columbia

Patient Experiences with Acute Inpatient Hospital Care in British Columbia Patient Experiences with Acute Inpatient Hospital Care in British Columbia Michael A. Murray PhD December 2009 Contents Acknowledgements......................................................................

More information

Revised October, 2010. DOH 530-129 October 2010 Revised State Air Medical Plan Page 1

Revised October, 2010. DOH 530-129 October 2010 Revised State Air Medical Plan Page 1 STATE OF WASHINGTON EMS AND TRAUMA CARE SYSTEM AIR MEDICAL SERVICE PLAN Revised October, 2010 DOH 530-129 October 2010 Revised State Air Medical Plan Page 1 Overview The State of Washington regulates air

More information

NATIONAL AMBULANCE SERVICE ONE LIFE PROJECT

NATIONAL AMBULANCE SERVICE ONE LIFE PROJECT February 2015 NATIONAL AMBULANCE SERVICE ONE LIFE PROJECT Improving patient outcomes from Out Of Hospital Cardiac Arrest David Hennelly AP MSc Jan 2015 THE ONE LIFE PROJECT IS BEING LED BY THE NATIONAL

More information

Patient Experiences with Acute Inpatient Hospital Care in British Columbia, 2011/12. Michael A. Murray PhD

Patient Experiences with Acute Inpatient Hospital Care in British Columbia, 2011/12. Michael A. Murray PhD Patient Experiences with Acute Inpatient Hospital Care in British Columbia, 2011/12 Michael A. Murray PhD Dec 7, 2012 Table of Contents TABLE OF CONTENTS... 2 TABLE OF FIGURES... 4 ACKNOWLEDGEMENTS...

More information

ONTARIO NURSES ASSOCIATION. Submission on Ontario s Seniors Care Strategy

ONTARIO NURSES ASSOCIATION. Submission on Ontario s Seniors Care Strategy ONTARIO NURSES ASSOCIATION Submission on Ontario s Seniors Care Strategy Dr. Samir Sinha Expert Lead for Ontario s Seniors Care Strategy July 18, 2012 ONTARIO NURSES ASSOCIATION 85 Grenville Street, Suite

More information

External Telehealth Videoconferencing

External Telehealth Videoconferencing External Telehealth Videoconferencing Organization, as referenced below, is defined as the lower mainland collaboration of Health Authority (HA) Telehealth Programs, consisting of the Provincial Health

More information

County of Santa Clara Emergency Medical Services System

County of Santa Clara Emergency Medical Services System County of Santa Clara Emergency Medical Services System Policy #611: EMS Air Resource Utilization EMS AIR RESOURCE UTILIZATION Effective: May 5, 2008TBD Replaces: January 22, 2007 May 5, 2008 Review: TBD

More information

Allianz Corporate Assistance. Medical Assistance Medical Solutions

Allianz Corporate Assistance. Medical Assistance Medical Solutions Allianz Corporate Assistance Medical Assistance Medical Solutions 1 Despite an uncertain environment, volatile financial markets and challenging regulatory frameworks a promise is a promise. 2 Contents

More information

Guide For Interfacility Patient

Guide For Interfacility Patient Guide For Interfacility Patient Transfer National Highway Traffic Safety Administration Guide for Interfacility Patient Transfer National Highway Traffic Safety Administration Table of Contents Introduction.

More information

Focused on What Matters Most:

Focused on What Matters Most: Focused on What Matters Most: Manitoba s Plan to Protect Universal Health Care MAY 2012 Better Care for your Family INSIDE FRONT COVER Focused on What Matters Most: Manitoba s Plan to Protect Universal

More information

2003 FIRST MINISTERS ACCORD

2003 FIRST MINISTERS ACCORD 2003 FIRST MINISTERS ACCORD ON HEALTH CARE RENEWAL 1 In September 2000, First Ministers agreed on a vision, principles and action plan for health system renewal. Building from this agreement, all governments

More information

DRAFT V5 09/14/2015. 246-976-320 Air ambulance services.

DRAFT V5 09/14/2015. 246-976-320 Air ambulance services. 246-976-320 Air ambulance services. The purpose of this rule is to ensure the consistent quality of medical care delivered by air ambulance services in the state of Washington. (1) All air ambulance services

More information

RURAL HEALTH SERVICES IN BC: A POLICY FRAMEWORK TO PROVIDE A SYSTEM OF QUALITY CARE

RURAL HEALTH SERVICES IN BC: A POLICY FRAMEWORK TO PROVIDE A SYSTEM OF QUALITY CARE RURAL HEALTH SERVICES IN BC: A POLICY FRAMEWORK TO PROVIDE A SYSTEM OF QUALITY CARE CROSS SECTOR POLICY DISCUSSION PAPER 2015 Table of Contents Executive Summary... 1 Introduction... 11 Strategic Context...

More information

MINISTRY OF HEALTH AND LONG-TERM CARE

MINISTRY OF HEALTH AND LONG-TERM CARE THE ESTIMATES, 1 The Ministry provides for a health system that promotes wellness and improves health outcomes through accessible, integrated and quality services at every stage of life for all Ontarians.

More information

AIR MEDICAL SERVICE. City State Zip

AIR MEDICAL SERVICE. City State Zip INITIAL REVIEW ANNUAL AUDIT - YEAR TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH LICENSURE AND REGULATION OFFICE OF EMERGENCY MEDICAL SERVICES 665 MAINSTREAM DRIVE, 2 ND FLOOR NASHVILLE, TN 37243 TELEPHONE:

More information

Message from the executive 05 bcehs overview 07 BC patient transfer network 07 Trauma services bc 08. program overview and highlights 18

Message from the executive 05 bcehs overview 07 BC patient transfer network 07 Trauma services bc 08. program overview and highlights 18 Contents Message from the executive 05 bcehs overview 07 BC patient transfer network 07 Trauma services bc 08 BC Ambulance Service 11 program overview and highlights 18 medical programs 21 quality, safety,

More information

A3795 CONAWAY 2. AN ACT concerning the operation of air ambulance services and supplementing Title 26 of the Revised Statutes.

A3795 CONAWAY 2. AN ACT concerning the operation of air ambulance services and supplementing Title 26 of the Revised Statutes. ASSEMBLY, No. STATE OF NEW JERSEY th LEGISLATURE INTRODUCED DECEMBER, 00 Sponsored by: Assemblyman HERB CONAWAY, JR. District (Burlington and Camden) SYNOPSIS Establishes procedures for operation of air

More information

Saskatchewan Provincial Health Information

Saskatchewan Provincial Health Information Saskatchewan Provincial Health Information Skilled, dedicated people are at the heart of the health system, and Saskatchewan Health has targeted improvements in training, workplace safety, ad other human

More information

Maryland State Firemen s Association Executive Committee Meeting December 5, 2009

Maryland State Firemen s Association Executive Committee Meeting December 5, 2009 Maryland State Firemen s Association Executive Committee Meeting December 5, 2009 Maryland State Police Aviation Command Update Presented by: Major Andrew J. (A. J.) McAndrew Hello, my name is Major A.

More information

Internal Oversight Division. Internal Audit Strategy 2015-2017

Internal Oversight Division. Internal Audit Strategy 2015-2017 Internal Oversight Division Internal Audit Strategy 2015-2017 Date: June 4, 2015 page 2 TABLE OF CONTENTS LIST OF ACRONYMS 3 1. BACKGROUND 4 2. PURPOSE 4 3. VISION STATEMENT 5 4. MISSION STATEMENT 5 5.

More information

Regulatory Compliance Management (RCM) (formerly Legislative Compliance Management (LCM))

Regulatory Compliance Management (RCM) (formerly Legislative Compliance Management (LCM)) Guideline Subject: Category: (RCM) (formerly Legislative Compliance Management (LCM)) Sound Business & Financial Practices No: E-13 Date: November 2014 I. Purpose and Scope of the Guideline The purpose

More information

Business Plan 2015-2017

Business Plan 2015-2017 Business Plan 2015-2017 safetycodes.ab.ca Table of Contents Introduction 4 Strategic Priorities 5 Organizational Structure 7 Business Plan Goals 8 2015 Financials 13 2015-2017 Business Plan Page 3 Introduction

More information

TELEHEALTH CLINICAL GUIDELINES

TELEHEALTH CLINICAL GUIDELINES TELEHEALTH CLINICAL GUIDELINES Table of Contents Table of Contents... 1 1. Introduction... 2 1.1. Purpose... 2 1.1. Background... 2 2. Definitions... 4 3. Guidelines... 5 3.1. Telehealth and Clinical Practice...

More information

The Deputy Minister of Community Services Harvey Brooks

The Deputy Minister of Community Services Harvey Brooks Recommendations by the: Chartered Accountants of the Yukon Certified Management Accountants of the Yukon Submitted to: The Minister of Community Services Hon. Elaine Taylor Date: March XX, 2013 The Deputy

More information

Building a Strong Organization CORPORATE GOVERNANCE AND ORGANIZATIONAL STRUCTURE

Building a Strong Organization CORPORATE GOVERNANCE AND ORGANIZATIONAL STRUCTURE chapter III Building a Strong Organization To remain a strong organization that is able to fulfil its mandate, CMHC draws on sound corporate governance, financial and risk management practices, progressive

More information