Paramedic Application for Regulation under the Regulated Health

Paramedic Application for Regulation under the Regulated Health Professions Act, 1991 Rob Theriault BHSc. , EMCA, RCT (Adv. ), CCP(F) President, Ontario Paramedic Association © Copyright 2013

History Ø Ø Ø Ø 1975: College Programs 1977: 1 st CCP 1979: 1 st ALS 1984: Pilot ALS 1995: OPA 1996: SR-D + OPALS 2001: NOCP

Growth …

Education Standards PCP: 2 years rd ACP: 3 year th CCP: 4 year

Patient Population

Scope of Practice Ø Ø 7 out of 14 controlled medical acts Performed independently

Unique environment

Independent

Risk of Harm VULNERABLE CLIENTS CONTROLLED ACTS PROCEDURE ERROR MISDIAGNOSIS DRUG ERROR EXTRICATION DRIVING

Current System

Education Standards PCP: ACP: CCP : CMA Accreditation no yes no Based on NOCP

Regulatory Body 1 PCP ACP CCP • • EHSB Cert. yes no No requirement for renewal QA, Investigations & discipline

Regulatory Body 2 PCP ACP CCP BH Cert. yes yes Annual renewal – applies to paramedic service employees only • QA, CME, Investigations & discipline •

Current System Mo. HLTC EHSB Base Hosp B. L. S. controlled acts

EHSB Base Hosp

Regulatory Bodies Mo. HLTC EHSB Base Hosp UNREGULATED

UNREGULATED Increasing in numbers Achieve “paramedic” status Maintain status/registration Accountable: Q. A. , standards employable outside Ontario YES NO X X X

Current Accountability Ø Ø No public complaints mechanism No public input No published investigation findings Minimal paramedic input

Barriers Ø Ø Ø Education Many paramedics excluded Interprofessional collaboration/care Ø Pandemic response Ø Role in the health care shortage

What We Propose

One Regulatory Body

ü Inclusive of all paramedics

Based on NOCP ü Clinical practice guidelines developed by paramedics ü

ü interprofessional collaboration & Care

ü Accountable & Responsive to the public

QUESTIONS?