To All Paramedics:

The Regional Paramedic Program for Eastern Ontario is pleased to announce the topic of this Fall CME: Emergency Child Birth Management.

At the request of the Medical Advisory Committee, the Association of Ontario Midwives developed an Ontario paramedic training program in preparation for the new Emergency Child Birth Medical Directive. A paramedic handbook allowing you to prepare for CME has been posted on MedicLEARN along with the new Emergency Child Birth Medical Directive.

Online modules covering Anatomy and Physiology and other Obstetrical Emergencies have also been added for your review.

To access the material, go to our website at www.rppeo.ca:

Log in

Go to MedicLEARN

Click on CME Current Year

Go to 2017 Fall CME

History

Regions of Eastern Ontario

• 

  Renfrew

  Population: 88,512 (2016)

  Area: 7,419 kmsq

  Service Website

• 

  Lennox & Addington

  Population: 41,824 (2011)

  Area: 2,841 km²

  Service Website

• 

  Hastings Quinte Paramedic Service

  Population: 39,888 (2011)

  Area: 5978 km2

  Service Website

• 

  Lanark County

  Population: 56,689 (2011)

  Area: 2,979 km²

  Service Website

• 

  Frontenac County

  Population: 26,375 (2011)

  Area: 3673 km²

  Service Website

• 

  Ottawa Paramedic Service

  Population: 883,391 (2011)

  Area: 8996 km²

  Service Website

• 

  Leeds & Grenville

  Population: 67,9589 (2011)

  Area: 3,384 km²

  Service Website

• 

  Prescott & Russell

  Population: 85,381 (2011)

  Area: 2004 km²

  Service Website

• 

  Cornwall EMS

  Population: 64,824 (2011)

  Area: 3,297 km²

  Service Website

Travel and booking information

• 

  Driving/Parking at OBHG24 and AGM

  For guests staying at the Andaz hotel who need parking, please be aware that the Andaz Hotel has recently informed us that their designated parking lot is no longer available due to rezoning for construction. As an alternative, valet parking is available at the hotel for $48 per day. Vehicles using the valet service will be securely parked a couple of blocks away in an underground facility.

  We apologize for any inconvenience this may cause.

  Additional Public Parking Options:
  The hotel has provided several nearby public parking options for your convenience:

  Indigo Parking – Outdoor Open Lot

  Location: 101 George Street

  Rate: Daily $41

  IN & OUT permitted

  ByWard Market Garage – Parking Garage

  Location: 70 Clarence Street

  Rate: Mon-Sat $14

  Rate: Sun-Holidays $8

  Rate: Mon-Sat Evening $7

  Rate: Sun-Holidays Evening $6

  NO IN & OUT

  Indigo Parking – Parking Garage

  Location: 41 George Street

  Rate: Daily $19

  Rate: Evening $15

  IN & OUT permitted

  Intrix ParkMe – Parking Garage

  Location: 24 York Street

  Rate: Daily $18

  Rate: Evening $10

  NO IN & OUT

  Dalhousie Parking Garage – Parking Garage

  Location: 141 Clarence Street

  Rate: Daily $15

  Rate: Weekend $10

  NO IN & OUT

• Booking your Courtyard Marriott Room

  Limited accomodations are available to AGM Week participants at a 15% discount. You must act fast to get this rate: as the Marriott fills up, the discount will disappear!

  To book your room at the Courtyard Marriott, follow this reservation link and use the code "COR" to apply your OBHG AGM Week discount.

• Andaz Meeting Venue Location

  Andaz is located in the heart of Ottawa in the Byward Market district:

  325 Dalhousie Street, Ottawa, ON K1N 7G1, Canada

  The local telephone number for Andaz is 613 321 1234. 

• Working Group Meeting Venue Location

  Delegates to OBHG Annual Meeting Week working groups are invited to meet during your scheduled time at the spacious and comfortable RPPEO offices.

  RPPEO offices are located at RPPEO, 2475 Don Reid Dr, Ottawa, ON K1H 1E2. From the Andaz, plan for a 20-25 drive to the RPPEO office meeting site.

• Flying

  Arriving at Ottawa's MacDonald-Cartier International Airport you'll have a a 25-minute, 17 km drive to the Andaz Hotel if you choose taxi, ridesharing, or car rental.

  Taxis can be found at the airport's Level 1 (Arrivals) area. The taxi queue forms outside the centre door.

  Ridesharing services are at the airport's Level 1 near Pillars 12 and 13 (outer curb).

  OC Transpo is the public transit provider in Ottawa. Bus Route 97 serves the airport using low-floor, fully accessible buses that can accommodate mobility devices. Transit fares can be purchased from the ticket machine located on Level 1, or paid in cash or Presto card onboard the bus.

  To take OC Transpo Bus 97 from the airport's Level 1, head to Pillars 13-16 (outer curb).

  Here is the Route Schedule for the airport OC Transpo bus.

  You will need to switch buses to go all the way to Andaz. Consult the OC Transpo Trip Planner for route options from the airport to Andaz.

  Bus service from the airport is outside in the pick-up zone at Pillars 13-16 (outer curb).

• Taking the Train

  For guests arriving by VIA Rail, the station is located at 200 Tremblay Road, Ottawa, ON, K1G 3H5. The VIA train station is 5 km from Andaz. You may use taxi or ridesharing for the 10 minute ride, or opt for public transport. An OC Transpo light rail train is conveniently located at the VIA Rail station. Use train route 1 in the direction of Tunney's Pasture for an 11 minute ride to the Byward Market and Andaz. The bus line to use should you prefer a bus is Line 1.

• 45.428705300000004,-75.69068873819396

  AMG24: Venue

  Andaz Byward Market Ottawa

  Read more

• 45.41644825,-75.65171978813035

  Ottawa Train Station

• 45.32203645,-75.66726438915012

  Ottawa's MacDonald-Cartier International Airport

Directions

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OBHG AGM Provincial Meetings/OBHG Working Groups

• DAY 1: Monday, September 23

  7:00am
  Breakfast @ Andaz - Dalhousie Lounge (G8 Members only)

  8:00am - 12:00pm
  G8 meeting @ Andaz Dalhousie Studio 4

  12:00pm - 1:00pm
  Lunch @ Andaz- Dalhousie Lounge (G16 Members only)

  1:00pm - 5:00pm
  G16 meeting @ Andaz - Dalhousie Studio 4

  Restaurant Recommendations Byward_Market-OBGH_2024.pdf

  Restaurant Recommendations-RPPEO_Office-OBGH_2024.pdf

  3:00pm – 7:00 pm
  Scenario (OSCE) Working Group
  RPPEO Office at 2475 Don Reid, Room 160 A/B with breakout rooms C120, C127

  View the full program

• DAY 2: Tuesday, September 24

  7:00am 
  Breakfast @ Andaz- Dalhousie Lounge (MAC & Organizing Committee Members only)

  8:00am - 12:00pm
  MAC meeting @ Andaz - Dalhousie Studio 4

  8:00am – 12:00pm

  Scenario (OSCE) Working Group (Reuven Dichter)
  RPPEO Office at 2475 Don Reid, Room 160 A/B

  8:00am – 4:00pm
  2025 CME Education (Themed Education) Working Group (Trevor Schurr)
  RPPEO Office at 2475 Don Reid, Room C120

  9:00am - 12:00pm
  D8 Working Group (Rob Ellis) RPPEO Office at 2475 Don Reid, room C127

  12:00pm
  Lunch @ Andaz - Copper Spirits - top floor - (MAC & Organizing Committee Members only)

  Restaurant Recommendations-RPPEO_Office-OBGH_2024.pdf

  1:00pm - 4:00pm
  Data Quality Management (DQM) meeting @ Andaz - Dalhousie Studio 4

  1:00pm - 4:00pm
  Education Sub-Committee (ESC) meeting @ Andaz - Dalhousie Studio 1

  5:30pm – 7:30pm
  After-meeting Unwind: must be pre-registered to participate
  Axe Throwing at LumberJaxe

  250 City Centre Ave #232-230, Ottawa, ON, K1R 6K7

  7:00pm Social and Networking Event - all invited

  Beyond the Pale - Condensed_Menu.pdf

  250 City Centre Ave Bay 106, Ottawa, ON K1R 6K7

  View the full program

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OBHG24 Professional Development Event

• DAY 3: Wednesday, September 25

  View the full program

  7:00am - 9:00am
  Wednesday Breakfast: Start Your Day with Connections and Conversations
  Details: Connect with colleagues and industry leaders over a delicious breakfast, setting a positive tone for the day ahead.

  9:00am - 9:15 am
  OBHG24 Kick-Off
  Details: Official opening of OBHG24, setting the stage for a day of professional development and networking.

  9:15am - 10:15am
  Keynote Presentation: The Start of Something Good - A Story of the First Paramedic Service in North America
  Speakers: Bill Raynovich and Mitchell J. Brown
  Details: A captivating journey through the origins of modern paramedicine, focusing on the first paramedic service in North America.

  10:15am - 10:30am Break

  10:30am - 11:30am
  The Future of the Profession: Time for Change: Progressing Paramedicine in Ontario
  Speaker: Dr. Alan Batt
  Details: Learn about the transformation underway to progress paramedicine in Ontario and across Canada.

  11:30am - 12:30pm
  Leading Practice Today: How Base Hospitals Can Help Reduce Stigma and Combat Substance-Use Health Challenges
  Speaker: Shawn Fisk
  Details: Strategies for base hospitals to reduce stigma and effectively combat substance-use health challenges in Ontario.

  12:30pm - 1:30pm
  OBHG24 Lunch: Refuel and Network
  Details: Enjoy a refreshing lunch while building connections with fellow delegates and industry leaders.

  1:30pm - 2:30pm
  Leading Practice Today: Introducing ISMP Canada’s Medication Safety Self-Assessment: Improving the Safety of Medication Use for Paramedics and Paramedic Organizations
  Speakers: Julie Greenall and Marc Goudie
  Details: Presentation of the new medication safety self-assessment survey, focusing on its implementation and benefits.

  2:30pm - 3:30pm
  Leading Practice Today: Patient Outcome Letter for Paramedics
  Details: Panel discussion on mechanisms for providing patient outcome feedback to paramedics, featuring key speakers from definitive care institutions.

  3:30 pm - 3:40pm
  A Word from OBHG24 Accelerator Sponsor Zoll: Innovating for Impact
  Speaker: Tommy Leblanc-Beaudoin
  Details: Zoll, the top-level Accelerator Sponsor of OBHG24, will share how the latest technological innovations are enhancing paramedic care and improving patient outcomes across Ontario and Canada.

  3:40pm - 4:00pm Break

  4:00pm - 5:00pm
  Base Hospital of the Future: Keynote Presentation
  Speaker: Dr. Kwadwo Kyeremanteng
  Details: Insights from Dr. Kyeremanteng on critical care, healthcare optimization, and leadership.

  5:00pm - 6:00pm Break

  6:00 pm - 7:00pm
  OBHG24 Staff Recognition Reception
  Details: Celebrate the dedication and achievements of staff and physicians from each base hospital.

  7:00pm
  OBHG24 Gala Awards Dinner
  Dress Code: Black Tie Optional
  Details: An evening of elegance and celebration, honouring exceptional staff and physicians with awards and recognition.

  View the full program

• Day 4: Thursday, September 26

  9:00am - 11:00am @ Andaz - Dalhousie room

  OBHG/MAC/Working Groups - Updates

  • Medical Advisory Committee (MAC)
  • Education Subcommittee (ESC)
  • Data Quality Management (DQM)
  • OSCE Scenarios working group

  Online Medical Consultation Project

  10:00 am - OAPC/OBHG Working Group Update

  RPPEO

  • Low Acuity Alternate Pathways
  • CAPSA patient experience work
  • Methoxyflorane studies
  • DEM/PTM fellowship, Bootcamp

  Final Remarks/Passing the torch to next OBHG AGM host

  11:00am - Safe travels back home

  Lunch Go Lunches @ Andaz - Dalhousie Lounge

  View the full program

Sponsors

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• 

  OMS

• 

  PreHos

Venue

Directions

• Ambulance Call Report Review Basics

  The RPPEO reviews care provided by certified paramedics, including that documented in the ACRs, according to the most recent Patient Care Standards. The authoritative documents describing standards of care are available here.

  The RPPEO examines ALS care that does not appear to follow current standards or has some type of clinically relevant variance. During ACR review, the RPPEO sends our questions or concerns with ALS care to the paramedic, their Clinical Performance Coordinator (CPC) and a member designated by their service. The tool we use for this is the Paramedic Call Review form.

  Paramedic peers are the eyes of ACR review at the RPPEO. They are constantly poring over ACRs to see if their peers have applied the current standards of care.  And, in the great majority cases, peer reviewers find the evidence that paramedics do indeed apply the current patient care standards.

  When a peer reviewer can't be certain that the standards have been well applied, the reviewer flags that ACR for further review. The RPPEO lets the ambulance services know about any potential issues in Basic Life Support (BLS) care standards.  The escalation of potential Advanced Life Support (ALS issues) takes the ACR to the RPPEO's quality coordinators, whose job it is to make sure that any potential issues noted with paramedic ALS care are resolved.  

• Paramedic Call Review

  During the ACR Review process, questions can arise that only the paramedics who provided patient care can answer. The RPPEO uses a standard procedure called Paramedic Call Review to ask these questions.

  The Paramedic Call Review (PCR) form is a standardized way for the RPPEO to follow up on potential ALS issues identified in quality management processes like Ambulance Call Report review. While most ACR reviews are closed without the need to follow up with the paramedics who provided care, the RPPEO does occassionally require more information. As a paramedic, you may receive a request to complete a PCR form for one or more of these reasons

  • to clarify what you did or didn't do during an intervention
  • to justify your actions or inactions during care
  • to clarify documentation such as the ACR, biometrics, patch recordings or others

  The RPPEO provides a response period to paramedics who receive a request to complete a PCR form. In the case that the paramedic does not respond before the deadline, the RPPEO will then contact the paramedic's ambulance service. The RPPEO may occassionally extend the response period in the case of extenuating circumstances such as a paramedic's leave of absence, extended illness or vacation period. It is, however, important that the paramedic who receives a request for information from the RPPEO responds by the deadline: the RPPEO may deactivate a paramedic's certification if we do not receive a response within the allotted time. See the footer at the bottom of the page for information on how to contact the RPPEO.

• Outcomes following Paramedic Call Review

  Once the RPPEO receives and examines responses to PCR requests, the RPPEO may

  • close the ACR review. In this case, the RPPEO and its quality management team determine that care met the standards.
  • request further information. The RPPEO once again requires more details to make further decisions.
  • escalate the ACR review to the associate medical director for quality, who may in turn close the ACR review, request further information in writing, call an in-person meeting with the paramedic, or call a Clinical Review Committee meeting to review the case.

  In any of these cases, the paramedics who provided care in the ACR under review may receive a letter outlining the details found during the review and recommendations or requirements for follow-up.

Triggers for the Ambulance Call Report Review Process

• ACR Auditing

  It's impractical and unnecessary to review every ACR for every aspect of care. Instead, the RPPEO quality management team conducts ongoing sampling of ACRs for review. The methods we use for sampling vary depending on the reason for the audit. For example, following certification with the RPPEO, new paramedics are subject to a 100% review of their ACRs. The RPPEO does other ACR audits for ongoing quality assurance, targeted review of care like medication administration, or validation of quality improvement strategies. The Ministry of Health and Long-Term Care also provides guidelines for sampling and the ratio of ACR audits required. ACR audits are one entry-point into the ACR Review process.

• Self Reporting

  Sometimes, paramedics note errors or problems that they suspect may have affected the standard of care. The Patient Safety Incident Report Form is the method that paramedics themselves can use for flagging potential issues that may negatively affect the standard of care that a paramedic provides while providing care. Managers may also use self reporting to raise concerns or issues. Self reporting is another entry point into the ACR Review process.

• Complaints

  When the RPPEO receives a written complaint, the nature of the complaint helps us determine our course of action. Complaints that appear to indicate clinical care issues will see the quality management team begin an ACR review, whereas the RPPEO asks the ambulance services to respond to complaints related to comportment or operational issues.

  The Ambulance Call Report Review process is one of the many processes the RPPEO uses to monitor and improve the quality of paramedic care in Eastern Ontario. If you have questions about this process, you may contact the Quality Team.