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Ambulance Services in Australasia 2013

Ambulance Services in Australasia 2013. Agenda. Overview Who is CAA? Dimensions and Services Current Issues Demand Performance and Measurement Regulation Questions. www.caa.net.au. Who is the CAA ?. The Council of Ambulance Authorities Inc. Established in 1962

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Ambulance Services in Australasia 2013

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  1. Ambulance Services in Australasia 2013

  2. Agenda • Overview • Who is CAA? • Dimensions and Services • Current Issues • Demand • Performance and Measurement • Regulation • Questions www.caa.net.au

  3. Who is the CAA ? • The Council of Ambulance Authorities Inc. • Established in 1962 • Incorporated in 2002 (+ first staff member) • Charity (no income tax) • Ten members – public ambulance services • Governed by a Board of ten Directors • Small secretariat, headed by CEO • Australasia’s equivalent of AACE www.caa.net.au

  4. International Links • AACE • Paramedic Chiefs of Canada www.caa.net.au

  5. Dimensions Population: • Australia 22.6m • New Zealand 4.5m • TOTAL 27.1m (UK 62.7m) Activity (Incidents): • Emergency 1.7m • Urgent 0.9m • Non-Urgent 1.2m • TOTAL 3.8m • Not Transported 0.4m (11% Patients) www.caa.net.au

  6. CAA’s Member Services • 8 Australian Services • ACT Ambulance Service • Ambulance Service New South Wales • Ambulance Tasmania • Ambulance Victoria • Queensland Ambulance Service • SA Ambulance Service • St John, Northern Territory • St John, Western Australia • 2 New Zealand Services • St John, New Zealand • Wellington Free Ambulance Australian Capital Territory The UK would fit into Australia 31.6 times (into New Zealand 1.1 times) Texas fits 11 times! Note: NZ not to scale in this map www.caa.net.au

  7. Governance Non-Government - Contract StateGovernment–EmergencyServicesDepartments State Government - Health Departments www.caa.net.au

  8. Dimensions $2.5 billion 80% Operational Staff (=13,400 FTE) 8,900 Volunteers 30% of Response Locations Covered only by Volunteers www.caa.net.au

  9. 2011-12 Annual Report Data More on CAA web site www.caa.net.au

  10. Current Issues • Demand • Performance Measurement • Regulation • Emergency Management www.caa.net.au

  11. Demand • Continued increase • Incidents and patient numbers: 4.5%+growth pa • (higher in NZ than Aus) • Reduce non-emergency load • Out-sourcing, secondary triage and referral • Community Paramedicine - ‘Urgent Community Care’ • Better integration with health services - end ‘ramping’ • Developing the value proposition – support future investment www.caa.net.au

  12. Performance Measurement • From process measures to patient outcomes • Eg. ‘Response time’ to ‘Survival to discharge’; Pain… • Balanced suite of indicators • Would look familiarto you • Systems – EPRs - ‘Big Data’ for ambulance www.caa.net.au

  13. Regulation • Paramedics • Registration or black list (Code of Conduct)? • Australia different to New Zealand? • Risk Management or cultural change ? • Paramedic practice • Clinical Governance • Third party providers • Event Medical Services • NEPT • Industrial www.caa.net.au

  14. Emergency Management • Floods, Fires, Cyclones, Earthquakes • Increased incidence - due to climate change • Increased exposure to risk • Including reputational risk • Greater Recognition of Ambulance Capability needed • Management of care and resources in the field • Delivery of health care in uncontrolled environments • Resourcing Ambulance Capacity • ‘Surge’ resourcing www.caa.net.au

  15. My Mission • A seat at the table • A strong voice for the sector • Appreciation ofthe ambulance role • Attentionto our issues www.caa.net.au

  16. Questions ? www.caa.net.au

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