2010 psow conference - quality management program
TRANSCRIPT
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EMS Quality Management Program
Michael D. Curtis, MD, FACEP
EMS Medical Director
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Medical Direction Triad
Quality Management
Training Protocols
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Five Major Components
QA CQI After Action Reviews RSI Cardiac Arrest (Other?)
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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
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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
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QA Form
Microsoft Word Document
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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
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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
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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)
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Example of Score Card
Microsoft Excel Worksheet
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After Action Reviews
Major Incidents Multiple Patients Multiple Agencies Responding
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After Action Reviews
Meeting place People included Confidentiality Recording
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After Action Review Form
Microsoft Word Document
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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?
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Questions?