HomeMy WebLinkAboutClinton News Record, 2013-11-27, Page 1212 News Record • Wednesday, November 27, 2013
Consultant recommends sweeping changes to county EMS
Establishment of
bases in Seaforth,
Clinton
Paul Cluff
QM! Agency
Sweeping changes have been pro-
posed to Huron County's EMS includ-
ing establishing bases in Clinton and
Seaforth and removing two of the
county's fleet of rapid response
vehicles.
Consultant Daryl Cully's recommen-
dations, reviewed at the Wed. Nov 20
county council meeting, come after
months of consultations with stake-
holders, including one -on -on meet-
ings with councillors.
The review was recommended by
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George Cuff - a consultant hired
to examine overall county oper-
ations and ways to improve
them.
Huron EMS operates within
or close to budget and response
times are good for the most
part, said Cully, who reviewed
statistics, budgets and staff
workloads for his report. Huron
EMS was rated above average in
its last review by the Ministry of
Health, which sets standards for
upper tier municipalities.
Cully's report touched on
everything from operational
issues to staff morale to what
the county council focus should
be when it comes to EMS.
Cully recommended base
changes: establishing locations
in Seaforth and Clinton, con-
verting Tuckersmith to an
administration base and mov-
ing the St. Joseph post to
Zurich.
"Vehicles should be where
the calls are occurring;" he said,
referring to his data.
Cully said Huron EMS have
the lowest response goal/tar-
gets in southwestern and east-
ern Ontario. According to data,
for the most critical calls, Huron
EMS responds within eight
minutes 51 per cent of the time.
Eight minutes is the provin-
cial response time standard -
the time the paramedic crew is
notified until they arrive on
scene.
The base set-up recom-
mended by Cully would ensure
critical calls are reached in the
quickest time, he said.
The alignment is an end -
around from a previous con-
sultant's findings, though
requirements have changed
over the years, including
response time targets.
Cully suggested eliminating a
policy of refurbishing vehicles
in favour of buying new. Refur-
bishing hasn't proven to save
money long-term, he said. He
also suggested buying SUVs and
phasing out the use of pick-up
trucks and equipping EMS vehi-
cles with snow tires by year's
end.
There is no data to suggest
usage of rapid response vehi-
cles has helped with response
times and suggested removing
two from the fleet and staffing
an additional ambulance over a
12 -hour period.
In a list of overall recommen-
dations, Cully said EMS man-
agement should be more inclu-
sive of paramedics in overall
decision-making. Action should
be taken on minor decisions
and not left for council to
decide when already approved
by budget, he added.
Cully found a disconnect
between county council, EMS
management and paramedics.
He suggested the chief and dep-
uty chief dedicate more time to
station visits for meetings with
paramedics, so concerns don't
fester.
Paramedics have expressed
concern with the loss of the
24-hour shift, and single staff-
ing of rapid response vehicles.
He also noted a staff concern
about frequent movement from
location to location in the
county, essentially to have EMS
on the ready. It leads to staff sit-
ting for extended periods, away
from bases, to cover off the
county.
More than two-thirds of call
volume is vehicle movements,
Cully said.
"One of the reasons we are
here is staff morale
He suggested county council
focus on strategic levels and not
operational issues or paramedic
operational concerns, though
he noted that EMS shortages
should be reported on a
monthly basis to the CAO.
Cully said it is important to
let the community know what is
going well with its EMS, sug-
gesting there is a lot of misin-
formation in the community
that could be clarified by an
annual report. The consultant's
EMS review contract with the
county, approved in June, was
for $35,980.
Council went into closed ses-
sion after Cully's presentation.
Afterwards, they agreed to
receive the information as
presented.
"I think the general feeling is
there needs to be some
improvement, but we have been
exceeding some standards
across the province," said Coun.
Deb Shewfelt, the Mayor of
Goderich.
Shewfelt hesitated to say
when and if changes could be
made, but he hopes they would
come at budget time and after
long conversations. "We started
to make changes and I think
sometimes changes result in
other changes. We needed a
total review of how we are oper-
ating. It's a moving target, a
growing target. We need to take
(EMS services) to the next
level."
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