Monday, 25 June 2018

PI Articles

Regional STEMI Data Summary (2017)

There has been an increase in First Medical Contact (FMC) to initial 12 lead time across the region.  This needs to be reduced as it has an impact on other factors such as total scene time and hospital team activation.  The frequency of 12 leads obtained on patients over the age of 34, who also present with chest pain, has increased across the region.  Data from the last two quarters of 2017 on Post-ROSC 12 leads showed a very slight decline in numbers; no data was available for the first two quarters.  This is another piece of information that may be useful to the receiving facility.  

Read more: Regional STEMI Data Summary (2017)

Regional Stroke Data Summary (2017)

Regionally there has been a decrease in the frequency of Last Known Well (LKW) documentation.  Blood Glucose (BGL) obtained in vitals, Scene Time, and documentation of a Stroke Scale in vitals have all shown positive changes.  More BGLs and Stroke Scales have been documented.  Scene Time data indicated a decrease in times for the last quarter on 2017.  Providers need to make an effort to document LKW as it is an important piece of information that the hospital staff will ask for.

Read more: Regional Stroke Data Summary (2017)

Certified Primary Stroke Centers - Tidewater EMS Region

As of 7/1/2015, these facilities in the Tidewater EMS region have been certified by an accrediting agency (as indicated) as Primary Stroke Centers:

Bon Secours Maryview Medical Center (Joint Commission)

Bon Secours DePaul Medical Center (DNV)

Chesapeake Regional Medical Center (HFAP)

Sentara Leigh Hospital (DNV)

Sentara Norfolk General Hospital (DNV)

Sentara Obici Hospital (DNV)

Sentara Princess Anne Hospital (DNV)

Sentara Virginia Beach General Hospital (DNV)

More information about The Joint Commission and stroke center certification.

More information about DNV and stroke center certification.

More information about HFAP and stroke center certification.

EMS PI Description and Resources

EMS Performance Improvement

key EMS Performance Improvement is...

...measuring the output of a particular business process or procedure, then modifying
the process or procedure to increase the output, increase efficiency, improve safety or increase the effectiveness
of the process or procedure.

 Performance Improvement Helps EMS By...

  • Improving quality, consistency and customer satisfaction in EMS systems
  • Providing a way that EMS systems can define and improve what they do
  • Supporting strategies to improve staffing patterns, education, and reimbursement
  • Assisting EMS to define, measure and analyze their system of care
  • Improving patient and provider safety

Does Your Program Meet State Guidelines?

12 VAC 5-31-600. Quality management reporting

An EMS agency shall have an ongoing Quality Management (QM) Program designed to objectively, systematically and continuously monitor, assess and improve the quality and appropriateness of patient care provided by the agency. The QM Program shall be integrated and include activities related to patient care, communications, and all aspects of transport operations and equipment maintenance pertinent to the agency's mission. The agency shall maintain a QM report that documents quarterly PPCR reviews, supervised by the Operational Medical Director.

How Does Your PI/QI Plan Work?

A PI/QI program is not meant to serve as a watchdog for big problems. A good PI/QI program tracks information that can be used to improve the overall effectiveness of your agency.

  • How do you choose which PPCR/Subjects to review?
  • Do you use peer review?
  • Do you share your review with the providers that were on the call?
  • What do you look for when you review a PPCR, subject, or protocol?
  • Do you send a quarterly report to your OMD?

Performance Improvement Resources 

EMS Agency PI-QI Template

A Leadership Guide to Quality Improvement for Emergency Medical Services Distributed by the National Highway Traffic Safety Administration 

What is Quality Improvement?  (Presentation of Quality Improvement from Duke University)

Improving Quality in EMS  National Association of EMS Physicians Prehospital Systems and Medical Oversight  National Association of EMS Physicians

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