Community Referrals by EMS CREMS

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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 Time on task Transports Non-Transports

PRE-CREMS

360

217

143

662

POST-CREMS

294

163

131

433

RESULT

- 18.3 %

- 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?

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