User Tools

Site Tools


prov:ambulance_vic

ambulance transfers in Victoria

introduction

  • most emergency ambulance transfers in Victoria are coordinated by Ambulance victoria
  • privately run ambulance services also exist such as:
    • National Patient Transport (NPT)

Ambulance Victoria fees

  • patients are generally liable for the call-out or transfer fee unless:
    • they have an ambulance Victoria subscription, or,
    • it is covered by TAC or workcare, or,
    • the transfer is from one hospital to another hospital for clinical reasons (not preference reasons) - these are generally charged to the referring hospital
  • patients who wish to be transferred from one hospital to another hospital by ambulance for reasons other than clinical must be made aware that they are liable for the cost, and they must sign the “patient initiated transfer form”
  • as of July 2014 excl GST:
    • attendance but no transport $481
    • non-emergency road transport:
      • metro: $301 stretcher or $99 clinic car
      • regional and rural: : $509 stretcher or $99 clinic car
    • emergency road transport:
      • metro: $1115
      • regional and rural: : $1645
    • helicopter: $9946 + road fees
    • fixed wing: $1977 if TAC/workcare/public hospital otherwise $4651 + road fees
  • NB. Ambulance Victoria is solely responsible for determining which resource is used to transport a patient

NPT transport fees

  • road transport fees depend upon type of transport and distance traveled and whether metro or regional
  • as at July 2014:
    • ambulant patient within Melbourne metro: $80 for 1st 40km then $3.90/km thereafter
    • wheelchair patient within Melbourne metro: $100 for 1st 40km then $4.20/km thereafter
    • stretcher within Melbourne metro: $220 for 1st 40km then $4.50/km thereafter
    • bariatric within Melbourne metro: $350 for 1st 40km then $5.50/km thereafter
    • High Acuity Service (HATS) metro: $750 for 1st 40km then $9.50/km thereafter

should we drive lights and sirens?

  • only 2-3% of ambulance cases pre-hospital in US are for time critical cases and lights and sirens in urban areas only reduce transfer time by 1-4 minutes but dramatically increase risk of a intersection crash
  • lights and sirens are thus rarely of benefit over risk to the hospital but may be of benefit to the scene

integrated efficient systems vs USA systems

  • USA has many agencies with different regulations and clinical guidelines fragmented between each state
NSW, Australia. Virginia, USA.
Population. 7.2million. 8 million
Area sq. km. 801,600 110,784
EMS agencies. one 682
dispatch centres. 4 133
EMS personnel. 3600 36,296
EMS vehicles. 1000 4312
prov/ambulance_vic.txt · Last modified: 2016/10/31 15:31 (external edit)