2020 Bruce County Business Plan Department: Paramedic Services Strategic Priorities: 1. Find creative ways to engage our public. Make the county fully accessible to people through access to information. Engage in cross-departmental streamlining – specialize in the solution, not the department. 2. Explore alternate options to improve efficiency and service. Develop a system for measuring our processes and their successful desired outcome. Look for economy of scale or shared services among our departments and our communities. Coordinate working with other agencies. 3. Develop Key Performance Indicators (KPIs) that are meaningful and report on them. Set measurable goals and evaluate against them. Build in accountability and evaluation mechanisms. 4. Eliminate our own red tape. Focus on the internal and the external customer / client needs first and eliminate all duplications of services and data. 2020 Bruce County Business Plan - Key Performance Indicators: 2015 2016 2017 2019 2020 to date Indicator 2018 2020 Budget Actual Actual Actual Actual (Q2) Actual Total paramedic responses per 1,000 population 97 98 102 103 104 47 106 Average length of time from crew notification to P 13:25 P 13:45 P 13:31 P: 13:26 P 13:35 P: 14:17 P 13:35 arrival for Code 3 and 4 calls. L 9:28 L 9:48 L 9:28 L: 9:40 L 9:30 L: 9:53 L 9:30 I 9:07 I 8:46 I 8:37 I: 9:20 I 8:30 I: 9:27 I 8:30 C 10:47 C10:40 C 10:25 C: 10:36 C 10:30 C: 11:03 C 10:30 Length of time from crew notification to arrival for P 24:41 P 24:23 P: 25:20 P: 24:37 P: 24:30 P: 26:06 P 24:30 the highest priority calls – 90th percentile. L 16:39 L 17:20 L: 16:14 L: 16:51 L: 16:45 L: 16:35 L 16:45 I 16:43 I 17:55 I: 15:53 I: 17:59 I: 17:00 I: 17:25 I 17:00 A: 20:53 A:20:28 C: 20:19 C: 20:13 C: 20:30 C: 20:42 C 20:30 Cost to provide one hour of ambulance service. $188 $182 $166 $169 $176 $ TBD Annual compliance with Council approved Meets or Met 3 of Met 3 of Met 4 of Meet or exceed Ambulance Response time criteria. Met 5 of exceeds Met 4 of 6 criteria 6 criteria 6 criteria 6 criteria criteria 6 criteria criteria Not meeting CTAS SCA: 6 minutes 30% of time (coming in at 29%) or CTAS 1: 8 minutes 45% of time (coming in at 36%) 1 | P a g e 2020 Bruce County Business Plan Combined Quarterly Update 2020 Major Initiatives Operational Capital Total Budget Cost Budget Cost Budget Cost (year) (year) (year) 1. Replacement of Two (2) $280,000 Delivery Q3 ambulances 2. New Saugeen Shores $3,500,000 – Report to Paramedic Services July 2, Ambulance Station $4,000,000 2020 3. 2020 Ministry of Health $9,000 (staff Resuming Virtually Submission Due Emergency Services, Service time August 11, 2020 Review absorbed) 2 | P a g e 2020 Bruce County Business Plan Program Estimated 2020 Major Initiatives Budget Project Description Budget Outcome (Operational & Owner) Pressure Cost (year) Category 1. 2020 Ministry of Health This is a requirement of the Ministry of Health $9,000 (staff Emergency Services that every 3 years a Ministry of Health time Provincial Review Emergency Services Review Team visits the absorbed) Legislation County and conducts a review of the operations, Q3 2020 policy and service delivery by its paramedics Resuming Owner: Paramedic and management. Virtually Service Management Submission by August 11, 2020 3 | P a g e 2020 Bruce County Business Plan Estimated 2020 Major Initiatives Program Budget Project Description Budget Outcome (Capital) Pressure Category Cost (year) 1. New Saugeen Shores Move forward with plans for $3,500,000 - Q3 2020 Service Priority Ambulance Station building a new ambulance $4,000,000 base in Saugeen Shores for Owner: County Council, present and future expansion Paramedic Services of the service Management 2. Replacement of two As per our fleet replacement $395,850 Q3 2020 Service Priority (2) ambulances schedule two (2) new ambulances to be purchased 4 | P a g e 2020 Bruce County Business Plan Key Performance Indicators Index: Key Performance Indicators Description Total paramedic responses per 1,000 This is the number of responses completed per 1,000 population based on the latest population Statistics Canada census of Bruce County total population of 68,000. This illustrates how many calls the service provider is receiving per capita. For 2015 there were 6,433 patient responding calls divided by 66 for a total of 97 responses per 1,000 population. Census data for 2016 shows a population of 68,000 therefore the 2016 and 2017 numbers are now reflecting this population count. Average length of time from crew This is the average length of time from when a call is received by a crew to when the notification to arrival for Code 3 and 4 ambulance arrives on scene for prompt and urgent calls (code 3 and 4). These statistics are calls obtained directly from the MOH&LTC ADRS database. These times are reported by the County (indicated with a C) as a whole and then by divisions (whereby P is the ‘Peninsula Hub’ consisting of North Bruce Peninsula, South Bruce Peninsula, and Cape Croker, L is the ‘Lakeshore Hub’ consisting of Saugeen Shores, Saugeen 29, Kincardine, and Huron- Kinloss, and I is the ‘Interior Hub’ consisting of Brockton, Arran-Elderslie, and South Bruce.) Length of time from crew notification to This indicates the 90th percentile of how long it takes from the time a call is received by a arrival for the highest priority calls – crew to when the ambulance arrives on scene for the highest priority calls (Code 4). These 90th percentile statistics are obtained directly from the MOH&LTC ADRS database. These times are reported by the County (indicated with a C) as a whole and then by divisions (whereby P is the ‘Peninsula Hub’ consisting of North Bruce Peninsula, South Bruce Peninsula, and Cape Croker, L is the ‘Lakeshore Hub’ consisting of Saugeen Shores, Saugeen 29, Kincardine, and Huron-Kinloss, and I is the ‘Interior Hub’ consisting of Brockton, Arran-Elderslie, and South Bruce.) Cost to provide one hour of ambulance This shows the cost per hour to have a Paramedic Service vehicle available to respond to service patient calls. Although the full cost of the service including administrative costs, medical supply costs, building operating costs, supervision and overhead are included only the hours that vehicles are available for service are used. As salaries and wages, fuel and other costs increase, this measure will also trend upward. In our case vehicles (including the Shift Superintendents) are available for 64,740 annual hours. As an example for 2017 you take the total expenditures of $10,740,203 divided 64,740 hours for a total cost per hour of $166. For 2018, the total expenditures are estimated in the budget at $10,978,073. 5 | P a g e .