Community Referrals by EMS
CREMS
Dean Shaddock
Former Coordinator
Community Paramedicine Program
CREMS 2010 Roundtable
- Toronto

Toronto EMS
Population: Residential
Business Day
Greater Toronto Area
2.6 million
2.9 million
6.0 million
Staff:
Call Volume:
1200
Emergency (2007): 223,769
Transports (2007): 177,157
Annual Operating Budget (2007): $150 Million

Development of CREMS
Finding a solution
EMS Perspective
EMS Options
EMS Solution

CREMS
Community Referrals by EMS (CREMS) – for who?
Link to Paramedic practice
Why CREMS?
Non-transports and Transports
Process
Goals

Community Care Access Centres
Community Care Access Centres – what are they?
Service Delivery Model
Care and Supportive Services
- CCAC Services
- Community Support Services
Unanswered questions and possibilities

Ontario CCAC’s

Toronto EMS Meets CREMS

Year 1 – 2006

TOTALS
Calls
Transports
Non-Transports
Time-On-Task
300
200
100
0
600
500
400
700
Year 1 – 2006 - Review
CREMS Program - Year 1 - 2006
Pre-CREMS
Post-CREMS
# of Calls Transports Non-Transports Time on task
PRE-CREMS POST-CREMS RESULT
360 294 - 18.3 %
217
143
662
163
131
433
- 24.8 %
- 8.4 %
- 34.6 %

Year 2 - 2007

Year 3 - 2008

CREMS Age Stats – 2006 to 2009
Age Group
0-9
10-19
20-29
30-39
40-49
50-59
60-64
65-69
70-79
80-89
90 and older
Unknown
Total
2006
0
0
4
0
0
9
2
7
22
22
11
31
108
2007
0
2
3
0
0
5
6
5
24
27
3
17
92
2008
1
5
11
1
4
31
35
33
115
156
31
129
552
2009
1
4
8
0
3
15
11
25
57
99
30
66
319

Year 4 – 2009 and Beyond
2009 Year-to-date statistics for CREMS
Survey Results from Paramedic CME
CREMS Database
CREMS Home Visits

CREMS Beyond Toronto
Halton Region EMS & Peel Regional Paramedic Services
-October 2007 to March 2009
York Region EMS
-September 2008 to March 2009
Superior North EMS (Thunder Bay and District)
“It does not matter where you live, we can now help.
The big advantage is that CREMS can be a key link in any community.”
CREMS and PERIL

Questions?