Ambulance Services in Australasia 2013

Overview

Who is CAA?

Dimensions and Services

Current Issues

Demand

Performance and Measurement

Regulation

Questions

Agenda

www.caa.net.au

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

Who is the CAA ?

www.caa.net.au

• AACE

• Paramedic Chiefs of Canada

International Links

www.caa.net.au

Dimensions

www.caa.net.au

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 3.8mNot Transported 0.4m (11%

Patients)

CAA’s Member Services

www.caa.net.au

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

Governance

www.caa.net.au

Non-Government - Contract

State Government - Health Departments

State Government – Emergency Services

Departments

Dimensions

www.caa.net.au

$2.5 billion

80% Operational Staff (=13,400 FTE)

8,900 Volunteers

30% of Response LocationsCovered only by Volunteers

PAID STAFF(FTE 000s)

STATIONS VEHICLES INCIDENTS

St John, WA 1,126 189 597 230,000

St John, NT 167 9 58 N/A

SA Ambulance 1,210 114 399 256,000

Queensland Ambulance 3,895 266 1,244 833,000

AS New South Wales 4,360 267 1,574 973,000

ACT Ambulance 224 7 46 39,000

Ambulance Victoria 3,449 230 1,092 795,000

Tasmanian Ambulance 357 49 164 68,000

St John, NZ 1,705 189 913 416,000

Wellington Free 214 9 30 71,000

TOTAL 16,707 1,329 6,117 3,681,000

2011-12 Annual Report Data More on CAA web site

www.caa.net.au

Demand

Performance Measurement

Regulation

Emergency Management

Current Issues

www.caa.net.au

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

Demand

www.caa.net.au

From process measures to patient outcomes

Eg. ‘Response time’ to ‘Survival to discharge’; Pain…

Balanced suite of indicators

Would look familiar to you

Systems – EPRs - ‘Big Data’ for ambulance

Performance Measurement

www.caa.net.au

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

Regulation

www.caa.net.au

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

Emergency Management

www.caa.net.au

A seat at the table

A strong voice for the sector

Appreciation of the ambulance role

Attention to our issues

My Mission

www.caa.net.au

Questions ?

www.caa.net.au