Maximizing Information and Engaging Staff at St. John Ambulance Western Australia
Explore how St. John Ambulance WA utilizes data-rich information to enhance staff engagement. The presentation delves into their organizational journey, the significance of data usage and staff involvement, and the impact of simplicity in operations. Discover insights on the organization's growth, sector overview, funding sources, and trends in Australian ambulance incidents.
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St John Ambulance Western Australia Data Rich Organisations: Are we making the most of the information and engaging staff
St John Ambulance Western Australia Data Rich Organisations: Are we making the most of the information and engaging staff? Presentation:- 1. Share with you the St John Ambulance WA story. 2. Set the scene with a sector overview 3. Data rich performing well, but .. 4. Investment in using data (evidence) and engaging with staff 5. The Power of Simplicity
St John Ambulance Western Australia 1962 to 2002 Convention 2002 to 2013 Incorporated Association
St John Ambulance Western Australia Sector Overview Population: Australia New Zealand TOTAL 22.5m 4.0m 26.5m Activity: Emergency Urgent Non-Urgent TOTAL NON-Transports 1.6m 0.9m 1.2m 3.7m 0.4m 11%
St John Ambulance Western Australia Sector Overview Proportion of Patients Presenting at ED who arrived by ambulance by triage category 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Resusitation Emergency Urgent Semi-Urgent Non-Urgent
St John Ambulance Western Australia Sector Overview Subscription Fees 5% Other 4% User Fees 25% Government 66% Revenue = $2.2bn Range of Government Funding = 37% to 91%
St John Ambulance Western Australia Growth in Australian Ambulance Incidents 8% 7% 6% 5% 4% 3% 2% 1% 0% 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Growth in Australian Ambulance Incidents/1,000 Population 7% 6% 2012 Ambulance Incidents/1,000 Population 5% 4% Australia Western Australia 96 142 3% 2% 1% 0% 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 -1% -2%
St John Ambulance Western Australia Growth in Western Australian Ambulance Incidents 12% 10% 8% 6% 4% 2% 0% Growth in Western Australian Ambulance Incidents/1,000 Population 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 -2% 10% 8% 6% Growth over the decade:- 4% Australia West Australia 2% 0% Incidents Incidents/1,000 47% 59% 28% 26% 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 -2% -4% -6%
St John Ambulance Western Australia Key Facts Western Australia Population Landmass Amb. Incidents Staff Career(paid) Volunteers First Aid Students Community First Responder Locations 410 2.3m 2.5m sq km 230,000 1,350 4,600 170,000
St John Ambulance Western Australia Rural Population 500,000 Career paramedics 14 locations Volunteers 150 locations Total Activity 92% paramedic 8% volunteer Metropolitan Population 1.8m Career paramedics Single tier Emergency Patient Transport Service
St John Ambulance Western Australia Our Purpose Our purpose for being in Western Australia is for the unique contribution that we make in serving humanity and developing resilient communities in this State. We will achieve our purpose when we:- 7% of Population 1. Make first aid a part of everyone s life; and 1. Deliver high quality cost effective ambulance services to Western Australia
St John Ambulance Western Australia Ambulance Service Cost per Capita
St John Ambulance Western Australia Ambulance Service Cost to Government per Capita
St John Ambulance Western Australia But, in 2009 .
St John Ambulance Western Australia Ambulance Service Cost per Capita Ambulance Service Cost to Government per Capita Capital City 90th Percentile Response Times What went wrong? Cost Effective Lowest cost to government Demand under control Response times reasonable Cardiac arrest survival good
St John Ambulance Western Australia Data rich, performing well, but
St John Ambulance Western Australia Chairman of the Review Committee in his report to the Minister:- The national figures conclusively show that SJA has the most efficient ambulance service model in Australia and has saved this State substantial funds over the last century . The figures show that Western Australian taxpayers per capita have paid about one quarter to a half that of tax payers in other states for the same level of service , Indeed all of the indicators show that Western Australia is performing very highly in the comparative analysis ; Overall SJA is meeting its contractual requirements with DoH and in many areas is exceeding requirements .
St John Ambulance Western Australia Data rich Evidence based Good results but . Disconnected from staff
St John Ambulance Western Australia 2009 to 2014 > 100% increase in Gov t funding Doubling of the size of the organisation Metropolitan Capacity Country (rural) support
St John Ambulance Western Australia WA Model Ambulance Volunteers (Community Engagement) First Aid Training Strength First First Aid Services Responder
St John Ambulance Western Australia Metropolitan: Single tier Paramedic Service Patient Transport Services Country: - 160 locations 4 categories 1. > 3,000 cases full paramedic 2. 2,000 to 3,000 day shift paramedic, night shift paramedic + volunteer 3. 1,500 to 2,000 24/7 paramedic + volunteer 4. 250 to 1,500 - Community Paramedic 5. < 250 Full volunteer 2 7 5 25 71
St John Ambulance Western Australia Volunteers
St John Ambulance Western Australia A Challenges/Threats: 2012 Remain evidence based Connection to staff B
St John Ambulance Western Australia A Challenges/Threats: Remain evidence based Connection to staff B
St John Ambulance Western Australia Our Purpose Our purpose for being in Western Australia is for the unique contribution that we make in serving the community and developing resilient communities in this State. We will achieve our purpose when we:- 1. Make first aid a part of everyone s life; and 2. Deliver high quality cost effective ambulance services to Western Australia How do we connect our people to this purpose?
St John Ambulance Western Australia Know Understand Believe Commit
St John Ambulance Western Australia Our Purpose Our purpose for being in Western Australia is for the unique contribution that we make in serving the community and developing resilient communities in this State. We will achieve our purpose when we:- 1. Make first aid a part of everyone s life; and 2. Deliver high quality cost effective ambulance services to Western Australia SO HOW do we connect our people to this purpose?
St John Ambulance Western Australia Engagement with staff
St John Ambulance Western Australia Clinical Indicators:- 1.Chest Pain 2.Asthma 3.Hypoglycaemia 4.Stroke 5.Pain 6.Re-Perfusion Time 7.Cardiac Arrest
St John Ambulance Western Australia Initiatives:- 1. Community paramedics 24 2. Telephone triage referral to Health Direct 3. Referral to PRA Silver Chain 4. Bridge House Intoxicated patients 5. 12 lead ECG 6. A number of clinical trials Unique paramedic degree program Evidence based models for extended care paramedics:- 1. Evidence to identify pathways 2. Phase 1 identify cohorts 3. Phase 2 establish criteria (see & treat, see & refer) and Test criteria apply in field 4. Phase 3 Dynamic modeling 5. Publish findings
St John Ambulance Western Australia Why this approach as opposed to the trialing of an extended care paramedic program? Proportion of Patients Presenting at ED who arrived by ambulance by triage category 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Resusitation Emergency Urgent Semi-Urgent Non-Urgent
St John Ambulance Western Australia We will achieve our purpose when we:- 1. Make first aid a part of everyone s life; and 2. Deliver high quality cost effective ambulance services to Western Australia Strategy without tactics is the slowest route to victory. Tactics without strategy is the noise before defeat. Sun Tzu
St John Ambulance Western Australia Why this approach as opposed to the trialing of an extended care paramedic program? It really depends on the purpose . Proportion of Patients Presenting at ED who arrived by ambulance by triage category 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Resusitation Emergency Urgent Semi-Urgent Non-Urgent
St John Ambulance Western Australia Questions?
