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Southern Tier Regional Emergency Medical Services Council

Quality Improvement Committee

Bernadette Josbeno-Oakes, Chairperson
Robert Rajsky, Vice Chairperson
Rick Churches
Dr. William Huffner
Bill Kennedy
Ann Repsher
Teri Symonds
Maryann Teeter
Heidi Wilmott
Linda Donley
Donna Fiske
Vanessa Jewett		 Bernadette Josbeno-Oakes
Bernadette Josbeno-Oakes
Chairperson		 Bob Rajsky
Bob Rajsky
Vice Chairperson

QIPP Awards

REGIONAL QUALITY IMPROVEMENT COMMITTEE GOALS for 2008
Monitor existing programs for EMS evaluations, which are valid and reliable.
  • Present data to the regional medical advisory committee and to participate in system-wide (quality improvement) evaluation.
  • Periodically review information concerning compliance with standard of care procedures and protocols, grievance filed with the service by patients or their families, and the occurrence of incidents injurious or potentially injurious to patients.
  • Systematic evaluation of case reviews by area coordinators, committee and medical directors. Focus studies of specific diagnoses, identified concerns or other areas of interest.
Promote agency level evaluation process, including First Response, which includes physician collaboration.
  • Area QI coordinators report summarizes data to regional committee report then presented to STREMAC and agency medical directors with feed back to the specific agencies.
Teach and promote the quality improvement process and principles as a means of addressing EMS systems and data collection needs. Identify at least one educational focus area to improve pre-hospital EMS program. Coordinate with Training Committee and staff to plan and implement the program.
  • Regional program to be fully inserviced to area coordinators. Quality improvement process education will be part of new training and updates.
Annually review Quality Improvement Manual.
Monitor Quality Improvement involvement for all agencies and recommend QI awards based on criteria.
  • Promote EMS Awards on-line based on positive and outstanding performance evident in quality improvement audit.
  • Include area agencies in special recognition ceremony at Fall Council meeting (to be determined)
Participate in the regional credentialing process.
  • Review the care rendered by the service(s), as documented in prehospital care reports and other materials.
  • Periodically review the credentials and performance of all persons providing emergency medical care (in the system) on behalf of the service.
Promote recognition of achievements of past 10 years by Regional Quality Improvement with presentation at Regional and State conferences.
Responsibilities
from STREMS QI Manual:
  1. Present quality improvement data to the regional emergency medical advisory committee.
  2. Receive and review data from the Area Quality Improvement Committee and to recommend to the Council changes in administrative policies and procedures.
  3. Notify the Council of significant issues related to the provision of quality prehospital care.
  4. Receive and review from the Area Quality Improvement Committee reports on provider credentialing and performance.
  5. Receive and review reports from the Area Quality Improvement Committee on:
    1. Quality of care
    2. Compliance with standard of care procedures and protocols.
  6. Establish and/or provide continuing education programs to address areas in which compliance with procedures and protocols need to be improved.
  7. Periodically evaluate system's Quality Improvement Program.
ARTICLE 30 responsibilities
  1. to review the care rendered by the service, as documented in prehospital care reports and other materials. The committee shall have the authority to use such information to review and to recommend to the governing body changes in administrative policies and procedures, as may be necessary, and shall notify the governing body of significant deficiencies;
  2. to periodically review the credentials and performance of all persons providing emergency medical care on behalf of the service;
  3. to periodically review information concerning compliance with standard of care procedures and protocols, grievances filed with the service by patients or their families, and the occurrence of incidents injurious or potentially injurious to patients. A quality improvement program shall also include participation in the department's prehospital care reporting system and the provision of continuing education programs to address areas in which compliance with procedures and protocols is most deficient and to inform personnel of changes in procedures and protocols. Continuing education programs may be provided by the service itself or by other organizations; and
  4. to present data to the regional medical advisory committee and to participate in system-wide evaluation.

Sample Quality Improvement Forms
Quality Improvement PCR Audit PCR Audit Tool EMD QI Audit Tool
EMD QI Disposition Case Review Evaluation Agency Report to Area QI Committee (2 pages)
Area QI Report to Regional QI (2 pages)