HomeMy WebLinkAboutCS 05-26Report to
Executive Committee
Report Number: CS 05-26
Date: March 2, 2026
From: Laura Gibbs
Director, Community Services
Subject:
Cardiac Safe Community Public Access Defibrillation Program Agreement
Lakeridge Health Semi-Automatic External Defibrillation
File: A-1440-001
Recommendation:
1. That Report CS 05-26 regarding Lakeridge Health Semi-Automatic External Defibrillation
for the Cardiac Safe Community Public Access Defibrillation Program Agreement be
received;
2. That the Mayor and City Clerk be authorized to execute the Agreement with Lakeridge
Health, set out in Attachment 1 to this report, for the Cardiac Safe Community Public
Access Defibrillation Program to operate throughout City facilities, subject to minor
revisions as may be required by the Director, Community Services and the City Solicitor;
and,
3. That the appropriate officials of the City of Pickering be authorized to take the actions
necessary to implement the recommendations in this report.
1.0 Executive Summary:
The purpose of this report is to seek Council’s approval to renew an agreement with Lakeridge
Health to operate the Cardiac Safe Community Public Access Defibrillation Program
Agreement (Cardiac Safe PAD Program) within the City of Pickering. The City and Lakeridge
Health have had a successful partnership for the operation of the Cardiac Safe PAD Program
for over 10 years. Lakeridge Health continues to provide valuable services in this area and this
three-year agreement is a renewal of this long-standing partnership.
Consistent with the priorities of the Pickering Community Safety & Well-Being (CSWB) Plan,
and principles of the Durham Region Community Safety and Well-Being (CSWB) Plan, the
agreement with Lakeridge Health provides medical oversight for the administration of the
CS 05-26 March 2, 2026
Page 2
Cardiac Safe PAD Program operating in the City of Pickering. This program provides
certification, training and evaluation of City first responder program, and inspections of semi-
automatic external defibrillation (SAED) and automatic external defibrillation (AED) equipment.
The partnership with Lakeridge Health to offer the Cardiac Safe PAD Program throughout the
City responds to the CSWB Plan Priority 4 to Increase Physical Health and Mental Wellness
through community spaces like community centres, gardens and programs that support
physical and mental health.
2.0 Relationship to the Pickering Strategic Plan:
The recommendations in this report respond to the Pickering Strategic Plan Priority of
Advocating for an Inclusive, Welcoming, Safe & Healthy Community; and Strengthening
Existing & Building New Partnerships.
3.0 Financial Implications:
Annual training and certification of providers is at a fee of $750.00 for up to 12 participants.
The City offers between 6 to 10 sessions annually to train/retrain PAD responder staff
members. Total staff training costs for the program range from $4,500 to $7,500.
Program support is a fixed annual fee of $1,000.00 for the initial unit at a site. Additional units
at the same location require an annual fee of $450.00 per unit. The City currently has 19 units
in 12 facilities. Total City of Pickering annual cost for program support is $15,150.
Sites include:
•Chestnut Hill Developments Recreation Complex (5 units)
•Don Beer Arena (2 units)
•Dorsay Community & Heritage Centre (1 unit, commencing April 2026)
•Dr. Nelson F. Tomlinson Community Centre (1 unit)
•Dunbarton Indoor Pool (1 unit)
•East Shore Community Centre (1 unit)
•George Ashe Library & Community Centre (1 unit)
•Mobile Unit (1 unit, used for community events)
•Operations Centre (1 unit)
•Pickering Civic Centre (1 unit)
•Pickering Central Library (1 unit)
•Pickering Museum Village (1 unit)
The total annual expenditure for this program is $22,650. Program costs are budgeted
annually, and sufficient funds are available in the 2026 Current Budget to cover the full cost of
delivering this program.
CS 05-26 March 2, 2026
Page 3
4.0 Discussion:
The purpose of this report is to seek Council’s approval to renew and execute the Agreement
with Lakeridge Health to operate the Cardiac Safe PAD Program at the City of Pickering for the
period of April 1, 2026, to March 31, 2029.
4.1 The Cardiac Safe PAD Program Partnership
The program is a collaborative effort between the City of Pickering, Durham Region and
Lakeridge Health so that PAD responders are working under the oversight of the Central East
Prehospital Care Program (CEPCP). The program also provides medical training services in
AED & CPR to those PAD responders by and under the direction of the CEPCP Medical
Advisory Board Physicians. These collaborative efforts are focused on the provision of
medically appropriate care for facility users and to improve health outcomes for victims of
sudden cardiac arrest.
While each City facility has trained first responders to attend to emergencies, the public access
defibrillators are public and can be used by anyone. AEDs are automated and, after turning on
the unit, AED units feature instructional prompts for carrying out a rescue. Furthermore, the
device is smart; it will only administer an electrical shock to a heart that needs it.
4.2 The Benefit of the PAD Program to Pickering residents and facility users
Cardiac arrest can strike anyone, anywhere, anytime, at any age, often without warning. Each
year in Canada, an estimated 60,000 cardiac arrests occur outside of hospital setting; that is
one every nine minutes. If someone performs CPR and uses an AED on a person in cardiac
arrest, their chance of survival can double.
PAD Programs are effective and deliver:
•Significantly Higher Survival Rates: the PAD trial study determined that when an
AED is applied by a bystander, survival rates can increase by 75% or more (A Hallstrom
et al. 2004). A study conducted in Chicago Airports noted that 38% of victims shocked
with an AED survived, compared to only 9% for those who received only CPR (Airport
Study, Caffrey et al., 2002).
•Time-Critical Intervention: For every minute a patient in ventricular fibrillation is not
defibrillated, their chance of survival decreases by 7-10% (PAD trial study, A Hallstrom
et al. 2004). PAD programs drastically cut the time to shock, as they often get an AED
to the victim before emergency medical services arrive (Casino Study, Valenzuela et al.
2000).
•Safety and Ease of Use: AEDs in these programs are designed to be used safely by
laypersons, with voice and visual prompts that guide users, often requiring no prior
training.
CS 05-26 March 2, 2026
Page 4
•Structure: Regulated, structured PAD programs (with training, maintenance, and
registry) are more effective than simply placing AEDs randomly.
4.3 Raising awareness of publicly available AED units in City facilities
As per Resolution #908/25, staff were directed to register the City’s publicly available AED
units with the AED Foundation Ontario and to promote AED awareness to Pickering residents.
Registration of all public AED’s will be complete upon the opening of the new Dorsay
Community & Heritage Centre in the spring of 2026.
In spring of 2026, staff will begin delivering AED program awareness sessions to Pickering
residents, starting with the Seniors’ Clubs that operate out of George Ashe Library and
Community Centre, Eastshore Community Centre and Dr Nelson F. Tomlinson Community
Centre. Staff will also promote AED awareness at City events, on social media and through
hands on AED demonstrations. The goal is to engage and inform residents of the accessible
locations of City owned AEDs, help residents feel prepared and confident using an AED and
strengthen community emergency readiness and response.
The Agreement with Lakeridge Health to operate the Cardiac Safe PAD Program at the City of
Pickering provides essential lifesaving equipment in city facilities and supports the successful
implementation of the PAD program.
Attachments:
1. Semi-Automatic External Defibrillation Agreement for the Cardiac Safe Community Public
Access Defibrillation Program between Lakeridge Health and City of Pickering
Prepared By: Suzanne Moore, Supervisor, Community Services Administration
Prepared By: Karen Coleman, BA, Manager, Recreation Services
Approved/Endorsed By: Laura Gibbs, MBA, MSc., Director, Community Services
LG:sm
Recommended for the consideration of Pickering City Council By:
Marisa Carpino, M.A.
Chief Administrative Officer
Semi Automatic External
Defibrillation Agreement
For the Cardiac Safe
Community Public Access
Defibrillation Program for Durham Region
BETWEEN
Lakeridge Health
(“The Hospital”)
and
City of
Pickering
Agreement
LH/City of Pickering Agreement April 1, 2026 – March 31, 2029
Attachment 1 to Report CS 05-26
Principle Statement
This agreement between the above parties will ensure that City of Pickering and Public Access
Defibrillation (PAD) responders are working under the oversight of the Central East Prehospital
Care Program (CEPCP) of Lakeridge Health when providing semi automated external
defibrillation (SAED) to a victim of sudden cardiac arrest (SCA). It also provides for the
provision of medically current training services in SAED & CPR to those PAD Responders by
and under the direction of the CEPCP Medical Advisory Board Physicians.
These conjoint efforts are focused on the provision of medically appropriate care for the citizens
in our community.
THEREFORE in consideration of the mutual covenants contained herein and subject to the
terms and conditions hereinafter set forth the parties hereto agree to participate in the Central
East Prehospital Care Program Cardiac Safe Community PAD Program in accordance with the
terms outlined in the Agreement.
I. Program Components and Recommendations
(a) The following items will be components of program maintenance:
▪ Provision of medical oversight by the Central East Prehospital Care Program (CEPCP) for
the Cardiac Safe Community Program for Durham Region.
▪ Provision of initial certification training and evaluation for SAED for PAD responders.
▪ Provision of recertification evaluation for SAED.
▪ Provision of C.P.R. recertification evaluation and training of the PAD responder
employees as required.
▪ Development and provision of in-house reviews of SAED.
▪ Provision of Biomedical Engineering by the Lakeridge Health Biomedical Engineering
Program, once per year or after each use, to ensure that the SAEDs are maintained
according to the manufacturer's standards, including biomedical direction for the
replacement of batteries and pads when mandated by the manufacturer or the Biomedical
Department.
▪ Method design for the collection of patient care outcome data by the CEPCP to provide the
basis for ongoing patient care quality assurance programs.
▪ A Site Coordinator’s Meeting will be organized by CEPCP on an annual basis to review the
program’s goals, outcomes, and patient care protocols. Additional meetings between City of
Pickering and the CEPCP will be held at the request of either party.
▪ Availability of the CEPCP staff and physician to consult on and review issues and
procedures as required.
▪ Dedication of a designated CEPCP PAD Coordinator as a prime contact for the PAD site.
LH/City of Pickering Agreement April 1, 2026 – March 31, 2029
▪ CEPCP medical and logistical support for the development of Conjoint Public Access
Defibrillation Programs in our Community.
▪ The CEPCP will provide instructors (Paramedics and Firefighters) to deliver SAED training,
using the principles of Adult Learning. The scope of this training will include, but is not
limited to the content of the Canadian Heart and Stroke Foundations CPR & SAED
recommendations. All curriculum content and instructor training and qualifications will be
approved by the Central East Prehospital Care Program Medical Advisory Board Physicians.
▪ To identify placement of such SAED throughout the site to ensure time to defibrillation can
be achieved in 3-5 minutes or less from time of recognition of cardiac arrest;
(b) The following items are recommendations of program maintenance:
▪ To recommend the SAED be placed in an Emergency Response Case that will audibly and
visually (flashing red light) alert staff that the emergency response case door has been
opened. When the SAED is removed from the Emergency Response Case, a call is
automatically made to the alarm company who in turn will notify 911 to activate emergency
services (Fire Service and Emergency Medical Service).
▪ To establish an action plan in the case of an emergency and AED use.
▪ To maintain quality assurance by establishing a collaborative environment between the
rescuers, CEPCP, Fire Service, and Emergency Medical Services (EMS) Paramedics
through training, feed-back, group sharing of knowledge and learning from experienc e , and
to establish a follow-up support system for rescuers post-SAED use.
II. Agreement Criteria for PAD Program
It is clearly understood and agreed to by both parties that medical consultation to the PAD
Responder for the purpose of SAED is provided under the following conditions:
A. Consultation with respect to the Cardiac Safe Community PAD program is provided under
the auspices of the CEPCP Medical Advisory Board Physicians.
B. Consultation is available when the PAD responder is acting in the best interest of a SCA
victim. This may include the utilization of a SAED in another PAD site. Anyone who has
been taught PAD under our program can assist citizen responders in the use of a PAD
response. The audio and text prompts from the SAED must be followed exactly.
C. Non-trained responders who use the SAED in good faith and voluntarily are protected from
liability by the Chase McEachern Act (Heart Defibrillator Civil Liability), 2007, S.O. 2007,
c. 10, Sch. N and the Good Samaritan Act, 2001 S.O. 2001, CHAPTER 2.
III. Training Development Academic Goals and Standards
A. All training materials and lesson plans in the initial and on-going program
developm ent process will be scrutinized by qualified adult educators. “Qualified Adult
Educators” for the purpose of this agreement are prehospital care professionals with
LH/City of Pickering Agreement April 1, 2026 – March 31, 2029
practice qualifications of at least the Advanced Care Paramedic Level and with
formal certification in adult education from a recognized community college or
university.
B. All learning objectives and learning outcomes for this program will be approved by a
physician who is qualified as a specialist in Emergency Medicine and has experienc e
providing medical direction in the field of out-of-hospital Emergency Care.
IV. Agreement Term
This Agreement is for a term of three years, effective April 1, 2026, and expiring on March 31st,
2029, or as terminated pursuant to Section VII: Dispute Resolution.
V. Program Fees and Services Provided
A. Fees:
1. Initial Site setup, including site assessment, signage, initial Biomed visit and PAD
awareness session is a one time fee of $600.00.
2. Annual training and certification of providers is at a fee of $750.00 for a class size up to
12 participants. Class duration will be 6 ½ – 7 hours which includes all breaks. Classes
must be cancelled no less than 2 business days prior to the scheduled session,
otherwise the usual charge applies.
3. Program Support is an annual fee of $1,000.00 for the initial unit at a site. Additional
units at the same location require an annual fee of $450.00 per unit.
HST is not included in the above fees. Program fees will be subject to review and increase on
renewal of this contract.
For PAD Responders requiring remedial continuing education from the CEPCP PAD
Coordinator or the CEPCP Physician over and above the instruction, a fee will be negotiated
for that service at that time.
B. Invoicing:
Training costs will be invoiced on a per course basis.
Program and Biomedical Engineering support costs will be invoiced quarterly starting in April of
each year. The number of sites to be billed is determined by the site list contained in Appendix
A. Sites that become active during the year will be billed when they become a live site. The
initial setup fee will apply in full and the support fees will be calculated on a prorated basis,
based on the number of whole months the site will be active in that calendar year.
C. Services:
1. Emergency Action Plan Development:
-site assessment to determine the number of SAED’s required
-direct best placement for access to SAED
-medical emergency response plan implementation (site specific)
LH/City of Pickering Agreement April 1, 2026 – March 31, 2029
2. CPR Education Review (Canadian Heart & Stroke Foundati o n Guidelines):
-placing 911 call (role of police, fire, and ambulance)
-risk factors of heart disease
-recognition of heart attack
-choking emergencies
-patient assessment
-one and two person adult CPR
3. Defibrillation Training:
-SAED shock & non shockable protocols
-scenarios (based on Emergency Action Plan)
-trouble shooting
-SAED weekly, monthly, and after use checks
-communication/documentation
4. PAD awareness session for Non-targeted Responders
-concept of rapid defibrillation/medical direction of defibrillation
-medical legal liabilities and issues
-questions and concerns
5. Physician/Physician Review and Oversight of:
-program design
6. Quality Assurance and Risk Management:
-identify and provide ongoing training for site coordinators
-daily, monthly, and after use checks
-Emergency Action Plan Audit as required
7. Six month reviews (site visits) to:
-Ensure weekly and monthly checks are being completed
-Ensure adequate signage is placed to direct persons to the AED
8. Office Administration:
-maintenance of certification records
-updates of protocol changes
-clinical co-ordinator assigned to Targeted Responder Program
-Program representative on call Saturday to Sunday 0800-2000
9. Operational Debrief
-when Targeted Responder personnel are involved in an event, the Cardiac Safe
Community Program will ensure an operational debrief is facilitated
LH/City of Pickering Agreement April 1, 2026 – March 31, 2029
ll
11. Biomedical Engineering Support and Operational Risk Management
-check SAED once a year
-change SAED battery as required
-change SAED pads as required
-ensure SAED meets operational needs
-certification of machine safety and operation
VI. Mutual Indemnification Clause
The Hospital agrees to indemnify and save City of Pickering harmless from all loss, cost,
expense, judgment or damage on account of injury to persons including death or damage to
property, in any way caused by the negligence of the hospital, its servants, agents or employees
related to or arising out of programs or other matters to which this agreem ent pertai ns, together
with all legal expenses and costs incurred by City of Pickering in defending any legal action
pertaining to the above.
City of Pickering agrees to indemnify and save the Hospital harmless from all loss, cost,
expense, judgment or damage on account of injury to persons including death or damage to
property, in any way caused by the negligence of City of Pickering, its servants, agents, or
employees related to or arising out of programs or other matters to which this agreement
pertains, together with all legal expenses and costs incurred by the Hospital in defending any
legal action pertaining to the above.
VII. Dispute Resolution
If either party is dissatisfied with the performance of the other party, the dissatisfied party may
give written notice of the dissatisfaction to the other party and shall provide the other party with
thirty (30) days within which to rectify the matter of dissatisfaction.
Where the matter is not corrected to the satisfaction of the party giving notice within the thirty
(30) day period, the dissatisfied party may terminate this Agreement by giving the other party
ninety (90) days written notice of the party's intention to terminate the Agreement. The ninety
(90) day period of notice shall commence five (5) business days after the notice has been
mailed to the other party or twenty-four (24) hours following delivery of the notice by hand or by
facsimile transmission.
VIII. Liability Insurance
Each Party agrees to maintain in ful force and effect throughout the term of the Agreement the
following insurance coverage:
i. Commercial General Liability insurance including personal injury, contractual liability, cross
liability, products andcompleted operations, and contractual liability in an amount of not less than
five million dollars ($5, 000,000.00) per occurrence with the other Party added as an additional
insured but only with respect to this agreement.
ii. Professional Liability in an amount of not less than two million dollars ($2,000,000.00) per claim
with an aggregate limit of four million ($4,000,000.00) dollars.
Each Party shall provide a Certificate of Insurance on a form acceptable to the other Party upon
Request. Such policies shall include thirty (30) days’ prior written notice of any cancellation of the
policy.
LH/City of Pickering Agreement April 1, 2026 – March 31, 2029
_____
________________________________________________________________
IX. Review of Agreement
The parties mutually agree that this Agreement will be reviewed, prior to the end of its term, by
Lakeridge Health and City of Pickering. Any such renewal shall be based upon such terms and
conditions, including any or all of the provisions of this Agreement, as may be mutually agreed
to by the parties.
The parties have caused this Agreement to be executed by their authorized representatives.
Kevin Ashe, Mayor Print Date
The Corporation of The City of Pickering
Susan Cassell, City Clerk Print DateThe Corporation of The City of Pic kering
Chris Squire Print Date
Lakeridge Health
System Executive, Corporate
Services and Chief Financial
Officer
LH/City of Pickering Agreement April 1, 2026 – March 31, 2029
Appendix A
to Semi Automatic External Defibrillation Agreem ent
between Lakeridge Health and City of Pickering
April 1, 2026 to March 31, 2029
This appendix maintains a complete list of all sites covered under this Agreement and will be
updated when sites become active or are deactivated.
Date of current Appendix A: January 9, 2026
City of Pickering Site Locations
Tomlinson Community Centre 4941 Old Brock Road G3 4454043 804473
Don Beer Sports Arena 940 Dillingham Road G3 4378363 803905
Don Beer Sports Arena 940 Dillingham Road G3 4405738 804058
Dunbarton Pool 665 Sheppard Ave. G3 4378330 803906
East Shore Community Centre 910 Liverpool Road South G3 4388267 803920
Mobile Unit 1867 Valley Farm Rd Philips onsite A13B-01771 804321
George Ashe Library & Community 470 Kingston Rd G5 D00000066310 806035
Pickering City Hall / Civic 1 the Esplanade G3 4397753 803921
Pickering Central Library 1 The Esplanade G3 5122195 804354
Pickering Museum Village Redman 2365 Concession #6 Philips onsite A13B-00753 804162
Pickering Museum Village-Admin 2365 Concession #6 Philips onsite A13L-03782 804394
Pickering Recreation Complex 1867 Valley Farm Rd G3 4378773 803904
Operation Centre #2 1955 Clements Road Philips onsite A18L-01197 805767
Operation Centre #1 1955 Clements Road Philips onsite A18L-01199 805768
Pickering Recreation Complex 1867 Valley Farm Rd G3 4368928 803903
Pickering Recreation Complex 1867 Valley Farm Rd G5 D00000066285 806036
Pickering Recreation Complex 1867 Valley Farm Rd G3 4378063 804320
Pickering Recreation Complex 1867 Valley Farm Rd G3 6013797 804552
Dorsay Community & Heritage 2365 Concession Road 6
LH/City of Pickering Agreement April 1, 2026 – March 31, 2029