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2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
2010 PSOW Conference - Quality Management Program
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2010 PSOW Conference - Quality Management Program

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  • 1. EMS Quality Management Program Michael D. Curtis, MD, FACEP EMS Medical Director
  • 2. Medical Direction Triad Quality Management Training Protocols
  • 3. Five Major Components
    • QA
    • CQI
    • After Action Reviews
    • RSI
    • Cardiac Arrest
    • (Other?)
  • 4. Quality Management Policies
    • All documents are confidential and include language on them about confidentiality
    • We do not discuss specific contents of confidential quality management activities in public meetings or with our oversight boards and committees
    • Participants in quality management activities are required to maintain confidentiality
  • 5. Quality Assurance
    • Retrospective review of a single case
    • Used in problem cases
    • To monitor new protocols or procedures (e.g., Ketamine use)
    • Used in educational case reviews
      • Access to records
    • Standard Form
  • 6. QA Form
  • 7. CQI
    • Using descriptive statistics to assess performance on 19 quality indicators over three patient scenarios
    • Scenarios:
      • Cardiac Chest Pain
      • Respiratory Distress
      • ALOC
    • In development: Major Trauma
  • 8. Eight Services Involved
    • Portage County – SPFD
    • Portage County – AFD
    • United Ambulance Service
    • Wisconsin Rapids Fire Department
    • Merrill Fire Department
    • Schofield Fire Department
    • Weston Fire Department
    • Rothschild Fire Department
  • 9. CQI Quality Indicators
    • Vitals Signs – Complete
    • Vital Signs < 15 minutes
    • Vital Signs – Repeat
    • Oxygen
    • Lung Sounds
    • Cardiac Monitor
    • IV Attempted
    • IV Success Rate
    • IV SOFA
    • IV Established
    • ALS Intercept
    • Glucose Check (ALOC)
    • Nebulizer (RD)
    • CPAP (RD)
    • Aspirin (CCP)
    • 12-Lead EKG (CCP)
    • STEMI Scene Time <20min (CCP)
  • 10. Example of Score Card
  • 11. After Action Reviews
    • Major Incidents
    • Multiple Patients
    • Multiple Agencies Responding
  • 12. After Action Reviews
    • Meeting place
    • People included
    • Confidentiality
    • Recording
  • 13. After Action Review Form
  • 14. The Challenge
    • Once you identify your problems or flaws, what can you do to fix them and prevent them from occurring repeatedly?
      • Focus on individual performance?
      • Focus on department-wide education?
      • Focus on standardizing work processes?
    • How can we learn from each other at the leadership level to better manage quality improvement?
  • 15. Questions?

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