Washington County EMS Quality Improvement
WHERE WE WERE
Where We Were… • QI Committee made up of EMS system participants: – Fire departments – Hospitals – Transport Agency – WCEO Medical Direction • Complaint Driven
Quality Assurance vs Quality Improvement
The Goal The ultimate goal is to provide an evaluation of the EMS system level using aggregate data that explains the impact of Washington County EMS performance
Data should provide perspective for strategic planning for: 1. EMS agencies: Training/Education, Response Resources including personnel, hard equipment, supplies, etc. 2. The EMS System: Regulatory/Accreditation Process, Clinical and Operational Protocols 3. Healthcare Systems: As they interface with EMS 4. Public Health: CHA/CHIP
WHERE WE ARE…
Washington County Code • Duties: 8.32.240 – Comprehensive quality improvement process – Evaluate EMS system • Structure • Performance • Outcome • Membership: 8.32.250 • Compensation: 8.32.260
Membership • Washington County QI Committee Rep: – EMS Agencies in WC – Hospital – Life Flight – WCCCA • Chaired by WC Medical Direction – Co-chair WC QI & Education Coordinator
Meeting Structure • Meet quarterly to review data and develop key performance indicators (KPI) • KPI developed by national standards or best practice when national standards are not available
KEY PERFORMANCE INDICATORS
COMPASS MEASURES
Compass Measures: emscompass.org • Provides key performance metrics for EMS systems at the local, regional, state and national levels. • Funded by the National Highway Traffic Safety Administration (NHTSA) Office of EMS • Process is led by the National Association of State EMS Officials (NASEMSO) • Based on the latest version of the National EMS Information System (NEMSIS)
Adoption of KPI Adoption of KPI is a committee process
Current Program • Cardiac: –Cardiac Arrest –STEMI • Other: –High Utilizers
The Future • Trauma: – Adult – Pediatric • Airway: – Airway Management - priority – Asthma • Neurological: – Stroke – Seizure
Making Progress…
Advisory Committee Role • Support and make • What is measured recommendation: – EMS Program work • Who is measured plan • FTE • How it is reported – EMS System Strategic Plan • Data use agreements • Reporting Structure
QUESTIONS???
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