[{"text": "oh okay uh good morning everybody and welcome to the council meeting for Wednesday November the 13th I'd like to", "start": 29.8, "end": 35.92}, {"text": "call this meeting to order and we start with our land acknowledgement we are gathering on lands that have been home", "start": 35.92, "end": 42.36}, {"text": "to First Nations people from time immemorial we acknowledge that what we now call Richmond Hill is on the treaty", "start": 42.36, "end": 48.92}, {"text": "lands and territories of the mogas of the Credit First Nation and the Moga and Chipawa nations of the Williams treaty", "start": 48.92, "end": 56.32}, {"text": "we also recognize that we are on part of the traditional territories of the hen naon and the hon wendat we would also", "start": 56.32, "end": 63.32}, {"text": "like to acknowledge all First Nation Inu and matey people from across North America also known as Turtle Island who", "start": 63.32, "end": 70.6}, {"text": "now reside in the city of Richmond Hill we are committed to building constructive and Cooperative", "start": 70.6, "end": 76.759}, {"text": "relationships so with that uh I would ask if you're able please stand for our national anthem", "start": 76.759, "end": 84.04}, {"text": "[Music]", "start": 89.1, "end": 156.63}, {"text": "[Applause] [Music]", "start": 156.63, "end": 175.37}, {"text": "okay thank you so much and the next item is public forum which I don't believe we have anybody signed up for uh and then", "start": 179.44, "end": 186.519}, {"text": "the following uh item is Council announcements councilor", "start": 186.519, "end": 192.599}, {"text": "Thompson uh thank you very much through you the chair I'd like to uh uh talk a", "start": 192.599, "end": 198.76}, {"text": "little bit about an event that uh you and and I were able to attend in W two", "start": 198.76, "end": 204.2}, {"text": "at the National Training rinks on Saturday and this was uh uh brought To Us by the is M Community Alum arts and", "start": 204.2, "end": 211.879}, {"text": "sports festival called the Alum Winter Classic uh where as you can see with the", "start": 211.879, "end": 219.92}, {"text": "sweaters that we're wearing um and we were lucky enough to", "start": 219.92, "end": 225.56}, {"text": "uh get to the Highlight game which was actually uh the the women's uh uh game", "start": 225.56, "end": 230.959}, {"text": "and quite frankly anybody who thinks that women can't play hockey uh they should have been out to see this game", "start": 230.959, "end": 236.72}, {"text": "because you'd be quite surprised so uh it was very nice that they invited us", "start": 236.72, "end": 241.959}, {"text": "that was over the weekend they played a two G tournament on Friday and Saturday", "start": 241.959, "end": 247}, {"text": "and uh you know if you uh if you missed it make sure you don't miss it next year", "start": 247, "end": 252.519}, {"text": "because it was quite the event so thank you those are my comments thank you very", "start": 252.519, "end": 258.16}, {"text": "much and I just say I have to say I feel particularly happy to be wearing this uh hockey jersey I wasn't a very good", "start": 258.16, "end": 263.36}, {"text": "hockey player when I was a kid and it just makes me feel better to wear a hockey jersey periodically so thank you", "start": 263.36, "end": 268.88}, {"text": "also for that okay next is uh councilor tree thank you so much M chair uh Miss mayor as well so", "start": 268.88, "end": 276}, {"text": "uh last weekend there was uh want for the uh United Way uh San tower climbing", "start": 276, "end": 282.08}, {"text": "so I went to there with my two case so we climb up to 145 floors this is my", "start": 282.08, "end": 288.639}, {"text": "first time reaching to CN Tower but we made it okay thank you so", "start": 288.639, "end": 296}, {"text": "much we will definitely be delegating all athletic duties to you on behalf of", "start": 296, "end": 301.84}, {"text": "this Council thank you very much for doing that um counselor", "start": 301.84, "end": 307.4}, {"text": "syllabuses thank you Mr Mayor and welcome everybody in Chambers and online uh to today's council meeting I just", "start": 307.4, "end": 314.639}, {"text": "wanted to mention that today November the 13th is World kindness", "start": 314.639, "end": 320.56}, {"text": "day and World kindness day is celebrated around the world on this particular date", "start": 320.56, "end": 326.56}, {"text": "first introduced in 1998 by the world kindness mve movement World kindness Day", "start": 326.56, "end": 331.72}, {"text": "offers an opportunity to highlight good deeds in the community and the common", "start": 331.72, "end": 337.199}, {"text": "thread of kindness the day also encourages people to move away from self-centeredness and", "start": 337.199, "end": 344.479}, {"text": "focus on Collective well-being proving that compassion and kindness are", "start": 344.479, "end": 350.319}, {"text": "Universal languages understood by all and I think most of us would agree that", "start": 350.319, "end": 358.84}, {"text": "there is nothing with we would like more to embrace than World kindness day at this moment in time thank you thanks", "start": 358.84, "end": 367.36}, {"text": "councelor uh anybody else for announcements counc", "start": 367.36, "end": 372.44}, {"text": "doollo thank you Mr Mayor um I I just want to uh extend congratulations to our", "start": 372.44, "end": 378.24}, {"text": "local Legion uh for a very successful once again Remembrance Day ceremony um", "start": 378.24, "end": 383.759}, {"text": "on on Sunday and and at the region of memorial service that was that was really good on uh REM day itself on", "start": 383.759, "end": 390.8}, {"text": "Monday and then yesterday all all of council knows all nine of us were there", "start": 390.8, "end": 395.84}, {"text": "but uh it it needs to be said it was a very exciting day the official opening of of Amazon um operation in Richmond", "start": 395.84, "end": 403.56}, {"text": "Hill it's you know four years in the making it was you know in 2020 uh they", "start": 403.56, "end": 410.08}, {"text": "they came in and what I want to point out Mr May and just highlight is that um", "start": 410.08, "end": 416.199}, {"text": "the people from Amazon acknowledged our our city staff here as being extremely", "start": 416.199, "end": 421.319}, {"text": "cooperative and uh with 19 19 of these massive distribution centers in Ontario", "start": 421.319, "end": 427.199}, {"text": "and over 30 in Canada um they said that Richmond Hill was the the most uh the best city to to work with as they went", "start": 427.199, "end": 434.56}, {"text": "through the the building process for this building so um I just I just wanted", "start": 434.56, "end": 439.879}, {"text": "to acknowledge that thank you Mr Mayor thank you very much that's well said uh", "start": 439.879, "end": 445.12}, {"text": "anybody else okay seeing none uh just a couple things I I ALS also would like to reiterate uh the the that as an occasion", "start": 445.12, "end": 454.08}, {"text": "the opening of Amazon and um you know really was interesting that all all of us had an opportunity to tour that", "start": 454.08, "end": 459.919}, {"text": "facility and learn a little bit more about uh what they will be bringing to our community uh jobs but also the", "start": 459.919, "end": 467.479}, {"text": "amount of spin-off benefit um with all of the different independent contractors", "start": 467.479, "end": 472.52}, {"text": "that they use uh to to do a lot of their delivery is really quite remarkable so", "start": 472.52, "end": 478.039}, {"text": "I'm really pleased that they're there um I you know I I agree with you I really am pleased to hear uh that they", "start": 478.039, "end": 484.759}, {"text": "were so thankful for staff for being so great and Cooperative in in making sure that that became a reality um I also", "start": 484.759, "end": 492.199}, {"text": "would say that uh it was really incredible to me to be walking into the U into their cafeteria area and they've", "start": 492.199, "end": 498.919}, {"text": "got this big giant mural that um talks you know that visualizes all kinds of", "start": 498.919, "end": 504.879}, {"text": "different aspects of Richmond Hill including the Dunlop Observatory um you know even down to Monarch butterflies", "start": 504.879, "end": 511.72}, {"text": "with the fact that we're a a mayor's Monarch pledge signatory and all kinds of landmarks and and aspects of the uh", "start": 511.72, "end": 518.64}, {"text": "Community including the Jefferson salamander which was uh you know there", "start": 518.64, "end": 523.76}, {"text": "as part of the mural as well so they've really done their homework on Richmond Hill and I thought that was very gratifying um I also would also like to", "start": 523.76, "end": 531.24}, {"text": "uh just put out a a shout out to the Royal Canadian Legion Branch 375 uh and our staff who helped to", "start": 531.24, "end": 538.6}, {"text": "organize that event um the Remembrance Day event both on Sunday uh and on", "start": 538.6, "end": 544}, {"text": "Monday and uh you know they do a great job and have been doing a great job for many many years to make sure that you", "start": 544, "end": 551.16}, {"text": "know we have as a community a place to come and and and memorialize and", "start": 551.16, "end": 556.56}, {"text": "celebrate uh the veterans that have done all the things that they've done to give us the country that we have today and uh", "start": 556.56, "end": 564.2}, {"text": "without their leadership in in this I I'm not sure we would be able to put on", "start": 564.2, "end": 569.88}, {"text": "um as fome and as meaningful a uh a ceremony that we are able to enjoy every", "start": 569.88, "end": 576.079}, {"text": "single year and I will say there were lots and lots of people out on Sunday including a lot of really young uh kids", "start": 576.079, "end": 584.079}, {"text": "that were there and uh it was really gratifying to see so thank you to the Royal Canadian Legion and to our staff", "start": 584.079, "end": 590.04}, {"text": "for the work that uh you know we are all collectively doing to make sure that we're marking Remembrance Day in in a a", "start": 590.04, "end": 596.64}, {"text": "very proper and dignified way so with that being said um I will be looking for", "start": 596.64, "end": 603.88}, {"text": "uh introduction of emergency or time sensitive matters seeing none I need a motion to", "start": 603.88, "end": 609.8}, {"text": "adopt the agenda councelor svitz councelor tree all those in favor that", "start": 609.8, "end": 615.44}, {"text": "carries unanimously uh disclosures of pecuniary Interest or the general nature", "start": 615.44, "end": 620.64}, {"text": "thereof seeing none okay adoption of previous Council minutes uh council", "start": 620.64, "end": 626.12}, {"text": "meeting held October 22nd and the council meeting held October 23rd sorry Council public meeting", "start": 626.12, "end": 633.079}, {"text": "October 22nd and 23rd was a council meeting uh two for one special Regional", "start": 633.079, "end": 638.519}, {"text": "local councelor doollo uh councelor Davidson all those in favor oppose that", "start": 638.519, "end": 644.16}, {"text": "carries thank you very much okay so number 10 identification of items", "start": 644.16, "end": 649.44}, {"text": "requiring a separate discussion we have uh actually everything could be uh", "start": 649.44, "end": 655.959}, {"text": "passed on consent today if that is the will of count", "start": 655.959, "end": 661.24}, {"text": "counc Tre I just want to have a comment last week we discussed about storm", "start": 661.6, "end": 666.88}, {"text": "Waring uh Chargers I think we requires for a flat reading charge I'm looking", "start": 666.88, "end": 672.24}, {"text": "for the 152 pound 152 pound three I did not say that here you can pull that if", "start": 672.24, "end": 679.56}, {"text": "you want I want Okay so we've got that pulled anything else uh anybody else want to", "start": 679.56, "end": 687.12}, {"text": "discuss anything any of the other items they seeing none so that means we can uh", "start": 687.12, "end": 693}, {"text": "pass on consent 15.1 and two and the subsections there in in there and then", "start": 693, "end": 698.959}, {"text": "15.2.2 all the way down to 15.3 uh the additions the memorandum 154", "start": 698.959, "end": 706.44}, {"text": "and the correspondence from uh the resident 155 and we'll hold the bylaws Mr", "start": 706.44, "end": 713.56}, {"text": "clerk okay then let's do the bylaws at the same time let's let's live dangerously uh eight 181 to", "start": 713.56, "end": 721.32}, {"text": "1810 uh for the bylaws okay so Regional local councelor Apollo you'll move that councelor svitz all those in favor", "start": 721.32, "end": 729}, {"text": "oppose that carries thank you okay so um", "start": 729, "end": 734.32}, {"text": "next item is uh public hearing we have none we do have a presentation today uh", "start": 734.32, "end": 740.88}, {"text": "by Jeremy Watts acting chief of the York Region Paramedic Services regarding updates on dispatch modernization and", "start": 740.88, "end": 748.12}, {"text": "the master plan for 2021 and to 2031 um I'm really pleased uh Mr Watts is here", "start": 748.12, "end": 754.44}, {"text": "today um we we and Regional Council get presentations from the paramedics on a regular basis but there's some exciting", "start": 754.44, "end": 761.48}, {"text": "stuff and important things happening with Paramedic Services uh in all of of", "start": 761.48, "end": 767.279}, {"text": "the region of York and I I really am pleased to uh invite Mr Watts here to uh explain that all to all of us so uh", "start": 767.279, "end": 774.88}, {"text": "thank you very much Mr Watts the the floor is yours thank you uh thank you very much", "start": 774.88, "end": 780}, {"text": "and good morning Mayor West and um members of council so um as the mayor said my name is Jeremy watts and I have", "start": 780, "end": 786.639}, {"text": "the very much the privilege of being the uh currently the acting chief of our York Region uh paramedic service and uh", "start": 786.639, "end": 793.16}, {"text": "thank you for the opportunity uh to be able to present an update on the roll out of the new medical priority dispatch", "start": 793.16, "end": 798.48}, {"text": "system known as mpds I'll be providing an overiew an overview of the expected", "start": 798.48, "end": 803.639}, {"text": "changes and the impacts on your residence um as requested by Mayor West today", "start": 803.639, "end": 810.36}, {"text": "so today's today's presentation I I also hope to cover um an overview of York Region Paramedic Services including", "start": 811.959, "end": 817.92}, {"text": "response time information um very much um around uh Richmond Hill the need uh", "start": 817.92, "end": 823.68}, {"text": "for dispatch modernization and why the current 911 ambulance uh dispatch system", "start": 823.68, "end": 828.76}, {"text": "requires these updates uh progress on the implementation of M mpds at the", "start": 828.76, "end": 834.199}, {"text": "Georgian Central ambulance Communication Center or CAC and spoiler alert we actually to go live today so we're", "start": 834.199, "end": 840.639}, {"text": "really excited we're really excited for that it's been a long time uh coming uh I also hope to cover what mpds means for", "start": 840.639, "end": 846.199}, {"text": "our services and and potential future benefits um of the provincial government initiated dispatch modernization project", "start": 846.199, "end": 853.04}, {"text": "and mpds is one of the final components of this modernization effort and is crucial for future planning of Paramedic", "start": 853.04, "end": 858.56}, {"text": "Services across the province we look forward to discussing how these advancements will enhance our emergency", "start": 858.56, "end": 864}, {"text": "response capabilities and improve Service delivery within uh our community", "start": 864, "end": 870.279}, {"text": "uh first I wanted to provide an overview of our of our service so York Region Paramedic Services proudly provides", "start": 870.839, "end": 876.16}, {"text": "Round the Clock emergency and Non-Emergency Medical Response across all municipalities within New York", "start": 876.16, "end": 881.44}, {"text": "Region in 2023 our paramedics responded to approximately 93,000 incidents beyond", "start": 881.44, "end": 889.079}, {"text": "the emergency response capacity we also support our community Through Innovative Community paramedicine programs and new", "start": 889.079, "end": 895.16}, {"text": "models of care providing Continuous Care for those most in need our strength lies within our people with", "start": 895.16, "end": 902.16}, {"text": "over 600 plus full-time staff including 530 Frontline paramedics we're always", "start": 902.16, "end": 907.72}, {"text": "ready to respond York Region is rapidly growing and diversifying we anticipate a", "start": 907.72, "end": 914.199}, {"text": "6.8% annual increase in call demand through 2031 driven by Iran expansion in", "start": 914.199, "end": 920.12}, {"text": "areas like Richmond Hill Markham and vaugh and also significant growth uh seen um in more rural areas uh currently", "start": 920.12, "end": 927.24}, {"text": "in in East gbury our aging population uh presents unique", "start": 927.24, "end": 932.8}, {"text": "challenges by 2051 seniors will make up 62% of our population which will be up", "start": 932.8, "end": 938.68}, {"text": "significantly from the 42% that it represented in 2021 seniors over 75 are twice as likely", "start": 938.68, "end": 945.399}, {"text": "to require hospitalization or engage Paramedic Services compared to those aged 55 to", "start": 945.399, "end": 951.759}, {"text": "74 and in 2023 58% of our 911 calls came", "start": 951.759, "end": 957.04}, {"text": "from Seniors age 65 and over older highlighting the critical role that paramedics play in their journey of", "start": 957.04, "end": 965.6}, {"text": "care so before I I take you through some of the 911 system uh changes I wanted to provide an overview of the current uh", "start": 967.24, "end": 973.44}, {"text": "paramedic response landscape uh within Richmond Hill so Richmond Hill currently has three existing stations that are", "start": 973.44, "end": 979.88}, {"text": "directly supporting it with four surrounding uh stations uh providing additional uh response capacity as part", "start": 979.88, "end": 986.839}, {"text": "of our master plan two new stations are proposed in the surrounding vicinity to enhance the overall uh coverage within", "start": 986.839, "end": 993.44}, {"text": "within the area uh yearly 911 call volume saw a slight increase over previous years and", "start": 993.44, "end": 1000.079}, {"text": "for the year of 2023 uh we responded to 14,32 calls just within Richmond Hill", "start": 1000.079, "end": 1006.16}, {"text": "alone and I wanted to highlight uh sudden Cardiac Arrest um response time", "start": 1006.16, "end": 1011.759}, {"text": "metrics which is a key response time Target that is set by The Province um these are are are", "start": 1011.759, "end": 1018.079}, {"text": "categorized as our most um uh Urgent Response and the The Province sets a target of um arriving within six uh 6", "start": 1018.079, "end": 1025.798}, {"text": "minutes at least 60% of the time in Richmond Hills response time for sudden Cardiac Arrest was met um 75% of the", "start": 1025.799, "end": 1033.52}, {"text": "time and 68% of the time in 2022 and 2023 um as well I just wanted to", "start": 1033.52, "end": 1039.48}, {"text": "highlight Richmond Hill is is more urban than some of the surrounding areas so response times are generally better compared to more rural areas but can be", "start": 1039.48, "end": 1046.839}, {"text": "uh significantly impacted by factors such as traffic congestion as well as vertical response which for us means", "start": 1046.839, "end": 1051.96}, {"text": "when we respond to uh higher levels of of of buildings it also it takes a longer time to connect with those uh", "start": 1051.96, "end": 1057.84}, {"text": "folks that are calling uh we have an excellent uh partnership with McKenzie Health Richmond Hill uh who's one of the", "start": 1057.84, "end": 1063.96}, {"text": "the better performing hospitals in terms of ambulance offload delay not only within the region but to be honest within the within the province this", "start": 1063.96, "end": 1070.84}, {"text": "supports our our paramedics returning to the community faster um as they were able to transfer care of their previous", "start": 1070.84, "end": 1076.72}, {"text": "P patient and return to the community which increases our response capacity which is uh which is definitely um most", "start": 1076.72, "end": 1082.96}, {"text": "areas of the province would love to uh see the the the targets that uh uh Mackenzie Health Richmond Hill is able", "start": 1082.96, "end": 1088.64}, {"text": "to maintain um just jumping back to um the", "start": 1088.64, "end": 1093.919}, {"text": "I wanted to provide an overview of sort of how the current 911 system works in in the call taking workflow so 911 calls", "start": 1093.919, "end": 1100.84}, {"text": "in York Region are initially answered by York Regional Police through what is known as the public safety answering", "start": 1100.84, "end": 1106.2}, {"text": "point which is also known as a peap York Regional Police transfers these these calls to secondary P Ops which include", "start": 1106.2, "end": 1113.2}, {"text": "Richmond Hill fire and emergency services and the Georgian Central ambulance Communication Center or the", "start": 1113.2, "end": 1118.72}, {"text": "CAC of note y RP's p app is transitioning to the Next Generation 911", "start": 1118.72, "end": 1124.28}, {"text": "Network which will allow the system to better triangulate a person's location which will improve the accuracy of", "start": 1124.28, "end": 1129.679}, {"text": "identifying the call location YP then uh once it transfers the 91 call to the Georgian CAC the", "start": 1129.679, "end": 1137.28}, {"text": "ambulance dispatcher uh prioritizes the call which is currently based on a two priority response system once", "start": 1137.28, "end": 1143.72}, {"text": "prioritized the closest available ambulance is notified and then paramedics respond to the emergency the", "start": 1143.72, "end": 1148.799}, {"text": "response time uh clock starts once the paramedic receives notification and once paramedics arrive at the scene they", "start": 1148.799, "end": 1155.2}, {"text": "assess and either transport the patient to hospital or they may treat and refer or release to scene reducing the need", "start": 1155.2, "end": 1161.08}, {"text": "for transport to the hospital now I'd like to play a short video that demonstrates the call Process under the", "start": 1161.08, "end": 1166.52}, {"text": "new mpds system and has been integrated within our um with within our public uh", "start": 1166.52, "end": 1174.919}, {"text": "engagement York Region Paramedic Services are there when our community needs them the most we provide emergency", "start": 1182.12, "end": 1189}, {"text": "and Non-Emergency Medical Response 24 hours a day 7 days a week our skilled", "start": 1189, "end": 1194.679}, {"text": "smart and strong team includes Frontline paramedics specialty teams and support staff all dedicated to delivering the", "start": 1194.679, "end": 1201.799}, {"text": "highest quality of care in November of 2024 the medical priority dispatch", "start": 1201.799, "end": 1207.48}, {"text": "system or mpds will be implemented as part of the Ontario government's Your Health Plan introduced by the Ministry", "start": 1207.48, "end": 1214.559}, {"text": "of Health this evidence-based technology used globally will transform how 911", "start": 1214.559, "end": 1220.08}, {"text": "calls are prioritized in York Region mpds ensures that emergency calls are prioritized based on urgency this means", "start": 1220.08, "end": 1227.679}, {"text": "patients will receive care when they need it most life-threatening cases are given top priority ensuring the most", "start": 1227.679, "end": 1233.96}, {"text": "timely and appropriate level of outof hospital care is available for all in our community when anyone calls 911", "start": 1233.96, "end": 1241.08}, {"text": "Communications officers will ask detailed questions to gather specific information about the patient's", "start": 1241.08, "end": 1246.44}, {"text": "condition ambulance what is the address of your emergency what's the phone number including area code that you're calling", "start": 1246.44, "end": 1252.88}, {"text": "from are you with the patient now okay tell me exactly what happened is there", "start": 1252.88, "end": 1258.4}, {"text": "any any serious bleeding has he ever had a heart attack or angina this allows for quick and effective incident", "start": 1258.4, "end": 1264.799}, {"text": "prioritization sending paramedics to the most urgent cases first but ensuring all of our community has access to care", "start": 1264.799, "end": 1271.24}, {"text": "through the 911 system lights and Sirens are used to respond to and transport patients with the most urgent needs such", "start": 1271.24, "end": 1278.279}, {"text": "as a heart attack stroke or a serious traumatic injury ensuring prompt transfer to the hospital under our", "start": 1278.279, "end": 1284.6}, {"text": "paramedics highly skilled care when necessary for non-life-threatening I conditions such as sprains or broken", "start": 1284.6, "end": 1290.44}, {"text": "bones there may be a longer wait time Communications officers will continue to monitor the patient status with", "start": 1290.44, "end": 1296.559}, {"text": "follow-up calls hi there this is the ambulance service calling back we have been delayed has there been any change", "start": 1296.559, "end": 1302.679}, {"text": "to the patient's condition or circumstance if their conditions worsen the call will be rep prioritized and", "start": 1302.679, "end": 1309.6}, {"text": "help will be sent without delay it's important to remember that a longer wait time doesn't mean your call is not", "start": 1309.6, "end": 1314.64}, {"text": "important we understand how stressful it can be rest assured York Region paramedics are committed to helping you", "start": 1314.64, "end": 1321.12}, {"text": "as quickly as possible the health and well-being of our residents is our top priority our paramedics are dedicated to", "start": 1321.12, "end": 1328.159}, {"text": "delivering care and saving lives for more information on the medical priority dispatch system visit", "start": 1328.159, "end": 1334.559}, {"text": "york. Paramedic Services thank you as you saw in the", "start": 1334.559, "end": 1341.6}, {"text": "video um mpds replaces the old system expanding emergency response levels from", "start": 1341.6, "end": 1346.76}, {"text": "2 to 5 this allows for more more accurate prioritization and resource allocation I want to highlight what this", "start": 1346.76, "end": 1353.279}, {"text": "may mean for you and your role as elected officials within our community you may receive calls from constituents", "start": 1353.279, "end": 1358.88}, {"text": "if there are delays in ambulance response times for Less urgent calls this is a common experience in other regions that have transitioned already", "start": 1358.88, "end": 1365.279}, {"text": "to this mpds system there are key messages we want you and the public to know and be aware of to best support", "start": 1365.279, "end": 1370.96}, {"text": "this change callers can expect more detailed questions from dispatchers to help them gather specific information", "start": 1370.96, "end": 1377.2}, {"text": "about a patient's condition to make quick and effective decisions 911 callers may receive more detailed", "start": 1377.2, "end": 1383}, {"text": "instructions to assist them prior to paramedic arrival while longer wait times may occur for non-urgent calls", "start": 1383, "end": 1390.08}, {"text": "these incidents will be dispatched as soon as an appropriate ambulance is available and will receive follow-up call backs to check on the patient", "start": 1390.08, "end": 1396.559}, {"text": "status patients will be directed to call 9911 back if their condition changes the overall goal of mpds is to improve the", "start": 1396.559, "end": 1403.679}, {"text": "prioritization of 911 calls to the most critical incidents so that the most critical ents receive the most rapid", "start": 1403.679, "end": 1409.84}, {"text": "response from our system most importantly we want to assure all York Region residents that they will receive", "start": 1409.84, "end": 1416.039}, {"text": "a clinically safe Medical Response whether for the most urgent or for low Acuity", "start": 1416.039, "end": 1422.36}, {"text": "conditions based on the experiences of other services that have already implemented mpds York Region can expect", "start": 1422.4, "end": 1428.52}, {"text": "some key positive outcomes while the system does not address all call demand it will ensure", "start": 1428.52, "end": 1434.52}, {"text": "the most critical patients get help first through better call prioritization that best reflect refle the patient's condition better optimizing the right", "start": 1434.52, "end": 1441.039}, {"text": "response to the right patient at the right time the new system provides critical patients such as those", "start": 1441.039, "end": 1446.88}, {"text": "experiencing Cardiac Arrest receive immediate attention and improving their chances of survival paramedics will drive with", "start": 1446.88, "end": 1453.84}, {"text": "lights and Sirens less often and only when necessary and what this does is improve paramedic and Public Safety by", "start": 1453.84, "end": 1459.84}, {"text": "reducing the risk of traffic related accidents under the current system", "start": 1459.84, "end": 1465.64}, {"text": "paramedics often respond across Municipal borders due to the requirements within the ambulance Act of", "start": 1465.64, "end": 1470.72}, {"text": "a seamless provincial paramedic system however mpds only assigns calls across Municipal borders for the highest", "start": 1470.72, "end": 1476.64}, {"text": "priority of calls to the closest available unit improving the overall efficiency of the", "start": 1476.64, "end": 1481.679}, {"text": "system mpds positions us for the future advancements where P patients can be", "start": 1481.679, "end": 1486.919}, {"text": "referred to appropriate Medical Care and or transportation services this is a significant and necessary move in the", "start": 1486.919, "end": 1492.679}, {"text": "right direction and ties in well with the new models of care our servic is already beginning to implement Richmond", "start": 1492.679, "end": 1498.44}, {"text": "residents can expect future options directing them to appropriate care facilities providing them with the right Care at the right time mpds is", "start": 1498.44, "end": 1506.24}, {"text": "continually refined based on feedback and research incorporating data from International sources to provide the", "start": 1506.24, "end": 1512.399}, {"text": "highest standard of service and ongoing improvements to paramedic response this includes standardized pre-arrival", "start": 1512.399, "end": 1517.799}, {"text": "instructions as well as post dispatch and seen safety", "start": 1517.799, "end": 1522.88}, {"text": "information in in collaboration with the ministry of health and other regions we developed a public awareness campaign to", "start": 1525.64, "end": 1532.12}, {"text": "inform residents about the new dispatch system this campaign aims to educate the public on what to expect when they call", "start": 1532.12, "end": 1538.399}, {"text": "911 the campaign launched in September of 2024 and is focused on educating the", "start": 1538.399, "end": 1543.48}, {"text": "public about the changes and improvements in paramedic response it will use a variety of strategies to reach Broad and targeted audiences which", "start": 1543.48, "end": 1550.2}, {"text": "include seniors it is important to note that members of the community do not need to do anything differently when", "start": 1550.2, "end": 1556.039}, {"text": "calling 911 the awareness campaign is meant to educate residents that the most urgent calls will be prioritized first", "start": 1556.039, "end": 1563.48}, {"text": "residents will be well informed about the new dispatch system and understand that their experience when calling 911", "start": 1563.48, "end": 1568.559}, {"text": "will remain seamless and efficient um I wanted to shift gears a", "start": 1568.559, "end": 1573.84}, {"text": "bit and I wanted to bring some highlights to Richmond Hill Council uh regarding our Paramedic Services master", "start": 1573.84, "end": 1579.12}, {"text": "plan uh the count the York Region Council approved uh Paramedic Services master plan which is currently focused", "start": 1579.12, "end": 1585.159}, {"text": "on our 2021 to 2031 operating year and outlines the data and strategies", "start": 1585.159, "end": 1590.52}, {"text": "needed to me to meet legislated and Council approved response time targets the master plan is a strategic", "start": 1590.52, "end": 1597.96}, {"text": "road map so that York Region Paramedic Services can continue to meet growing demands and maintain a high standards of", "start": 1597.96, "end": 1603.96}, {"text": "Emergency Response within our community York Region Council approved a response time Target of 8 minutes or less to", "start": 1603.96, "end": 1610.6}, {"text": "lights and Sirens incidents 70% of the time region wide as well as in each of the local", "start": 1610.6, "end": 1616.84}, {"text": "municipalities as mentioned mentioned earlier demand for Paramedic Services is increasing across all age groups with a", "start": 1616.84, "end": 1622.799}, {"text": "senior population growing the fastest planning for this growth is essential to provide Equitable access to paramedic", "start": 1622.799, "end": 1629.559}, {"text": "service across all nine local municipalities to balance resources", "start": 1629.559, "end": 1634.88}, {"text": "effectively the master plan includes Provisions for adding ambulance resources through 2031 further the", "start": 1634.88, "end": 1641.159}, {"text": "Strategic placement of stations and the implementation of mpds are crucial steps towards enhancing emergency response in", "start": 1641.159, "end": 1647.48}, {"text": "all municipalities including Richmond Hill this planning is crucial to support", "start": 1647.48, "end": 1652.559}, {"text": "the projected population growth uh particularly in Richmond Hill which is expected to see an average yearly", "start": 1652.559, "end": 1658.159}, {"text": "increase of 1.8% reaching a population of almost 260,000 by", "start": 1658.159, "end": 1663.44}, {"text": "2031 ongoing collaboration and monitoring will help us adapt and improve our services to meet the", "start": 1663.44, "end": 1668.88}, {"text": "community's needs effectively by planning for future growth and resource needs we aim to provide a consistent and", "start": 1668.88, "end": 1674.96}, {"text": "Equitable paramedic service response to all residents", "start": 1674.96, "end": 1680.12}, {"text": "uh to summarize uh the the presentation today mpds uh is a tool that is expected", "start": 1680.159, "end": 1685.279}, {"text": "to benefit the emergency response system significantly and is a key component to support how we prepare for the future", "start": 1685.279, "end": 1691.399}, {"text": "and continue to meet increasing system demands regardless of these changes Paramedic Services is prioritizing the", "start": 1691.399, "end": 1698.279}, {"text": "customer service expectations of our residents with providing a clinically safe paramedic response we understand our residents", "start": 1698.279, "end": 1705.679}, {"text": "expect a high standard of service from us and we are committed to to continuing to deliver on that a public awareness education", "start": 1705.679, "end": 1712.64}, {"text": "campaign has been launched educating the public on what to expect with these changes and finally our current master", "start": 1712.64, "end": 1718.279}, {"text": "plan supports the transition to the new dispatch system by equipping our service with the necessar necessary resources", "start": 1718.279, "end": 1724.559}, {"text": "and infrastructure to respond effectively to emergencies maintain Optimal Performance deliver responsive", "start": 1724.559, "end": 1730.84}, {"text": "Health outcomes and provide quality customer service mpds will be evaluated", "start": 1730.84, "end": 1735.919}, {"text": "for efficiency in utilizing paramedic resources and is going to be a factor in all of our future uh planning activities", "start": 1735.919, "end": 1742.039}, {"text": "I just want to once again thank uh Richmond Hill Council uh for the opportunity to come and to show some of", "start": 1742.039, "end": 1747.32}, {"text": "the incredible work that uh is is occurring in our in our uh uh in our service and in our system and uh we once", "start": 1747.32, "end": 1753.679}, {"text": "again um uh thank you for being able to take you through this today well thank you very much acting", "start": 1753.679, "end": 1759.36}, {"text": "Chief um we'll open this up to discussion and and maybe uh we should get a a motion to receive the", "start": 1759.36, "end": 1765.88}, {"text": "presentation with thanks at the same time so councelor Davidson you'll move that okay go ahead I thank you through", "start": 1765.88, "end": 1773.159}, {"text": "you Mr chair thank you for your presentation I I visited you last year and we had a great tour and I was really", "start": 1773.159, "end": 1779}, {"text": "impressed um when you said re okay so one thing I thought I heard you say redirected are you saying that now if if", "start": 1779, "end": 1786.64}, {"text": "the dispatcher talks through an issue with somebody calling 911 that the ambulance won't show up", "start": 1786.64, "end": 1792.96}, {"text": "they'll say you know what there's time for you to take take your your daughter or son or whatever to the hospital or", "start": 1792.96, "end": 1798.919}, {"text": "walk-in clinic do do you mean that it will be determined that not every single called needs an", "start": 1798.919, "end": 1804.88}, {"text": "ambulance uh thank you uh so much for the question counselor and and uh through you uh uh chair um so those are", "start": 1804.88, "end": 1813.24}, {"text": "um the mpds is the first step so that's currently not uh part of it but what it will mean what's that mean sorry mpds", "start": 1813.24, "end": 1820.84}, {"text": "mpds so the the new um medical priority dispatch system that we're changing to", "start": 1820.84, "end": 1826.2}, {"text": "um so the uh the caller um not having an", "start": 1826.2, "end": 1831.519}, {"text": "ambulance sent or being referred directly to an alternate care pathway is not part of the current roll out but the", "start": 1831.519, "end": 1838.159}, {"text": "new dispatch system being mpds will allow us to be able to implement some of", "start": 1838.159, "end": 1843.2}, {"text": "those things in the end of the future so what it will mean uh currently for residents if they have a low Acuity so", "start": 1843.2, "end": 1849.24}, {"text": "for example if someone calls and says I have a runny nose um and for whatever reason they've activated 911 They will", "start": 1849.24, "end": 1855.919}, {"text": "receive an ambulance but it is certainly not going to be um our quickest response so once the system has an availability", "start": 1855.919, "end": 1863.12}, {"text": "to to to do that call they will in the in the future having this new system um", "start": 1863.12, "end": 1868.639}, {"text": "allows us to um uh instead of it being one or two response priorities it actually opens it up to thousands to", "start": 1868.639, "end": 1874.72}, {"text": "prioritize the calls and what that means for us in in the in the future and uh is being able to try uh new and Innovative", "start": 1874.72, "end": 1882.44}, {"text": "programs so for example actually having healthcare providers in the dispatch system having um an actual interaction", "start": 1882.44, "end": 1888.679}, {"text": "with a 911 caller and in the future it opens the opportunity uh that they may not receive an ambulance but will", "start": 1888.679, "end": 1894.679}, {"text": "receive a better referral to a better uh more appropriate Healthcare Resource thank you through you Mr chair", "start": 1894.679, "end": 1901.279}, {"text": "um so the part about you won't be running sirens is alarming to people", "start": 1901.279, "end": 1906.72}, {"text": "like me what that feels like less urgency when people are supposed to call", "start": 1906.72, "end": 1912.96}, {"text": "an amulance when there's urgency excellent question and so we current currently uh we currently run uh", "start": 1912.96, "end": 1920.519}, {"text": "70% of the time uh lights and siren response with mpds uh as it uh is a very", "start": 1920.519, "end": 1927.039}, {"text": "much a medically validated tool it is better to Able understand what uh the um", "start": 1927.039, "end": 1933.2}, {"text": "uh the the issues and the the clinical condition of the individual and um we", "start": 1933.2, "end": 1938.48}, {"text": "will still certainly be running lights and siren to uh high level calls but we expect that number to be similar to", "start": 1938.48, "end": 1944.48}, {"text": "other uh uh regions that have already moved to this and in from 70% of the time lights and siren to 50% of the time", "start": 1944.48, "end": 1951.399}, {"text": "and what it means is the that 20% difference um of of that case load it", "start": 1951.399, "end": 1956.679}, {"text": "doesn't mean that we're not having an Urgent Response it means that the uh risks of driving lights and siren um", "start": 1956.679, "end": 1962.919}, {"text": "through congested traffic areas uh through um intersections it it's the the", "start": 1962.919, "end": 1968.679}, {"text": "uh risk benefit ratio isn't isn't there it doesn't mean that for someone say who's having chest pain or who's not", "start": 1968.679, "end": 1975.24}, {"text": "breathing certainly lights and siren most Urgent Response that we still expect to be 50% of our our cases um but", "start": 1975.24, "end": 1981.32}, {"text": "there's a a lot of research that indicates the use of lights and siren and the impact that it has on traffic safety for the providers and for the", "start": 1981.32, "end": 1988.279}, {"text": "public and so it's an opportunity to improve um uh Road Safety as well so it's really a balance of all those", "start": 1988.279, "end": 1994.44}, {"text": "things thank you three Mr chair um is the video we saw for the general public", "start": 1994.44, "end": 2000.12}, {"text": "or for Council uh uh thank you uh that is uh that will be the video that will", "start": 2000.12, "end": 2005.44}, {"text": "be for the the the general uh count uh uh for Council but also we're going to be using uh the same video for um public", "start": 2005.44, "end": 2013.32}, {"text": "engagement Mr chair I respectfully suggest you take that kid with the twisted ankle out of it because it gives", "start": 2013.32, "end": 2019.48}, {"text": "the impression that if my kid falls at the park I should call 911 when I should throw the kid in the car and go to the local Clinic it I when I saw that video", "start": 2019.48, "end": 2027.679}, {"text": "I was shocked that anyone would call 911 because your kid rolled their ankle but that's just my opinion thank you so much", "start": 2027.679, "end": 2034.399}, {"text": "no and if if I'm able to respond through through you chair um for for that comment um that is the reality of of the", "start": 2034.399, "end": 2040.08}, {"text": "of the system and we we do see in that as the the reason for having better um a", "start": 2040.08, "end": 2045.159}, {"text": "better clinically validated tool to ask these questions so to to determine the right response uh to that so um", "start": 2045.159, "end": 2052.599}, {"text": "definitely take the comment on um however that is the reality of of what we do see within our system very", "start": 2052.599, "end": 2059.118}, {"text": "commonly thank you thank you if I may I I mean I just in response to that I I", "start": 2059.119, "end": 2064.8}, {"text": "understand what you're saying I kind of that did occur to me as well well but on the other hand um when there's somebody", "start": 2064.8, "end": 2071.52}, {"text": "is in medical distress I don't think it's necessarily for the general public to determine what the level of response", "start": 2071.52, "end": 2078.48}, {"text": "should be I mean if there's any question that somebody is in even I mean other than a runny knows I mean in some sort", "start": 2078.48, "end": 2085.44}, {"text": "of trouble um I'd rather that they called the ambulance to make you know and then have the medical professionals", "start": 2085.44, "end": 2091.878}, {"text": "actually assess what the the response should be right but I I I do understand what you're saying but I think that's", "start": 2091.879, "end": 2098.32}, {"text": "the the balance that we're trying to achieve right so yes Mr Mayor that is", "start": 2098.32, "end": 2103.359}, {"text": "that is absolutely correct it's um uh an opportunity to really um uh ask some", "start": 2103.359, "end": 2110.24}, {"text": "really good questions U at the intake phase and to really understand the patient condition and to provide a", "start": 2110.24, "end": 2116.44}, {"text": "response that uh reflects the urgency of of the matter and this is a system that's uh been used around the world and", "start": 2116.44, "end": 2122.92}, {"text": "and it's it's it's very clinically safe to do so and that's and that's what we're seeing okay uh Regional local", "start": 2122.92, "end": 2128.599}, {"text": "counselor depalo thank you mayor um is the as uh", "start": 2128.599, "end": 2136.04}, {"text": "people's driving behavior changed it um it sounds like a a big part of this is", "start": 2136.04, "end": 2142.599}, {"text": "to um you know have less ambulances with lights and Sirens uh um is is is it", "start": 2142.599, "end": 2151.359}, {"text": "seems that uh people aren't as respectful of ambulances as they they should be or used to be uh", "start": 2151.359, "end": 2158.319}, {"text": "you know if everyone was pulling over and clearing the way is the data showing some uh an uptick in in accidents caused", "start": 2158.319, "end": 2165.4}, {"text": "by emergency vehicles uh so thanks so much for the question and and through the chair um", "start": 2165.4, "end": 2171.8}, {"text": "the as I mentioned there are there is research that indicates the use of Warning Systems in emergency settings", "start": 2171.8, "end": 2177.88}, {"text": "across North America doesn't increase um the likelihood of um traffic incidents", "start": 2177.88, "end": 2183.4}, {"text": "um that is while that is um uh decreasing the lights and IR response sort of percentages is a byproduct", "start": 2183.4, "end": 2190.76}, {"text": "really what it is is that it's it allows us to better prioritize so um to put it", "start": 2190.76, "end": 2195.92}, {"text": "another way if uh 70% of the cases are the highest emergency it doesn't leave", "start": 2195.92, "end": 2201.96}, {"text": "much uh room to sort them and so for example you could have someone that is", "start": 2201.96, "end": 2207.359}, {"text": "having a chest pain um and we get there and it's you know not necessarily urgent and someone that's stopped breathing in", "start": 2207.359, "end": 2213.8}, {"text": "the current system whichever one comes in first is what's getting the getting the um the closest ambulance in the", "start": 2213.8, "end": 2219.68}, {"text": "current system it will look at both of those it will even if the say the person who's um having um the the chest pain", "start": 2219.68, "end": 2226.2}, {"text": "versus someone not breathing um it will send the vehicle to the person having chest pain but then if a higher priority", "start": 2226.2, "end": 2232.68}, {"text": "calls it'll move the uh response to the highest priority call so it really it's", "start": 2232.68, "end": 2237.72}, {"text": "more around how do we prioritize the response and how do we provide an appropriate response to the level of", "start": 2237.72, "end": 2244.04}, {"text": "urgency that we're seeing in the in the in the call so while the byproduct is less lights and sirm responses it's um", "start": 2244.04, "end": 2251.72}, {"text": "it's not the immediate Focus it's a uh certainly a way to ensure that we have the best uh uh safest response capacity", "start": 2251.72, "end": 2260.04}, {"text": "and that's really what it's about thank you thank you okay Regional local councelor Chan U thank you Mr chair and", "start": 2260.04, "end": 2267.76}, {"text": "thank you acting Chief Watts for the presentation always good to see you down here um and actually one of the uh", "start": 2267.76, "end": 2276}, {"text": "questions I have one of the slides talking about the new system there's um", "start": 2276, "end": 2282.52}, {"text": "I think it's actually lower left corner mention about maybe the balance um", "start": 2282.52, "end": 2287.56}, {"text": "something rela to sinen um uh siren that we just talking about uh would that mean", "start": 2287.56, "end": 2294.48}, {"text": "that and we touch on safety is always important for both the emance and everybody in the embrance plus uh people", "start": 2294.48, "end": 2302.119}, {"text": "on the road um would that mean if the new system I can't remember the slide", "start": 2302.119, "end": 2307.92}, {"text": "number but I think that's one um these talk about maybe a reduction or balance", "start": 2307.92, "end": 2313.359}, {"text": "use um when appropriate would that mean maybe um certain it at busy hours on the", "start": 2313.359, "end": 2322.319}, {"text": "road or maybe in a u um more highly dense area the use of", "start": 2322.319, "end": 2330.24}, {"text": "sirens might have different flexible guidelines uh for the", "start": 2330.24, "end": 2335.359}, {"text": "driver or for the paramedic to uh to make decision on whether it's Now to S", "start": 2335.359, "end": 2341}, {"text": "it or now not to song it is there any flexibility period um thank thank you", "start": 2341, "end": 2347.04}, {"text": "for the thank you for the question uh and through the through the through the chair um the like I said the the", "start": 2347.04, "end": 2352.92}, {"text": "decrease in the lights and siren response is an outcome of just understanding um a better understanding", "start": 2352.92, "end": 2360.079}, {"text": "the urgency of the situation better um so what it means is um currently we", "start": 2360.079, "end": 2365.319}, {"text": "would go lights and siren but it was a non-urgent case meaning that you know it was a case that we didn't have to rush", "start": 2365.319, "end": 2372.2}, {"text": "there very quickly um and what that does is twofold one um it increases uh sort", "start": 2372.2, "end": 2378.2}, {"text": "of risks around like I mentioned uh traffic incidents but uh secondly it just means that that vehicle isn't", "start": 2378.2, "end": 2384.96}, {"text": "necessarily available for uh like a truly highly urgent case and that's really what the design of the system is", "start": 2384.96, "end": 2391.48}, {"text": "is is really more around efficiency and really um uh understanding what the 911", "start": 2391.48, "end": 2396.72}, {"text": "calls uh t uh coming in the urgency level is and just providing response that meets that level instead of just", "start": 2396.72, "end": 2403.04}, {"text": "responding with lights and siren to everything which um we do very well in New York Region uh but certainly across", "start": 2403.04, "end": 2409}, {"text": "Ontario and in Canada and even internationally um you'll certainly see you know um media cases where ambulances", "start": 2409, "end": 2415.2}, {"text": "weren't available for Urgent cases we haven't had anything like that it's it is because of the support of uh councils", "start": 2415.2, "end": 2421.8}, {"text": "and it is through the support of um really investing in our system and our infrastructure uh through our master", "start": 2421.8, "end": 2427.359}, {"text": "planning process but this will allow us to really make sure that we will always have um the right response uh um", "start": 2427.359, "end": 2434.52}, {"text": "capacity that's available um for the most urgent of cases and that's that's obviously the biggest risk for us is not", "start": 2434.52, "end": 2439.839}, {"text": "having an ambulance for um someone who's really urgent thank you for the answer", "start": 2439.839, "end": 2445.28}, {"text": "iting two wat so if I understand correctly the factors for considerations um not so much the time", "start": 2445.28, "end": 2453.16}, {"text": "of the day uh or the RO condition is really the nature in the sense the", "start": 2453.16, "end": 2460.24}, {"text": "assess urgency of the call that's what my takeaway from what you just said okay", "start": 2460.24, "end": 2465.88}, {"text": "correct correct through through you chair yes it's it's the uh urgency of the condition that determines the", "start": 2465.88, "end": 2471.079}, {"text": "response level excuse me yeah thank you you're talking about risk uh yeah and I", "start": 2471.079, "end": 2476.56}, {"text": "believe one of the uh uh not very uh um", "start": 2476.56, "end": 2481.72}, {"text": "kind of U videos U or uh reporting we seen I believe", "start": 2481.72, "end": 2488.079}, {"text": "involve the York Region embrance uh maybe about a month ago so it's I'm very", "start": 2488.079, "end": 2493.48}, {"text": "mindful that the uh have to keep everybody safe obviously the EMS and", "start": 2493.48, "end": 2498.56}, {"text": "everybody in it and everybody else on that note um I'm wondering um the in", "start": 2498.56, "end": 2506.119}, {"text": "terms of the risk factors is that something is ongoing assessment by the", "start": 2506.119, "end": 2512.16}, {"text": "by the paramics fore Mr chair yeah yes thank thank you thank you through for the for the question question counselor", "start": 2512.16, "end": 2517.96}, {"text": "uh through through the chair um in like our service is is always looking at opportunities as well as um our work", "start": 2517.96, "end": 2525.319}, {"text": "with the province who really is the regulator and oversees the work that paramedic service Services services do", "start": 2525.319, "end": 2531.28}, {"text": "as well there's a lot of work that's happening with um uh associations and as well as being connected with the", "start": 2531.28, "end": 2536.72}, {"text": "academic community and really trying to understand um the the uh putting in the processes policies um training and", "start": 2536.72, "end": 2544.52}, {"text": "equipment that best supports uh the patient safety and the delivery of the best quality of care um but also", "start": 2544.52, "end": 2551.599}, {"text": "Provider Safety is a really important part of that um especially with the a Workforce that is trauma exposed that is", "start": 2551.599, "end": 2559.2}, {"text": "um uh a challenge to find um uh folks with the right education and and", "start": 2559.2, "end": 2565.839}, {"text": "understanding that there is a sort of a bit bit of a a deficit from Community needs versus what um the uh the academic", "start": 2565.839, "end": 2572.72}, {"text": "uh system uh provides in terms of educated paramedics so these are all absolutely important factors for ethical", "start": 2572.72, "end": 2580.079}, {"text": "leaders but also to be able to uh continuously run a a business like ours yeah thank you my last question Mr chair", "start": 2580.079, "end": 2586.68}, {"text": "is uh you show one of the slides about the new upcoming stations and I think", "start": 2586.68, "end": 2593.64}, {"text": "you mentioned about a couple of them are within the vicinity of Richmond Hill um I asked that question that Regal Council", "start": 2593.64, "end": 2600.079}, {"text": "but I asked here again um is that station 85 I noticed in the south east", "start": 2600.079, "end": 2606.359}, {"text": "corner is that going to be a permanent station to be in Richmond Hill or still temporary with our fire Services no and", "start": 2606.359, "end": 2614.24}, {"text": "yeah thank through through the chair thanks thanks for the the question again and actually I think it's a a great opportunity uh to be here so um station", "start": 2614.24, "end": 2621.079}, {"text": "85 which which which is a colocate with Richmond Hill fire Services was really intended to be a temporary station um on", "start": 2621.079, "end": 2628.68}, {"text": "high-tech while we um were completing the uh the build of our station in Thornhill on Glen Cameron which is a", "start": 2628.68, "end": 2635.48}, {"text": "little bit south of there uh since we've uh been collocated with them there's", "start": 2635.48, "end": 2640.68}, {"text": "been a lot of work that's happened at the Province and certainly you you would be very um privy to the population", "start": 2640.68, "end": 2647.52}, {"text": "Targets in that area around Highway 7 and and Young and the and the transit Corridor uh so where we're currently at", "start": 2647.52, "end": 2653.839}, {"text": "with that we're in the preliminary stages of um in working with Chief Burbage to really uh look at um the", "start": 2653.839, "end": 2660.28}, {"text": "opportunities whether to to collocate but I think both of the services really need to understand um the future uh", "start": 2660.28, "end": 2666.28}, {"text": "demand needs and in that area and we hope to be able to bring something back to sort sort of both your Council and and region Council in in in the future", "start": 2666.28, "end": 2673.88}, {"text": "um my thought is that we will need some um just looking at the updated uh", "start": 2673.88, "end": 2679.88}, {"text": "population targets now targeted for that area over the next 10 15 years um I I", "start": 2679.88, "end": 2685.4}, {"text": "would lean more towards the need for more of a permanent uh station there um but like I said we're still in the", "start": 2685.4, "end": 2690.64}, {"text": "preliminary discussions with Chief Burbage and we'll work very closely together to really understand the demand and make sure we have a uh a sort of a a", "start": 2690.64, "end": 2698.44}, {"text": "safe um safe recommendations in terms of like future for that area and emergency coverage for sure thank you very much", "start": 2698.44, "end": 2705.4}, {"text": "for the answer uh no more question but um I think Chief you're absolutely right because that's where the future Subway", "start": 2705.4, "end": 2711.64}, {"text": "is coming and uh well PS have big plans but even Richmond Hill we have Richmond", "start": 2711.64, "end": 2717.52}, {"text": "Hill Center secondary plan has been approved we're looking forward to increase in density and number of other", "start": 2717.52, "end": 2723.28}, {"text": "things uh in closing I just want to say uh through uh acting Chief uh please uh", "start": 2723.28, "end": 2730}, {"text": "uh relate to all the men and women serving in the yor paramedics um I'm always very um respectful of all the um", "start": 2730, "end": 2739.4}, {"text": "work they doing because uh it's almost always being caring out under a very stressful situation and uh very proud of", "start": 2739.4, "end": 2747.16}, {"text": "your paramedics and also a very diverse Workforce and um Innovative and", "start": 2747.16, "end": 2754.079}, {"text": "congratulations and keep it up with uh your team thank you Mr Chief thank you thank you Mr chair thank you uh actually", "start": 2754.079, "end": 2761.88}, {"text": "we don't have a second or do you want to Second it okay great all right so um", "start": 2761.88, "end": 2766.96}, {"text": "next one is councelor you thank you Mr Mar and thank you very much acting's Chief um for coming to um Council and", "start": 2766.96, "end": 2774.839}, {"text": "thank you for the presentation I do have a few questions and one of them is uh regarding the uh uh the ambulance", "start": 2774.839, "end": 2781.04}, {"text": "station so um thank you for the explanation I understand it's about the population um distribution so I I see", "start": 2781.04, "end": 2789.48}, {"text": "Markham has six and and and vaugh has five and we only have one and a half now", "start": 2789.48, "end": 2795.359}, {"text": "the temporary is is do you think it's uh the coverage is enough for the north part of Richmond Hill or are we are we", "start": 2795.359, "end": 2802.2}, {"text": "relying on markam I'm talking about B riches North Lesley sure and thank you", "start": 2802.2, "end": 2807.4}, {"text": "uh thank you for the question and uh through you um Mr chair so when we look at um uh through the master planning", "start": 2807.4, "end": 2813.559}, {"text": "process so we we look at um setting targets for uh region-wide and also in in the lower in the lower tier and so uh", "start": 2813.559, "end": 2821.52}, {"text": "yes we have our station uh 27 which is um on Cache Woods which is is is is in", "start": 2821.52, "end": 2826.96}, {"text": "the vicinity of uh 16th and um the 404 um so uh that actually is well suited", "start": 2826.96, "end": 2834.16}, {"text": "for actually supporting that um I'll start with that one that that is very much Well Suited in all of our um all of", "start": 2834.16, "end": 2840.079}, {"text": "our work with the Consultants that we work with to understand response capacity and then once the overpass over the 404 opens it's actually going to be", "start": 2840.079, "end": 2846.96}, {"text": "right there and actually provides um a sign even a more significantly improved um access to sort of like the southeast", "start": 2846.96, "end": 2853.52}, {"text": "um area of Richmond Hill um and in terms of uh Oak Ridges uh response which which", "start": 2853.52, "end": 2858.92}, {"text": "I think is your is your question we have our Station 22 which opened in in Gormley as well and so um uh yes we have", "start": 2858.92, "end": 2867.68}, {"text": "um uh uh sort of one and and have I would say two uh two uh stations", "start": 2867.68, "end": 2874.599}, {"text": "directly within Richmond Hill the third one being the one that's by uh formal Buttonville Airport that provides really", "start": 2874.599, "end": 2880.319}, {"text": "really good coverage but it's also around looking at it as a network so um with our um uh We've expanded uh as I", "start": 2880.319, "end": 2887.839}, {"text": "mentioned uh in Gormley which is basically the 404 and and stovel road that helps support that area there uh we", "start": 2887.839, "end": 2894.599}, {"text": "also have uh a new station that's um uh going to be replacing which is in in Maple on the West Side um and then we're", "start": 2894.599, "end": 2901.119}, {"text": "also looking at expanding um uh sort of what's in Unionville and so um it really is around um how you uh set up for a", "start": 2901.119, "end": 2909.64}, {"text": "network the vehicles that are available and then they also it's very that we move them around the station and so for", "start": 2909.64, "end": 2914.92}, {"text": "an ambulance and a paramedic crew that may start at the station in Richmond Hill they could very well easily be in Georgina providing coverage because we", "start": 2914.92, "end": 2921.359}, {"text": "have a very Dynamic deployment model and that's uh certainly an an advantage and so um as we uh continuously look at uh", "start": 2921.359, "end": 2929.64}, {"text": "up updating our master plan in sort of 5year increments we look really operationally 10 years but from a", "start": 2929.64, "end": 2934.88}, {"text": "capital perspective we look uh 20 years out when we do this work uh we always look and we certainly um take the uh", "start": 2934.88, "end": 2941.2}, {"text": "planning projections that are uh that come through our the regional planning office that's what we use and I know", "start": 2941.2, "end": 2947.119}, {"text": "there's a lot of work that happens with the local M municipal offices and so uh yes we have uh uh currently good", "start": 2947.119, "end": 2952.96}, {"text": "coverage but once again uh houses are being built intensifications occurring and that's why we have to continuously", "start": 2952.96, "end": 2959}, {"text": "look at it but thank you so much for the question thank you thank you I'm glad to hear that um the other thing is I I saw", "start": 2959, "end": 2964.799}, {"text": "in the presentation that uh The Innovation is mental health I'm sure mental health has been a a pressing", "start": 2964.799, "end": 2971.44}, {"text": "issue lately um do you see an uptake on the mental health call and how well", "start": 2971.44, "end": 2979.119}, {"text": "equipped our par paramedics to deal with mental health or will rely on the police", "start": 2979.119, "end": 2984.96}, {"text": "through you Mr Mayor uh thank thank you for the the counselor and and through the mayor um yes we I don't have the the", "start": 2984.96, "end": 2991.119}, {"text": "figures but we certainly see um increasing responses for um uh calls", "start": 2991.119, "end": 2996.28}, {"text": "that are related to mental health um we work very closely with uh York Regional", "start": 2996.28, "end": 3001.48}, {"text": "Police um but it's broader like the issue in in the solution is certainly broader it's um integrating all this", "start": 3001.48, "end": 3008.599}, {"text": "work that's that's happening um with the health care System locally there's a lot of work that's happening with the", "start": 3008.599, "end": 3014.2}, {"text": "development of a mental health uh Hub that's going to be you know in in New Market um and and there's a lot of work", "start": 3014.2, "end": 3021.04}, {"text": "it it certainly is broader we do a lot of work uh with the with the paramedics in terms of increasing their", "start": 3021.04, "end": 3027.2}, {"text": "competency around managing um uh uh incidences that involve Mental Health", "start": 3027.2, "end": 3032.88}, {"text": "crisis working very closely with the with the police um but as an offshoot it is uh it is very difficult when you have", "start": 3032.88, "end": 3040.44}, {"text": "someone in crisis in an emergent situation and that's why more infrastructure and more access to", "start": 3040.44, "end": 3046}, {"text": "inpatient and outpatient services is required and we certainly have a long way to go but there's some really good", "start": 3046, "end": 3051.44}, {"text": "initial steps that are that are occurring with I think the right people at the the table in my opinion but absolutely it's it's a great question", "start": 3051.44, "end": 3058}, {"text": "thank you um as we can see at least in Richmond Hill um there's a lots of", "start": 3058, "end": 3063.4}, {"text": "proposal about long-term cares and and and senior homes senior apartments um", "start": 3063.4, "end": 3070.72}, {"text": "and I can see there might be a higher demand for paramedics um are we prepared", "start": 3070.72, "end": 3076.68}, {"text": "for that great uh great great question and and uh for uh through you Mr Mayor", "start": 3076.68, "end": 3081.92}, {"text": "um as as I mentioned in the um in the presentation um as as age uh our chances", "start": 3081.92, "end": 3088.4}, {"text": "of hospitalization and in accessing paramedic service it it like it's exceptionally high and so that is", "start": 3088.4, "end": 3094.559}, {"text": "factored into the work we do with our planning and our demand so we look at essentially uh population like just pure", "start": 3094.559, "end": 3101.44}, {"text": "population growth we look at uh the age of the population and uh the General Health of the population to help us", "start": 3101.44, "end": 3107.559}, {"text": "project and we also look at um um another factor which is really around consumption rates of our service because", "start": 3107.559, "end": 3113.72}, {"text": "we can't really control who calls 911 so we just they call and we respond and so", "start": 3113.72, "end": 3119.96}, {"text": "one of the things that you see it's it's multifactoral in that uh in the in the um in the uh uh accessing 911 service so", "start": 3119.96, "end": 3127.599}, {"text": "for example if folks don't have access to primary care if they don't have access to care in the community then", "start": 3127.599, "end": 3133.64}, {"text": "they they call 911 or they access through the emergency department so those are all the those are all the the", "start": 3133.64, "end": 3139.04}, {"text": "things but certainly um uh uh Care for Seniors is um one of the things that is", "start": 3139.04, "end": 3144.599}, {"text": "a big driver for our um and and not just enhancing it but there's a ton of work we're doing on our community", "start": 3144.599, "end": 3150.599}, {"text": "paramedicine side which I briefly mentioned and a lot of what that is is it's uh new models of care that uh we're", "start": 3150.599, "end": 3156.92}, {"text": "involved in a number of uh Pilots that are really looking at how do you best support um Aging in place so one of them", "start": 3156.92, "end": 3163.24}, {"text": "is our IMPACT Program which is uh a new model of care approved by the the province of Ontario where we've trained", "start": 3163.24, "end": 3169.119}, {"text": "uh currently a small number of paramedics but um we're expanding that number in uh how to function in the", "start": 3169.119, "end": 3174.799}, {"text": "primary care environment and right now you know they'll receive a 911 call they may assess the patient they may do point", "start": 3174.799, "end": 3180.44}, {"text": "of care blood work they may do year analysis they will work with a physici and the outcome is often that they're", "start": 3180.44, "end": 3186.64}, {"text": "actually discharging these these these folks at home and so a lot of this cohort is seniors we have a number of uh", "start": 3186.64, "end": 3192.599}, {"text": "models of care that are actually targeting one just launched last week it's called our uh cptc plus which is", "start": 3192.599, "end": 3198.119}, {"text": "community par paramedicine in the long-term care home plus and what that is is partnering with various um nursing", "start": 3198.119, "end": 3203.96}, {"text": "homes um and their uh uh medic staff when um a lot of these residents um of", "start": 3203.96, "end": 3209.92}, {"text": "these long-term care homes are being transferred to the hospital for Diagnostic uh issues when uh they're not", "start": 3209.92, "end": 3216}, {"text": "really receiving that so paramedics are being special specially trained to do point of care blood work to do point of", "start": 3216, "end": 3221.96}, {"text": "care ultrasound and a number of these other factors and these are uh small pilots and we're really looking at sort", "start": 3221.96, "end": 3228.119}, {"text": "of the evaluation of them and expanding them so it's it's not just around expanding our Workforce and continuing to just add ambulances it's how do we", "start": 3228.119, "end": 3235.319}, {"text": "provide the right care at the right time in the right place and it's and just increasing the infrastructure within our", "start": 3235.319, "end": 3240.52}, {"text": "system but excellent question and obviously I could talk forever about it so very very passionate about it so", "start": 3240.52, "end": 3245.72}, {"text": "thank you so much through chair for the question thank you um last question um recruitment um you know yor region is", "start": 3245.72, "end": 3251.799}, {"text": "very diverse so in terms of recruitment process um in your Workforce do you have", "start": 3251.799, "end": 3257.88}, {"text": "a lot of you know um paramics that speak different languages so it's um that's a", "start": 3257.88, "end": 3264.72}, {"text": "that's a fantastic uh question in through you chair U it is definitely an area where we saw as an opportunity um", "start": 3264.72, "end": 3271.28}, {"text": "10 years ago our Workforce was uh I would say not very diverse um uh we did", "start": 3271.28, "end": 3276.72}, {"text": "not have a number of our our folks that spoke uh different languages and that has been um really gradually gradually", "start": 3276.72, "end": 3283.4}, {"text": "changing and we're really doing a lot of work in the EDI space internally um to not only make um uh ours A Premier", "start": 3283.4, "end": 3291.2}, {"text": "Service to come and work at but that they have the supports that they feel supported in having a diverse Workforce", "start": 3291.2, "end": 3296.64}, {"text": "that is reflective of the community is is like is is really our goal and we're certainly seeing um every Rec recruit", "start": 3296.64, "end": 3302.96}, {"text": "class uh more diverse in uh the the cultural backgrounds and the languages that we are speaking um and we have", "start": 3302.96, "end": 3309.44}, {"text": "certainly had some targeted um The Challenge we have in the paramedic service is um because of the legislation", "start": 3309.44, "end": 3316}, {"text": "uh you have to decide you want to be a paramedic you go and you do um schooling and a post-secondary education and", "start": 3316, "end": 3322.2}, {"text": "that's the pool we can pull from so unlike the uh fire or police where certainly their post-secondary", "start": 3322.2, "end": 3328.599}, {"text": "definitely comes into it it's a legislative requirement so it's really around Grassroots work uh trying to", "start": 3328.599, "end": 3333.96}, {"text": "engage the community um we had a uh you know an opportunity even this week I was at a number of Remembrance Day", "start": 3333.96, "end": 3340.2}, {"text": "ceremonies and really just engaging uh Youth and and uh I had an opportunity to speak earlier this year at an event um", "start": 3340.2, "end": 3346.88}, {"text": "in um in Markham but it had a uh you know there's about a few hundred um air Cadets and navy Cadets and and it's", "start": 3346.88, "end": 3353.92}, {"text": "those those those groups and really um when we're there with them is explaining to folks that may uh speak different", "start": 3353.92, "end": 3360.64}, {"text": "languages that definitely um those are the folks that we really want to tap into and that only makes the the", "start": 3360.64, "end": 3365.799}, {"text": "services we deliver stronger and more effective so yeah great great great question thank you so much thank you um", "start": 3365.799, "end": 3371.28}, {"text": "that's all my questions and once again thank you very much for the presentation and thank you all paramedics uh you know", "start": 3371.28, "end": 3377.039}, {"text": "always being in the front line you know saving lives and facing lots of challenges thank you very much thank you", "start": 3377.039, "end": 3382.559}, {"text": "thank you uh we've got councelor svitz and then councelor Thompson", "start": 3382.559, "end": 3387.68}, {"text": "thank you Mr chair and thank you acting Chief uh very good presentation and um", "start": 3387.68, "end": 3393.359}, {"text": "of course our thanks go to um all all members of staff and everyone who staffs", "start": 3393.359, "end": 3399.88}, {"text": "the the 911 call centers I just have one uh one two questions actually um through", "start": 3399.88, "end": 3407.52}, {"text": "you Mr chair have you found as someone who lives on the Young Street Corridor", "start": 3407.52, "end": 3413.039}, {"text": "have you found that the use of the uh bus Rapid Transit way for emergency", "start": 3413.039, "end": 3419.16}, {"text": "vehicles including ambulances has made a distinct difference in timing because to", "start": 3419.16, "end": 3426.119}, {"text": "me from where I look over my balcony it certainly seems that way I mean yes they have to still stop at the the traffic", "start": 3426.119, "end": 3432.88}, {"text": "lights but they've got a free run between between lights and and to me I I", "start": 3432.88, "end": 3438.64}, {"text": "think it's fantastic can you comment on that through you Mr Mayor thank you thank you for the question counselor and", "start": 3438.64, "end": 3444.359}, {"text": "and through you mayor um we have not uh Quantified it but we've had experience", "start": 3444.359, "end": 3449.44}, {"text": "um probably first Highway 7 and and Davis Drive were the the first real real to experiences almost 10 years ago um uh", "start": 3449.44, "end": 3456.48}, {"text": "qualitative I would say that yes it has but that's would be uh something we would really want to look at and measure", "start": 3456.48, "end": 3462.28}, {"text": "and it is certainly um we're seeing congestion in certain areas especially around rush hour it is very difficult", "start": 3462.28, "end": 3468.72}, {"text": "for um and it's not just us we've you um uh our fire Services um and and police", "start": 3468.72, "end": 3475.359}, {"text": "also have the same things but certainly um having infrastructure like that that has open roadway is always a benefit in", "start": 3475.359, "end": 3482.48}, {"text": "a highly urbanized environment to uh to get to places quicker so I don't have it Quantified but I believe it's a really", "start": 3482.48, "end": 3488.68}, {"text": "good strategy so thank you thank you no I I def as an as an as someone from the", "start": 3488.68, "end": 3493.88}, {"text": "outside looking in I believe there's no question it is because they don't have to you know wait for people to move out", "start": 3493.88, "end": 3500.4}, {"text": "the way they can just keep going so it's it's excellent the other question I have uh through you um is uh in your in your", "start": 3500.4, "end": 3509.559}, {"text": "presentation under Staffing you you say there are 55 casual paramedics through you Mr Mayor can you explain what a", "start": 3509.559, "end": 3516.88}, {"text": "casual paramedic is sure thank you for the question and uh through you Mr Mayor so we have uh a number of", "start": 3516.88, "end": 3523.359}, {"text": "classifications so we have uh permanent full-time we have uh temporary full-time", "start": 3523.359, "end": 3528.559}, {"text": "which are um essentially uh fully certified paramedics uh generally it's an entry uh into the the system and", "start": 3528.559, "end": 3536.28}, {"text": "they're there backfilling um folks that are out of the workplace so uh being um", "start": 3536.28, "end": 3542}, {"text": "a trauma exposed profession that is very physically demanding we do see uh very high wsib numbers for um uh physical and", "start": 3542, "end": 3549.88}, {"text": "for non-physical injuries uh we also have a relatively young Workforce and so even things like um expanding um", "start": 3549.88, "end": 3556.76}, {"text": "maternity benefits to 18 months and it just increases the amount of time where we don't have staff actively in the", "start": 3556.76, "end": 3561.96}, {"text": "workplace so we use temporary full-time and what we call Casual so a casual paramedic um uh they're fully certified", "start": 3561.96, "end": 3568.799}, {"text": "as a paramedic um some of them are uh due to family circumstances so they they", "start": 3568.799, "end": 3574.96}, {"text": "are able to pick their schedule they don't work a full-time schedule uh but they're they're they're the same certification level as all of our um", "start": 3574.96, "end": 3581.96}, {"text": "other paramedics or full-time paramedics um and we also you know some of them work uh other jobs we have uh they're", "start": 3581.96, "end": 3588.119}, {"text": "full-time firefighters and they work parttime with us so it allows us to increase our uh capacity um in our in", "start": 3588.119, "end": 3595.64}, {"text": "terms of our Staffing numbers and fill in for where we have uh challenges over the summer or with our long-term leaves", "start": 3595.64, "end": 3601.28}, {"text": "and things like that so yeah it's a it's a staffing strategy that has um", "start": 3601.28, "end": 3607.88}, {"text": "uh positives and and negatives I guess for for it but uh it's a historical part of our um industry so thank you for the", "start": 3607.88, "end": 3615.799}, {"text": "question yeah thank you acting Chief greatly appreciated uh thank you Mr Mayor okay councelor", "start": 3615.799, "end": 3622.039}, {"text": "Thompson thank you very much and through the chair also like to thank you for the presentation much appreciated definitely", "start": 3622.039, "end": 3628.2}, {"text": "appreciate everything that you guys do um the the question or maybe a bit of a", "start": 3628.2, "end": 3635.039}, {"text": "concern that I have is on when you're talking about um and I'll this will be my paraphrasing but when we're sort of", "start": 3635.039, "end": 3642.28}, {"text": "vetting the uh uh the call that comes in", "start": 3642.28, "end": 3648.039}, {"text": "to determine priority and so forth um I", "start": 3648.039, "end": 3653.119}, {"text": "guess I understand if we're looking at a brain ankle or something like that uh", "start": 3653.119, "end": 3659.079}, {"text": "that I I I see where councelor Davidson's coming from but I guess my experience and I don't have a lot of", "start": 3659.079, "end": 3665.96}, {"text": "experience but it would seem to me that sometimes uh you've come to a call where", "start": 3665.96, "end": 3672.2}, {"text": "you're addressing something that starts out as you know being not a a high", "start": 3672.2, "end": 3678.2}, {"text": "priority but uh over time and I know you're talking about how you Monitor and", "start": 3678.2, "end": 3683.559}, {"text": "you're doing blood and all that type of thing conditions can change uh particularly with the onset of shock and", "start": 3683.559, "end": 3690.359}, {"text": "and so forth so uh I guess this is more of a comment", "start": 3690.359, "end": 3696.2}, {"text": "I guess in that I'm a little bit concerned that somebody may not end up", "start": 3696.2, "end": 3703.68}, {"text": "with a an ambulance and their condition is it does change but because of what", "start": 3703.68, "end": 3708.88}, {"text": "the person that called it in heard is thinking well just sit tight", "start": 3708.88, "end": 3714.72}, {"text": "just sit tight and not really uh paying attention to the the change in the", "start": 3714.72, "end": 3719.96}, {"text": "condition I just wonder if you could speak to that maybe no happy to and uh through you through you Mr chair so uh", "start": 3719.96, "end": 3726.64}, {"text": "the mpds system is medically validated over millions and millions of cases it's", "start": 3726.64, "end": 3732.039}, {"text": "used worldwide it's used across North America um and it is essentially the um", "start": 3732.039, "end": 3738.44}, {"text": "uh I would I would call it the gold standard currently for prioritizing calls um there's uh it it does follow", "start": 3738.44, "end": 3745.079}, {"text": "the process but it it also does allow to have our very experienced call takers uh be able to use their own judgment and to", "start": 3745.079, "end": 3751.76}, {"text": "up upgrade calls and upgrade cases and so um while there is a theoretical risk", "start": 3751.76, "end": 3757.279}, {"text": "if there are any concerns around how the questions are being answered um it's it", "start": 3757.279, "end": 3762.52}, {"text": "prompts the higher level response and so it it is uh it is very um it does capture that uh it is very safe and we", "start": 3762.52, "end": 3769.079}, {"text": "do um once we launch it uh this evening uh we will be doing even internally even", "start": 3769.079, "end": 3774.44}, {"text": "though it's the same system that's used around the world we will be doing a lot of internal QA and really understanding", "start": 3774.44, "end": 3780.039}, {"text": "um any of the cases that are potentially missed um someone not breathing someone's unconscious someone's having", "start": 3780.039, "end": 3786.039}, {"text": "chest pain all all those all those really key indicators um if someone's generally unwell but they're having", "start": 3786.039, "end": 3792.119}, {"text": "troubles breathing um that could be someone has you know um influenza and", "start": 3792.119, "end": 3797.319}, {"text": "they're very well or it could be someone that's having um a life-threatening condition those receive a lights and", "start": 3797.319, "end": 3803.119}, {"text": "siren response so the system does uh VI towards the safer side it just does it in a way and it really captures those", "start": 3803.119, "end": 3810.64}, {"text": "cases that are you know for example you know someone's been generally onw for four days five days they're uh walking", "start": 3810.64, "end": 3816.64}, {"text": "around they're alert they're oriented their breathing's okay their color is good um they're answering questions fully we will still provide a response", "start": 3816.64, "end": 3823.64}, {"text": "but we don't need to uh drive through intersections with lights and siren to get there compared to someone who's having chest pain that's like sort of", "start": 3823.64, "end": 3830.319}, {"text": "like the difference so I I definitely take your comment um un notied it's certainly something uh that is very at", "start": 3830.319, "end": 3835.96}, {"text": "the top as we as we implement this new system it is very uh top of mind and and top of our process to make sure that", "start": 3835.96, "end": 3841}, {"text": "we're on on top of it um and really understanding the the impact but it is um it is really the way to ensure in the", "start": 3841, "end": 3848.16}, {"text": "future um with the the growth um with with regards to the demand that we", "start": 3848.16, "end": 3853.2}, {"text": "actually have ambulances available to respond to the most urgent cases and if we don't prioritize the um the cases as", "start": 3853.2, "end": 3859.52}, {"text": "they come in there's a risk that we will actually not have ambulances to respond to the the highest one and that's why we", "start": 3859.52, "end": 3865.2}, {"text": "have to implement these Innovations thank you and I appreciate the the answer through the chair um I", "start": 3865.2, "end": 3872.839}, {"text": "would imagine that uh in those situations where uh the person taking", "start": 3872.839, "end": 3878.839}, {"text": "the call you know has has made that sort of determination as you mentioned um", "start": 3878.839, "end": 3886.119}, {"text": "that they they would be coaching whoever's on the other end of the line to say you know if their condition", "start": 3886.119, "end": 3893.839}, {"text": "changes you know call back but give them some sort of things as to what to look", "start": 3893.839, "end": 3899.48}, {"text": "for in terms of condition changes that type of thing uh through you um Mr chair", "start": 3899.48, "end": 3905.2}, {"text": "uh yes one of the benefits of mpds is actually it's a significant Improvement in the dispatcher um instructions that", "start": 3905.2, "end": 3912.72}, {"text": "are provided uh whether it's through uh delivering CPR instructions or for other", "start": 3912.72, "end": 3918.52}, {"text": "uh cases that are holding it's it very much is um two twofold um the caller", "start": 3918.52, "end": 3924.2}, {"text": "calling back if anything changes and also um the dispatch system calling in at at specific time intervals and", "start": 3924.2, "end": 3930.359}, {"text": "inquiring if there's been any changes and and upgrading the response if that's the case much appreciated those are all my", "start": 3930.359, "end": 3937.44}, {"text": "questions and thank you for all you do thank you actually it's interesting you say that because I was thinking you", "start": 3937.44, "end": 3943.359}, {"text": "know it it probably would be helpful if uh more and more people had first aid training too because a lot of this could", "start": 3943.359, "end": 3949.68}, {"text": "be you know knowledge is power and and you know St John's ambulance who I know we're all aware of has been providing", "start": 3949.68, "end": 3956.68}, {"text": "that type of thing as other organizations as well but U the question I I I wanted to ask was so can you give", "start": 3956.68, "end": 3962.24}, {"text": "me a sense uh with ambulance I know we have these uh stations that we have but", "start": 3962.24, "end": 3970}, {"text": "on a typical shift how often or how much time does an ambulance and their that", "start": 3970, "end": 3976}, {"text": "crew spend in the physical station like I I would I would think that in with", "start": 3976, "end": 3982.799}, {"text": "ambulance much more so than fire they would be out on the road a lot of the", "start": 3982.799, "end": 3988.2}, {"text": "time so the actual physical location of the station isn't quite as important as", "start": 3988.2, "end": 3993.24}, {"text": "where the ambulances are geographically is that true or not yeah yes Mr Mayor so", "start": 3993.24, "end": 3999}, {"text": "that um that is correct uh we use a Dynamic Staffing model so it um starting", "start": 3999, "end": 4004.96}, {"text": "about 6 or 7 o'clock in the morning till about 10 o'clock at night is our peak time and certainly between the hours of", "start": 4004.96, "end": 4011.64}, {"text": "you know 2 to 5 it's the it's the lowest and we try and adapt our Staffing uh to", "start": 4011.64, "end": 4016.799}, {"text": "that um day shift depending on the station um certainly we have more rural", "start": 4016.799, "end": 4022.079}, {"text": "stations in the region that um they may spend more time responding just because of the population bases lower there", "start": 4022.079, "end": 4028.559}, {"text": "whereas you know within the south end of York Region on uh day shifts it's it's very common for the paramedics to leave", "start": 4028.559, "end": 4034.52}, {"text": "and to not return to a station throughout the day they essentially go from call to call and to hospital to hospital uh but um uh our design in", "start": 4034.52, "end": 4043.559}, {"text": "terms of the master plan in terms of the Capital infrastructure of stations it really is designed as a as a network and", "start": 4043.559, "end": 4050.079}, {"text": "that if that was the default that is really what we measure it from and when we work with our uh consultant they will", "start": 4050.079, "end": 4055.72}, {"text": "provide us with a it's almost like a heat map and so if we look at sort of gaps or where calls will come in or", "start": 4055.72, "end": 4061.559}, {"text": "historical calls or where population bases are so when we um are looking at locations for um new stations we use a", "start": 4061.559, "end": 4069.359}, {"text": "heat map approach it's also very challenging in the South End of York Region in particular to find real estate", "start": 4069.359, "end": 4075.52}, {"text": "and so we're even working with collocate so we look for um it's a little bit of Art and Science to be able to uh find uh", "start": 4075.52, "end": 4082.799}, {"text": "a space that would be U uh a good location to physically build a station", "start": 4082.799, "end": 4088.2}, {"text": "or to collocate with fire with police and then we we go back to that sort of heat map approach and understanding if", "start": 4088.2, "end": 4093.72}, {"text": "it gives us a response Advantage but it's a very good question and if I can make one one comment actually this is uh", "start": 4093.72, "end": 4099.92}, {"text": "November is CPR month and um the majority of folks that are not in health", "start": 4099.92, "end": 4105.679}, {"text": "or in the emergency services that uh do CPR it's usually on a loved one or a family member so it's a a little uh PSA", "start": 4105.679, "end": 4112.758}, {"text": "is definitely um the more people in your community that um know first aid and have the ability to do CPR and the and", "start": 4112.759, "end": 4119.6}, {"text": "take on the ability to um uh to respond and to start CPR is actually one of the", "start": 4119.6, "end": 4125.359}, {"text": "most important things and is a really good indicator of community cardiac out of Hospital Cardiac Arrest health so", "start": 4125.359, "end": 4131.08}, {"text": "it's it's a it's a very good um uh PSA to take forward for sure well thank you", "start": 4131.08, "end": 4136.199}, {"text": "so just to delve into that a bit further so when on a typical prime time between", "start": 4136.199, "end": 4142.838}, {"text": "10 and or seven and six or whatever you're saying um when when somebody get", "start": 4142.839, "end": 4148.318}, {"text": "uh puts in a call for an ambulance is it likely that the ambulance is coming from", "start": 4148.319, "end": 4153.359}, {"text": "the actual station or are they already on the road somewhere so for um as I", "start": 4153.359, "end": 4158.96}, {"text": "mentioned the um the current response system there's two levels of response one of them is light and siren one of", "start": 4158.96, "end": 4164.758}, {"text": "them isn't the new one has five and it's color based so purple is someone not breathing sounds like someone's in", "start": 4164.759, "end": 4171.12}, {"text": "Cardiac Arrest red is um a chest Bain um very urgent still licens sir in response", "start": 4171.12, "end": 4178}, {"text": "um for those cases it is whatever the closest available resources okay it", "start": 4178, "end": 4183.278}, {"text": "might be we have one at the hospital it might be we have one on on the road dispatch will assign to whatever the", "start": 4183.279, "end": 4188.92}, {"text": "closest available resource is uh for the lower level priorities um and this is", "start": 4188.92, "end": 4194.52}, {"text": "what it's it's a benefit and we talk about uh burnout of our Workforce so what what would happen now uh you could", "start": 4194.52, "end": 4199.719}, {"text": "have a paramedic that is say they've worked 10 hours in a row they're finally eating something and then they get a", "start": 4199.719, "end": 4205.8}, {"text": "call for someone with a headache when they arrive their headache is actually worse than the than the person's so in the new system those cases may be", "start": 4205.8, "end": 4212.84}, {"text": "prioritized less and what we use as a a best unit response meaning that it takes into account uh workload it takes into", "start": 4212.84, "end": 4218.96}, {"text": "account the meal rest periods and then we respond with the most appropriate ambulance to to that so um uh and if", "start": 4218.96, "end": 4226.239}, {"text": "there's a a vehicle that's on the way to a lower priority and they're the closest to a higher priority we move the the", "start": 4226.239, "end": 4231.64}, {"text": "resource to make sure that those highest priority calls get the highest priority response okay uh final question so uh I", "start": 4231.64, "end": 4238.32}, {"text": "know that in the past there's been some uh concern and controversy maybe over", "start": 4238.32, "end": 4244}, {"text": "how long paramedics are required to stay at the hospital once they've offloaded a", "start": 4244, "end": 4249.08}, {"text": "patient I I I've had a hard time understanding why they would need to still be there and maybe you could", "start": 4249.08, "end": 4254.56}, {"text": "explain that I mean once they've offloaded the patient they're in the doctor's hands I'm not sure what the Pat", "start": 4254.56, "end": 4260.08}, {"text": "the the paramedics add to that equation and I I I'm it's a question because I don't know the answer um but also uh", "start": 4260.08, "end": 4267.88}, {"text": "what's being done about that excellent excellent question and I could probably", "start": 4267.88, "end": 4273.08}, {"text": "talk for hours about this one as well so for uh for you Mr Mayor um so what what you're referring to is ambulance offload", "start": 4273.08, "end": 4279.04}, {"text": "time and uh historically um if we go back to about the mid 2000s 2005 6 78", "start": 4279.04, "end": 4286.199}, {"text": "this was a a huge challenge for us and so part of it is paramedics would are responsible for uh care for the", "start": 4286.199, "end": 4293.6}, {"text": "individual that's in their u in their sort of chain of chain of care and it's not until they transfer that care over", "start": 4293.6, "end": 4299.48}, {"text": "to the hospital that they're able to leave um a number of years ago this was a significant issue hours and hours um", "start": 4299.48, "end": 4306.159}, {"text": "because the there was no beds that were available for the the the nursing staff at the hospitals um to take um over", "start": 4306.159, "end": 4314}, {"text": "responsibility for care for those those patients uh we worked a lot with our local hospitals um with the province and", "start": 4314, "end": 4320.6}, {"text": "we there was a number of Investments uh there was a uh memorandum of understanding from the region that essentially was a pay for performance", "start": 4320.6, "end": 4327.32}, {"text": "for an additional Capital stream for the hospitals that's that's no longer in place but what that allowed us to do is", "start": 4327.32, "end": 4333.159}, {"text": "um uh the hospitals that were underperforming we were able to hold back some of those Capital funds we invested that into Improvement", "start": 4333.159, "end": 4340}, {"text": "initiatives you've seen some responsiveness from the provincial government in terms of our dedicated offn offload nurse funding which is a", "start": 4340, "end": 4347.719}, {"text": "separate stream which we receive about $2.7 million a year from the provincial government um to um provide to the", "start": 4347.719, "end": 4355.6}, {"text": "hospitals for them to provide nursing staff and so what that allows us to do now is uh for the paramedics to bring", "start": 4355.6, "end": 4361.76}, {"text": "the patients in they're actually able to transfer that uh care over to the hospital and then leave much quicker and", "start": 4361.76, "end": 4367.6}, {"text": "so the regional hospitals um have some of the best times in the in the province some of that is the um uh Investments a", "start": 4367.6, "end": 4374.76}, {"text": "lot of that is the leadership at the hospitals and being at the table and really engaging as a collective that is", "start": 4374.76, "end": 4379.8}, {"text": "really important for our community to have paramedics in the 911 system not sitting at the hospital not able to", "start": 4379.8, "end": 4386.12}, {"text": "respond okay thanks a lot I this has uh been a oh go ahead thank you through you Mr chair um", "start": 4386.12, "end": 4394.679}, {"text": "again thank you for the for this chance to discuss and and I wasn't in I was at no time trying to say you shouldn't call", "start": 4394.679, "end": 4400.76}, {"text": "an ambulance if you think you need one but um I had occasion to call one and I'm not blaming anybody but it took 20", "start": 4400.76, "end": 4407.4}, {"text": "minutes to get there and I all I'm saying is I don't think the public necessarily evaluates when to call an", "start": 4407.4, "end": 4413.44}, {"text": "ambulance or not so it is an education piece right because obviously the ambulance people were doing something", "start": 4413.44, "end": 4419.719}, {"text": "else when they couldn't come and and end up being great and fine and they were wonderful that was my only point is that", "start": 4419.719, "end": 4425.56}, {"text": "educating the public and when do you call an ambulance my other question is and you don't have to answer this but is", "start": 4425.56, "end": 4431.08}, {"text": "there any correlation between the millions of people who have family doctors and the number of calls you're", "start": 4431.08, "end": 4437.48}, {"text": "starting to get of stuff that perhaps isn't urgent uh through you Mr chair I can't answer that yes there's a there's", "start": 4437.48, "end": 4444.8}, {"text": "a a significant driver um lack of access to Primary Care um means that uh the", "start": 4444.8, "end": 4451.32}, {"text": "community then goes to what is open and what is available 911 is 24 hours a day the hospital is 24 hours a day it", "start": 4451.32, "end": 4458.12}, {"text": "absolutely is um it is a capacity issue and it it does Drive folks to seek um", "start": 4458.12, "end": 4463.56}, {"text": "alternative um access to Medical Care Mr chair thank you so um the fact", "start": 4463.56, "end": 4470.04}, {"text": "that somebody has no the walk-in is closed they don't have a family doctor they call you and how often would you", "start": 4470.04, "end": 4475.56}, {"text": "say that happens does it happen daily I I don't I don't have those figures but um I could certainly um provide those to", "start": 4475.56, "end": 4483.08}, {"text": "you what I what I can say is through through you Mr chair is that um our highest priority calls people not", "start": 4483.08, "end": 4489.6}, {"text": "breathing um people that don't have a pulse it represents about 2% of our cases what I can say is um those that", "start": 4489.6, "end": 4497.04}, {"text": "have like chest pain stroke like really significant medical Emer issues represents around 20 to 25% of our case", "start": 4497.04, "end": 4504.8}, {"text": "load and the bulk is for um less urgent instances they could still be emergent", "start": 4504.8, "end": 4510.36}, {"text": "they could still require um ambulance intervention but there is certainly a percentage of our our cases that are um", "start": 4510.36, "end": 4517.28}, {"text": "very low uh priority from how we um measure Acuity with with patients which", "start": 4517.28, "end": 4522.36}, {"text": "is a a standardized tool called the Seas or the Canadian triage and acut scale which is the same as the", "start": 4522.36, "end": 4527.96}, {"text": "hospitals you um you Mr chair so um I saw your plan to you know to get more", "start": 4527.96, "end": 4533.84}, {"text": "ambulances everything at this moment in time do you feel that that York Region is staffed appropriately with ambulances", "start": 4533.84, "end": 4540.96}, {"text": "and staff through through you Mr chair um within the within yes the answer is", "start": 4540.96, "end": 4547.08}, {"text": "yes um we've we've done an incredible job and to be honest um our model and um", "start": 4547.08, "end": 4552.48}, {"text": "is what the rest of the 50 something services in the province are seeking to to have so we have a very well uh", "start": 4552.48, "end": 4559.6}, {"text": "staffed well um uh developed infrastructure and it's because of 20", "start": 4559.6, "end": 4564.679}, {"text": "plus years of of really good U Master planning and trying to project uh demand", "start": 4564.679, "end": 4569.84}, {"text": "and trying to meet that with the sort of supply of resource so we have a very good system okay thank you thank you for", "start": 4569.84, "end": 4575.4}, {"text": "all you all do thank you okay thank you very much um first of all thank you to", "start": 4575.4, "end": 4580.56}, {"text": "council for uh the great questions and and I think this has been a really robust discussion which is what I was hoping we would get and and I think you", "start": 4580.56, "end": 4587.52}, {"text": "know coming out of this um when we're all armed with as much information as we possibly can then we can help to get the", "start": 4587.52, "end": 4593.76}, {"text": "word out as well if there's any information that we can help to disseminate within our community it only", "start": 4593.76, "end": 4599.12}, {"text": "helps all of us so uh you know count on us to to do that um but anyway thank you so much for being here I really", "start": 4599.12, "end": 4605.159}, {"text": "appreciate this and we have a motion on the floor to receive this presentation with thanks all those in favor and all", "start": 4605.159, "end": 4611.76}, {"text": "those opposed is none so that carries unanimously thank you thank you thank you so much thank you okay um so in the", "start": 4611.76, "end": 4619.48}, {"text": "agenda then we have one item that was pulled uh 15.2.2 which is the storm", "start": 4619.48, "end": 4625.4}, {"text": "water management financial plan and that was pulled by uh councelor tree so go ahead councelor thank you so much Mr", "start": 4625.4, "end": 4631.96}, {"text": "shair as through you Mr chair just to our finance team and I just because last week we discussed about that uh maybe", "start": 4631.96, "end": 4639.159}, {"text": "report for the flight rates regarding to the option one option two uh option", "start": 4639.159, "end": 4644.52}, {"text": "three so I just wondering if that's available for us to reval it I think it was attached as an", "start": 4644.52, "end": 4652.199}, {"text": "addendum to the agenda oh there right it is it is attached yes okay I got it so I", "start": 4652.199, "end": 4659.199}, {"text": "don't have further questions that's okay so will you are you willing to move the motion that we uh moved at Council or at", "start": 4659.199, "end": 4666.52}, {"text": "committee the whole then yeah sure I Mo okay so we have that as a motion we have nether second or councelor svitz is", "start": 4666.52, "end": 4673.12}, {"text": "there any other discussion on that yeah no absolutely you through Mr chair", "start": 4673.12, "end": 4679.96}, {"text": "so the flat rate which was a Whopper but we asked for it um we're not making", "start": 4679.96, "end": 4685.08}, {"text": "decisions on that at this point we're just making the we're not we're that was just because it was requested as more", "start": 4685.08, "end": 4690.8}, {"text": "information it doesn't change the motion at all right through the chair that's correct okay thank you yeah the motion", "start": 4690.8, "end": 4696.159}, {"text": "that's in front of us at the moment is the motion that we passed at uh reg at", "start": 4696.159, "end": 4702.08}, {"text": "at count at committee the hall sorry last week uh so are you willing to second that then okay so we have a", "start": 4702.08, "end": 4707.96}, {"text": "motion moved and seconded is there any other discussion okay seeing none all those in", "start": 4707.96, "end": 4713.88}, {"text": "favor opposed uh that carries carries okay thank you very much", "start": 4713.88, "end": 4720.199}, {"text": "and um okay moving right along let me just see", "start": 4720.199, "end": 4726.8}, {"text": "here what", "start": 4726.8, "end": 4730.04}, {"text": "other Okay so we've got uh all of the bylaws have been taken care of we don't", "start": 4732.52, "end": 4738.6}, {"text": "have closed session today so we need a bylaw to confirm the proceedings of this meeting Regional local councelor Chan", "start": 4738.6, "end": 4745.8}, {"text": "seconded by councelor tree all those in favor oppose that carries and we now", "start": 4745.8, "end": 4751.719}, {"text": "need a motion to adjourn councelor Leu councelor tree all", "start": 4751.719, "end": 4757.04}, {"text": "those in favor", "start": 4757.04, "end": 4760}]