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	Southern Tier Regional Emergency Medical Services Council

Hospital-based Area QI Coordinator

Definition: The Hospital-based Area QI Coordinator will assume the responsibilities of data gathering from each service reviewer for service performance.

Goal: The goal of this position will be the gathering of information to provide feedback and to determine what is and is not positively affecting patient outcomes. The data will be utilized to assure competence of all personnel in each skill area for which they are responsible.

Duties and responsibilities

1. Review all PCRs or those identified based on system indicators
1. Review times - response time, response to urgent and life-threatening calls, on-scene time and destination times.
2. Quality and appropriateness of documentation
1. All areas of PCR completed
2. Appropriate sets of vital signs
3. Legibility
4. Orderly flow of narrative
3. Adherence to protocols: Review for appropriateness of treatment based on chief complaint history, assessment and treatment.
4. Documentation of flow of information and follow-up of the review process. Maintain documentation in a confidential environment.
5. Participate as a member of the Regional QI Committee.
2. Identify problems or potential problems as either training or counseling needs and document appropriately.
1. Time requirement difficulties may require counseling and/or training. Refer to service management for resolution and follow-up with documentation in personnel file.
2. Difficulties with quality and/or quantity of work will initially require retraining and counseling by the QI coordinator or designee with follow-up and documentation completed by QI Coordinator and service management.
3. Difficulty with adherence to medical protocols will initially require retraining by QI Coordinator or designee. If problem continues, counseling by the service medical director. Resolution will be completed by QI Coordinator, service management and service medical director with appropriate documentation in the personnel file.
4. Reports of any conflicts will be documented and reviewed by QI process.
3. Resolution of identified problem will be thoroughly documented. Procedures utilized will be outlined and a follow-up evaluation upon resolution will be carried out and documented.