Keith Vodden Dr. Douglas Smith - Transports Canada

Ontario Model
We combine this value for the non-staff costs with estimates available on the
incremental use of medical staff for those injured in motor vehicle collisions (Chipman
re-analysis) to provide a more complete estimate of the cost of medical services in the
following section.
2. Health care professional cost
The incremental use of health care professionals was estimated through the reanalysis
of Chipman as described earlier. These provide broader descriptions of health
care professionals’ categories than provided in the “OHIP fee schedules” for doctors and
other health care professionals found in the Schedule of Benefits for Physician Services
and related changes. As a result, we assign the following approximate values related to
the health care categories in the Chipman analysis:
• Primary MD $100.
• Specialist $150.
• Nurse $40.
• Physiotherapist $75.
• Chiropractor $75.
• Other categories $75.
We use these values and the estimated incremental use of health care
professionals by injury severity (from before) for those injured in motor vehicle
collisions. Note that the survey data that are the base of the Chipman analysis reports on
surviving individuals. It cannot be used to estimate health care professional costs
associated to fatalities of motor vehicle collision. However, approximately one-quarter of
fatalities occurs in emergency rooms and a further one-quarter occurs after admittance to
hospital. For those admitted to hospital before dieing the average hospital stay is similar
to those with major injuries. We assign the estimated health care professional cost for
minor injuries and major injuries ($920 and $4600 respectively) to approximate the cost
for these two groups of fatalities respectively.
3. Police costs
The Ontario Provincial Police (OPP) charge-back municipalities for the cost of
police services they provide. They shared the model they use to estimate policing costs.
The model provides the 2006 base and fully-loaded costs for each level of staff. In
addition to base salaries, allocated items in the fully-loaded cost calculated by the model
include overtime (based on provincial averages), contractual payouts, benefits, allocated
other staff, and direct operating expenses (vehicle use, office and equipment, uniform,
and equipment).
TNS Canadian Facts, Social and Policy Research 33