Ornge
Special Report
March 2012
Ornge Air Ambulance and Related Services
Office of the Auditor General of Ontario
Office of the Auditor General of Ontario
To the Honourable Speaker of the Legislative Assembly I am pleased to submit to you my Special Report on Ornge Air Ambulance and Related Services to lay before the Assembly, as requested by the Minister of Health and Long-Term Care and in accordance with Section 17 of the Auditor General Act.
Jim McCarter Auditor General March 2012
© 2012, Queen’s Printer for Ontario
Ce document est également disponible en français.
ISBN 978-1-4435-9107-2 (Print) ISBN 978-1-4435-9108-9 (PDF)
Cover photograph: Kevin Thom
Table of Contents
Background Audit Objective and Scope Summary Detailed Audit Observations
OVERVIEW OF THE PATIENT TRANSPORT PROCESS ORNGE’S PERFORMANCE AGREEMENT WITH THE MINISTRY
Monitoring of Ornge’s Performance Funding Provided to Ornge Monitoring of Ornge Spending Ornge’s Transactions With Entities It Controls or Of Which It Is a Beneficiary Ornge Global Debt Financing of Air Ambulance Services Significant Purchases Corporate-head-office Space Aircraft
5 6 7 10 10 11 12 14 15 16 17 19 20 20 22 25 25 26 26
LAND AMBULANCE SERVICES
Ornge’s Commencement of Critical-care Land Ambulance Services Deployment of Land Ambulances Cost and Use of Land Ambulances
4
Special Report
DISPATCH OF AMBULANCES
Selection of Ambulances and Flight Planning Co-ordination with Hospitals and Municipal Land Ambulances Level-of-care Determination and Paramedic Staffing of Ambulances Cancelled after Launch Not-serviced Calls New Dispatch System
28 28 29 29 30 30 32 32 33 33 33 34 35 36 36 36 36 37 37 38
RESPONSE TIMES
Call-receipt Process Reporting Response Times Call Receipt to Acceptance Acceptance to Departure Departure to Arrival
OVERSIGHT OF OPERATIONAL ACTIVITIES
Ministry Service Reviews Compliance with Aviation Requirements Ornge Reviews of Service Providers Complaint
March 2012
Ornge Air Ambulance and Related Services
Office of the Auditor General of Ontario
Office of the Auditor General of Ontario
To the Honourable Speaker of the Legislative Assembly I am pleased to submit to you my Special Report on Ornge Air Ambulance and Related Services to lay before the Assembly, as requested by the Minister of Health and Long-Term Care and in accordance with Section 17 of the Auditor General Act.
Jim McCarter Auditor General March 2012
© 2012, Queen’s Printer for Ontario
Ce document est également disponible en français.
ISBN 978-1-4435-9107-2 (Print) ISBN 978-1-4435-9108-9 (PDF)
Cover photograph: Kevin Thom
Table of Contents
Background Audit Objective and Scope Summary Detailed Audit Observations
OVERVIEW OF THE PATIENT TRANSPORT PROCESS ORNGE’S PERFORMANCE AGREEMENT WITH THE MINISTRY
Monitoring of Ornge’s Performance Funding Provided to Ornge Monitoring of Ornge Spending Ornge’s Transactions With Entities It Controls or Of Which It Is a Beneficiary Ornge Global Debt Financing of Air Ambulance Services Significant Purchases Corporate-head-office Space Aircraft
5 6 7 10 10 11 12 14 15 16 17 19 20 20 22 25 25 26 26
LAND AMBULANCE SERVICES
Ornge’s Commencement of Critical-care Land Ambulance Services Deployment of Land Ambulances Cost and Use of Land Ambulances
4
Special Report
DISPATCH OF AMBULANCES
Selection of Ambulances and Flight Planning Co-ordination with Hospitals and Municipal Land Ambulances Level-of-care Determination and Paramedic Staffing of Ambulances Cancelled after Launch Not-serviced Calls New Dispatch System
28 28 29 29 30 30 32 32 33 33 33 34 35 36 36 36 36 37 37 38
RESPONSE TIMES
Call-receipt Process Reporting Response Times Call Receipt to Acceptance Acceptance to Departure Departure to Arrival
OVERSIGHT OF OPERATIONAL ACTIVITIES
Ministry Service Reviews Compliance with Aviation Requirements Ornge Reviews of Service Providers Complaint