Ornge Overview. care in motion. Presentation to the District of Muskoka Corporate and Emergency Services Committee February 22, 2018

Transcription

1 Ornge Overview Presentation to the District of Muskoka Corporate and Emergency Services Committee February 22, 2018 care in motion

2 Who We Are Provider of air ambulance and related services for Ontario s Ministry of Health and Long-Term Care (MOHLTC) More than 20,000 patient-related transports per year

3 Mission Providing Ontario s patients with safe and timely care, transport and access to healthcare services Vision A trusted and responsive partner extending the reach of healthcare in Ontario Values Safety Preparedness Integrity Compassion Excellence

4 Our Services Inter-Facility Transfers 93% of Ornge transports Support patient movement across regional boundaries, from one hospital to another Service to remote communities On-Scene Response 7% of Ornge transports Ornge is a secondary responder Rapid transport, level of care Organ transport Organ retrieval from across North America

5 Our Coverage Fort Severn Service area ~1,000,000 km 2 Population ~14,000,000 Kenora and points west Cornwall and points east Muskoka Pelee Island

6 ABOUT WHO WE ARE WHERE SERVICE WE ARE REQUESTS AND WHAT WE DO DISTRICT CONTACT OF US Ornge Assets Pilatus PC12 Ornge assets are a provincial resource 8 staffed helicopters 4 staffed fixed wing 4 staffed Critical Care Land Ambulances Leonardo AW139 In addition, Standing Agreement carriers perform fixed wing patient transports under contract with Ornge Crestline

7 Base Locations Assets are situated near Receiving hospitals Faster return to base to restock and refuel Faster return to service Maximize asset availability Minimize distances flown with no patient

8 Our Levels of Care Paramedics Primary Care Advanced Care Critical Care Transport Medicine Physicians 24/7 Physician oversight

9 Provincial Framework Ambulance Act Minister of Health and Long-Term Care ensures the existence throughout Ontario of a balanced and integrated system of ambulance services (i.e. EMS + Ornge) Regulations 356/16 and 497/07 Designate Ornge as Ontario s provider of air ambulance and critical care land ambulance services

10 OUR CONTEXT STRATEGIC PLAN FOUNDATION STRATEGIC SERVICE REQUESTS GOALS AND AND PRIORITIES OUR DISTRICT COMMITMENT OF Performance Agreement Ornge is required to: Ensure the provision of all air ambulance and Critical Care Land Ambulance services Ensure that Ontario hospitals and ambulance services are advised about the appropriate use and accessibility of air ambulance resources Air Ambulance Utilization Standard Requests for on-scene air response must meet certain guidelines (one of each): Operational: time to patient, time to hospital, level of care, or extraordinary circumstances Clinical: Field Trauma Triage or specific medical criteria Ornge is a secondary responder

11 Dispatch Process Hospitals, EMS and Central Ambulance Communications Centres directly request Ornge service Ornge is not part of the 911 system Ornge s Operations Control Centre Assesses the patient s level of care Dispatches the most appropriate asset Coordinates logistics with EMS and/or Sending and Receiving hospitals Transport Medicine Physician Triages Gives medical orders to Ornge crew Provides advice to Sending hospitals

12 Asset Selection 1. Type of request Highest priority on emergent requests (e.g. on-scene response, inter-facility Life or Limb transfers) 2. Medical needs of the patient Patient s level of care required Time to definitive care 3. Vehicle considerations Range, speed Crew s level of care 4. Unique local circumstances Location of airport Hospital with/without helipad EMS deployment plan

13 Operational Practicalities Province-wide mandate Finite assets Variables affecting service delivery Weather Volume of requests Mechanical Staffing Landing sites

14 Conceptual Model Land Ambulance for the inner ring Helicopter for mid distances radius of ~250km (130nm) Airplane for longer distances faster than helicopter

15 District of Muskoka Helicopter typically responds Toronto and Sudbury-based helicopters are the closest (3 helicopters) London or Ottawa-based helicopters are also possible (2 helicopters) South Muskoka Memorial Hospital and helipad Airplane or CCLA respond rarely The assigned asset may not be responding from base Huntsville Hospital and helipad

16 Historical Summer Positioning at the Muskoka Airport For several years Ornge positioned a helicopter in Muskoka during summer Discontinued the practice in 2010 Ornge has no record of a clinical or operational analysis supporting the establishment or discontinuation of the practice

17 We aim to use our assets and apply our efforts in a way that brings the greatest medical benefit to patients across the province right patient, right care at the right time. (Source: Ornge Strategic Plan 2020)

18 Questions?