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Ambulance review 'set up to fail:' Smith

Diane Crocker
Published on March 13, 2013
Published on March 12, 2013
Diane Crocker  RSS Feed

CORNER BROOK  After participating in the review of the province’s ambulance services, Wade Smith thinks the whole process could have been better handled.

Topics :
Newfoundland and Labrador Private Ambulance Operators Association , Fitch-Helleur Partnership , Whitbourne

“It was almost like it was set up to fail,” said Smith, president of the Newfoundland and Labrador Private Ambulance Operators Association.

“It was set up to a certain ideology of what had occurred, of what’s supposed to have happened. It’s almost like the whole thing was set up for a certain outcome, because it’s certainly not an in-depth review.”

The review of the ambulance system was announced last May, and the $250,000 contract to complete the process was awarded to the Fitch-Helleur Partnership in November. A draft report of the review is expected to be presented to government in the coming weeks.

Smith, a paramedic who runs Smith’s Ambulance out of Whitbourne, said the roughly six months given to conduct the review was not long enough.

“That review, if done right, probably would’ve taken about two years,” he said, basing that timeframe on the information that operators were asked to provide when they met with Fitch-Helleur.

“We just went in for a sitdown, almost like a brainstorming session.”

The discussion was supposed to focus on what the operators felt was good in the industry, what was not so good and things they’d like to see changed. But Smith said the operators were “blindsided” and hit with a request to provide information on the number of runs they do, how many are routine, how many are emergency, response times for calls, types of calls and the types of employees they have. Not only that, Fitch-Helleur wanted that information for a three-year period and gave the operators two weeks to provide it.

"So really what we’ve got here is a study that is not detailed as we had expected it was going to be. It’s flawed to the point that the information contained in it is not a complete view of the current ambulance system in the province.” - Wade Smith

“There was no way it could be done in that length of time,” said Smith.

 With 1,000 calls a year, Smith said he would have had to go through 3,000 documents to complete the request.

He said the association took its concerns to government and operators were told to provide whatever information they could.

 “A lot of operators didn’t give any information because there just wasn’t enough time,” said Smith. “So really what we’ve got here is a study that is not detailed as we had expected it was going to be. It’s flawed to the point that the information contained in it is not a complete view of the current ambulance system in the province.”

Meanwhile, Smith is also upset about the impact the review is having on contract negotiations. On Monday, he said the association was originally told the review would not affect negotiations, but now has been told negotiations won’t happen until after the review is complete.

When the previous contract expired a year ago, Smith said the association could have signed a new one for a shorter term to accommodate the review. He also said the contract gives the minister of Health the right to recall the parties and make changes to the contract at any time, something that Smith said has happened in the past.

 

dcrocker@thewesternstar.com

Twitter: WS_DianeCrocker

Comments

  • Username
    Former NL Medic
    - March 13, 2013 at 19:42:55

    Between Wade Smith and Bob Patten, it's no wonder that this outside review has found the private ambulance services not only wanting, but grossly incompetent. I don't blame the actual Paramedics and EMRs that are employees of these services, they generally do the best they can for their patients with what they have available. I fully blame the owner/operators for the horrible state of private ambulance services. It is very clear at this point that these owners really have absolutely no idea what it means to actually operate these kinds of services and have no business whatsoever in attempting to do so. The best thing that can happen at this point is for the owners, and only the owners, to be removed from the businesses and for the government to take them over so there is proper regulation of training, equipment, wages, and working hours. These owners are running scared right now because they know the end is fast approaching and not only are they about to lose their cash cow, but they're probably looking at getting slapped with multiple thousands, tens of thousands, or possibly hundreds of thousands of dollars in fines for numerous violations of multiple health/safety, medical, and labor violations. All I can say is it's about time!

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  • Username
    Awaymedic
    - March 13, 2013 at 19:08:10

    Well after reading this, article it just shows how professional the private operators are! Not there medics the brains behind the operations! Just collecting a pay check and to heck with the rest! If you had any idea where your profits were coming from, Wade you might be pushing for certain changes!

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    • Username
      shocked
      - March 13, 2013 at 19:54:27

      Sorry wade (awaymedic), you guys have skimmed off the government, the paramedics, and the public for far too long. it is far cheaper to have a government run ambulance system with the proceeds go directly back into the service opposed to your own wallets. if the private sector is so professional, why is it they are holding true to a 1980s style of basic life support, when progressive survices like eastern health (st.john's, and Western Health cornerbrook) have adopted the nationaly standard of advance life support practice? ill tell you why. it would mean not getting that new boat? it is worth it to my children and family to know that a top notch emergency system is in place. unlike your bare bones miniamalist farce. and as far as progessionalism goes..... the paramedics would have a progessional association along time ago if the operators didnt fire anyone that would join such an organization. and for those of you that dont know, a professional organiazation is not a union.. ( which is punishment by dismissal as well).

  • Username
    nlmedic
    - March 13, 2013 at 17:33:09

    Fitch and Associates have done EMS system reviews in every single state in the US, and every single province in Canada .. they know what they're doing. Wade seems to have a pretty significant bowel obstruction, because he's suffering from verbal diarrhea. Let the operators strike for a few weeks, it'll be worth not signing them into another contract and have these people continue to be the people running this provinces antiquated and flawed EMS system. What a joke.

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  • Username
    Medic for Change
    - March 13, 2013 at 17:04:42

    The private ambulance system in NL is officially on death watch. The fact that the government won't sign a contract untill the review is completed speaks volumes. They know major change is about to go down and so do the owners. The review is sound. Stop crying Wade. The fact of the matter is there won't be another contract. The review will be the end of the current joke of a system. The health care corps will take over everything so that gov can keep a closer eye on where the money goes...and it won't be in the owner's pockets anymore. Thank God.

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  • Username
    shocked
    - March 13, 2013 at 14:33:47

    the only thing flawed with this artical is the statement from wade young. the operators were well awear that this revivew was comming. it was told to them in thier last contract. this only shows lack of preparedness from the operators. with any luck this will turn from a private system where the employeer skims the salaries of the employee to a public self sustaining system. shame on you operators for all that you have done to the people of NL and the paramedics whos throat have been under your boots. it would be nice to see the revenews of the ambulance system go toward impovements rather than funeral homes, and pleasure crafts.

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    • Username
      bob
      - March 13, 2013 at 17:52:12

      I think the only ones going to blindsided hear is the operators they don,t realize how in dept and how much truth is being told in this review i believe the Ambulance system is in for a big rude awaking in this province a big hats of to mrs sulivan you don,t sign a contract then look at the problems in the real world you look at the system work out the problems even if it means a whole new system then you sign a contract .The operators have to realize this is 2013 not twenty years ago Things have to change even thought we no the operators don,t want it to change and for good reason which is not hard to figure out.

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