L-0.2, r. 2 - Ministerial Order concerning the determining of ambulance service zones and the maximum number of ambulances per area and per zone, the standards for ambulance service subsidies, the standards of transport by ambulance between institutions and rates of transport by ambulance

Full text
chapter L-0.2, r. 2
Ministerial Order concerning the determining of ambulance service zones and the maximum number of ambulances per area and per zone, the standards for ambulance service subsidies, the standards of transport by ambulance between institutions and rates of transport by ambulance
MEDICAL LABORATORIES — AMBULANCE SERVICE
Act respecting medical laboratories and organ and tissue conservation
(chapter L-0.2, s. 2).
L-0.2
September 1 2012
1. Determining of ambulance service zones
An ambulance service zone is a territory delimited by one or several municipalities in the same socio-sanitary region.
The dispatching points in such zones are:
— the demographic centre;
— the intersections of major thoroughfares;
— the geographic centre;
— the socio-economic centre;
from where all the municipalized areas of the territory can be reached by ambulance within a maximum limit of 30 minutes from the time of the call, under normal weather and traffic conditions and under standard conditions of roads directly linked to the provincial highways.
The list of ambulance service zones is annexed in Schedule I.
M.O. 84-07-20, s. 1.
2. Determining of the maximum number of ambulances per area and per zone
The maximum number of ambulances per zone is determined, according to the size of the population served, with reference to the following scale:
(1)  1 vehicle for a zone of 0 to 15,999 inhabitants;
(2)  2 vehicles for a zone of 0 to 15,999 inhabitants if 2 of the following conditions apply:
— the number of trips made exceeds 375;
— most of the trips made covers more than 200 km return;
— the zone is so isolated that it is impossible to rapidly contact the dispatching point in another zone when 2 calls come in;
(3)  2 vehicles for a zone of 16,000 to 39,999 inhabitants;
(4)  1 additional vehicle per 25,000 inhabitants in a zone of 40,000 inhabitants and over.
The maximum number of ambulances as determined per area and per zone is indicated in Schedule I.
Despite the maximum number of ambulances, the holder of an ambulance service permit may continue to operate the number of ambulances he is authorized to operate as of 1 April 1983.
M.O. 84-07-20, s. 2.
3. Determining of standards for ambulance service subsidies
For the purpose of maintaining in sufficient numbers the necessary ambulance resources for the population in zones where the level of activity is not high and to encourage ambulance services to be established there, the Minister of Health and Social Services pays subsidies so as to permit these enterprises to attain a level of profitability.
(a)  A subsidy is accorded to the holder of a permit when he has signed a service contract with the CRSSS in his region subject to the following conditions:
— in zones with a fixed maximum of 1 vehicle (Schedule I): a guarantee of 475 trips on an annual basis at the rate in effect whether or not the guaranteed number of trips was made;
— in zones with a fixed maximum of 2 vehicles (Schedule I): a guarantee of 875 trips on an annual basis at the rate in effect whether or not the guaranteed number of trips was made.
(b)  Each firm under contract with a Conseil régional in a subsidized zone, with the exception of park zone, receives from the CRSSS, for each vehicle specified in the contract, in four equal instalments, the sum necessary for the payment of an availability premium for the ambulance drivers and attendants who have their ambulance attendant card from the Ministère de la Santé et des Services sociaux, according to the following parameters.
The sum is determined as follows:
S = [(17,520 × V) - 2 (3×T)] hourly rate
S = the sum of the premiums
hourly rate: $0.50 at 1 April 1984
$1.00 at 1 April 1985
T = trips made during the last 12 months by the vehicles specified in the contract for the zone
V = number of vehicles specified in the contract.
This sum will be adjusted at the end of the fiscal year of the CRSSS to the number of trips actually made, and the firm will have to show, on the basis of its payroll and to the satisfaction of the Conseils régionaux, that the availability premium was paid to the ambulance drivers and attendants who have their ambulance attendant card from the Ministère de la Santé et des Services sociaux.
M.O. 84-07-20, s. 3.
4. Determining of standards for transport by ambulance between establishments
To be admissible for transport by ambulance between establishments, the following conditions must be respected:
— the patient must be admitted or registered in a hospital centre, reception centre or local community service centre designated by the Ministère de la Santé et des Services sociaux;
— the transport of a patient on a stretcher must be required by the attending physician and authorized by the director of the establishment transferring the patient or by the emergency coordination centre of the Conseil régional des services de santé et des services sociaux de la région du Montréal métropolitain.
M.O. 84-07-20, s. 4.
5. Determining of rates of transport by ambulance
The rates of transport by ambulance are the following:
(1)  $125 for picking up a patient;
(2)  $35 for picking up each additional patient;
(3)  $1.75 for each kilometre ($2.80 for each mile) travelled with the patient in the ambulance.
These rates include all the services that a patient transported by ambulance has a right to receive in virtue of the Public Health Protection Act (chapter P-35).
These rates apply throughout Québec and refer to all pay agents and all holders of ambulance service permits; with the exception of pay agents and permit holders in region 06-A who have made particular operating and remuneration arrangements with the Centre de coordination des urgences santé de Montréal (CCUS) or with any body that succeeds it.
M.O. 84-07-20, s. 5; O.C. 2007-88, s. 1; O.C. 465-90, s. 1; O.C. 1054-90, s. 1; O.C. 939-91, s. 1; O.C. 185-97, s. 1.
6. (Omitted).
M.O. 84-07-20, s. 6.
7. (Omitted).
M.O. 84-07-20, s. 7.
SCHEDULE I
(ss. 1, 2 and 3)
LIST OF AMBULANCE SERVICE ZONES AND THE MAXIMUM NUMBER OF AMBULANCES PER AREA AND PER ZONE

____________________________________________________

Maximum
number of
Region Number and name of zone ambulances
____________________________________________________

01 101 Rimouski 3
102 Mont-Joli 2
103 Matane 2
104 Sainte-Anne-des-Monts 2
105 Grande-Vallée 1
106 Saint-Maxime-du-Mont-
Louis 1
107 Percé 1
108 Gaspé 2
109 Rivière-au-Renard 1
110 Chandler 2
111 Paspébiac 2
112 New-Richmond 1
113 Nouvelle 2
114 Saint-Alexis-de-Matapédia 1
115 Amqui et Causapscal 2
116 Murdochville 1
117 Pointe-à-la-Croix 1
118 Île-du-Havre-Aubert 2
119 Sayabec 1
______
Total 30
19 zones
____________________________________________________

02 201 Dolbeau 2
202 Roberval 2
203 Hébertville 2
204 Alma 2
205 Jonquière 3
206 Chicoutimi 3
208 Port-Alfred 2
211 Normandin 1
212 Lac-Bouchette 1
213 Chibougamau 2
216 Chicoutimi-Nord 2
218 Rivière-Éternité 1
219 Parc Chibougamau 1
______
Total 24
13 zones
____________________________________________________

03 301 Saint-Siméon 1
302 La Malbaie 2
303 Baie-Saint-Paul 2
304 Sainte-Anne-de-Beaupré 2
305 Beauport 2
306 Notre-Dame-des-
Laurentides 3
307 Québec 7
308 Sainte-Foy 3
309 Loretteville 2
310 Saint-Raymond 1
311 Saint-Marc-des-Carrières 1
312 Donnacona 2
313 Trois-Pistoles 2
314 Lac-des-Aigles 1
315 Cabano 1
316 Rivière-du-Loup 3
317 Saint-Pascal 1
318 Rivière-Bleue 1
319 Saint-Cyprien 1
320 Saint-Pamphile 1
321 La Pocatière 2
322 Saint-Fabien-de-Panet 1
323 Saint-Jean-Port-Joli 1
324 Montmagny 2
325 Saint-Charles 1
326 Lévis 4
327 Sainte-Marie 1
328 Lac-Etchemin et
Sainte-Justine 2
329 Sainte-Claire 1
330 Sainte-Croix 1
331 Saint-Sylvestre 1
332 Thetford-Mines 3
333 Disraéli 1
334 La Guadeloupe 1
335 Saint-Gédéon 1
336 Saint-Georges 2
337 Beauceville et
East-Broughton 2
338 Sainte-Anastasie 1
339 Saint-Agapit 2
340 Armagh 1
341 Dégelis 1
342 Parc des Laurentides 1
343 Île-aux-Coudres 1
344 Saint-Alexandre 1
______
Total 74
44 zones
____________________________________________________

04 401 Haute-Mauricie 2
402 Normandie 2
403 Grand-Mère 2
404 Shawinigan 3
405 Maskinongé-Sud 2
406 Maskinongé-Nord 1
407 Trois-Rivières 3
408 Cap-de-la-Madeleine 2
409 Les Chenaux 1
410 Lac Saint-Pierre 1
411 Nicolet 1
412 Bécancour 1
413 Lotbinière-Ouest 1
414 Drummondville 3
415 Bois-Francs 3
416 De l’Érable 2
______
Total 30
16 zones
____________________________________________________

05 501 Sherbrooke 6
502 Windsor 1
503 Asbestos 2
504 East-Angus 1
505 Magog 2
506 Stanstead 1
507 Coaticook 1
508 La Patrie 1
509 Richmond 1
510 Weedon-Centre 1
511 Lac-Mégantic 2
______
Total 18
11 zones
____________________________________________________

06A The zones determined by the
Conseil de la santé et des
services sociaux de la région
de Montréal métropolitain
______
Total 72
____________________________________________________

06B 620 Saint-Eustache 2
621 Oka 1
622 Lachute 2
623 Grenville 1
624 Sainte-Thérèse 2
625 Mascouche 2
626 Saint-Jérome 3
627 Mirabel 1
628 Sainte-Adèle 2
629 Sainte-Agathe-des-Monts 2
630 Saint-Jovite 1
631 Saint-Donat 1
632 Labelle 1
633 Ville des Laurentides 2
634 Repentigny 3
635 Berthierville 1
636 Joliette 3
637 Rawdon 2
638 Saint-Gabriel 1
639 Saint-Jean-de-Matha 1
640 Saint-Michel-des-Saints 1
______
Total 35
21 zones
____________________________________________________

06C 660 Rigaud 1
661 Dorion 2
662 Valleyfield 3
663 Huntingdon 1
664 Ormstown et
Saint-Chrysostome 2
665 Châteauguay 3
666 Laprairie 3
667 Lacolle 1
668 Saint-Jean 3
669 Longueuil-Ouest 5
670 Longueuil-Est 2
671 Saint-Hubert 2
672 Saint-Bruno 2
673 Varennes 2
674 Beloeil 2
675 Sorel 3
676 Saint-Hyacinthe 3
677 Chambly 2
678 Acton-Vale 1
679 Granby 3
680 Valcourt 1
681 Waterloo 1
682 Lac-Brome 1
683 Cowansville 1
684 Farnham 1
685 Bedford 1
______
Total 52
26 zones
____________________________________________________

07 701 Fort-Coulonge 1
702 Shawville 1
703 Aylmer 2
704 Wakefield (La Pêche) 1
705 Hull 3
706 Gatineau 4
707 Buckingham 2
708 Papineauville 1
709 Saint-André-Avellin 1
710 Gracefield 1
711 Notre-Dame-du-Laus 1
712 Maniwaki 2
713 Parc de La Vérendrye
(Sud) 1
714 Mont-Laurier 2
715 Ferme-Neuve 1
716 L’Annonciation 2
______
Total 26
16 zones
____________________________________________________

08 801 Témiscamingue 1
802 Ville-Marie 1
803 Rouyn-Noranda 2
804 La Sarre 2
805 Amos 2
806 Val-D’Or 2
807 Senneterre 1
808 Lebel-sur-Quévillon 1
809 Matagami 2
810 Malartic 1
811 Notre-Dame-du-Nord 1
812 Parc de La Vérendrye
(Nord) 1
813 Témiscamingue-Est 1
______
Total 18
13 zones
____________________________________________________

09 900 Sacré-Cœur 1
901 Les Escoumins 1
902 Forestville 2
903 Hauterive 2
905 Baie-Trinité 1
906 Port-Cartier 2
907 Sept-Îles 2
909 Havre-Saint-Pierre 1
912 Lourdes-de-Blanc-Sablon 1
913 Gagnon 1
914 Fermont 1
915 Schefferville 1
______
Total 16
12 zones
____________________________________________________

Grand total: 395
191 zones + région 06A
____________________________________________________
M.O. 84-07-20, Sch. I.
REFERENCES
M.O. 84-07-20, 1984 G.O. 2, 3409
O.C. 2007-88, 1989 G.O. 2, 63
O.C. 465-90, 1990 G.O. 2, 728
O.C. 1054-90, 1990 G.O. 2, 1975
O.C. 939-91, 1991 G.O. 2, 2343
O.C. 185-97, 1997 G.O. 2, 931