Total Quality Management

EMSI Regional QI/QA Initiative


History- The EMSI Regional QI Committee was established through invitation to specific individuals to satisfy the state requirements of representatives from various stakeholders in the region. The committee was named Total Quality Management, referring to the entire PDCA cycle of QI (Plan-Do-Check-Act). QI projects are selected by the committee or as needed by the Bureau of EMS, BOD of EMSI or other stake holders in the region. A Regional QA/QI network was developed by having all ALS agencies name a QI/Training contact to be the “go to” person to facilitate cooperation and participation in any and all regional QA/QI projects.

The Quality Improvement Committee meets at least quarterly and includes all levels of EMS services. The committee includes representatives from first responder providers, BLS ambulance providers, ALS ambulance providers, service medical directors, and medical command physicians. The committee also includes representatives from PSAP/ Emergency Medical Dispatch providers, non-EMS AED providers (e.g. police or industrial AED providers), receiving facility/ hospitals, regional trauma centers, and other appropriate organizations.

Note: Projects will count as regional QI Initiatives for all participating EMS agencies.

Title 28 § 1001.65. Cooperation.
Each individual and entity licensed, certified, recognized, accredited or otherwise authorized by the Department to participate in the Statewide EMS system shall cooperate in the Statewide and regional EMS quality improvement programs. These individuals and entities shall provide information, data, reports and access to records as requested by the Department and regional EMS councils to monitor the delivery of EMS.

Projects-Status of the Non-Transport of EMS Contacted Patients
Every day of the year, 24/7, Emergency Medical Services (EMS) transports emergency patients to local hospitals. Year after year, the number of emergency calls that EMS responds to has increased. In 2011 EMS responded to over half a million emergency calls within the Emergency Medical Service Institute Regional Counsil (EMSI) 10 county region in Southwestern Pennsylvania. There is a specific group of patients that receive EMS care but for one reason or another are never transported to the hospital. It is estimated that between 6% to 20% of these patients or between 24-80 thousand patients are never transported. This creates many issues and potential problems to the patient and EMS in general.

Phase 1 of the Non-Transport of EMS Contacted Patients is the evaluation of the refusal form or refusal checklist provided through PA BLS Protocol #111. We have found a large variance in refusal forms being used within the region. Phase 1 will attempt to define what is being used and suggested ways to improve consistency when evaluating and treating the non-transported patient when using these forms.

Carbon Monoxide Detector Reporting Form can be found here


[file] Non Transport of Patients and Documentation July 2012.pdf04/15/13 2:21 pm283.52 KB
[file] A_Leadership_Guide_to_Quality_Improvement.doc04/15/13 2:22 pm955 KB
[file] Baldrige_2004_HealthCare_Criteria[1].pdf04/15/13 2:26 pm1.8 MB
[file] EMS_QI_Made_Ridiculously_Easy.pdf04/15/13 2:26 pm934.38 KB
[file] EMSI_QI_Committee_Presentation_final_3.pdf04/15/13 2:26 pm4.9 MB
[file] EMSI Regional QI Contolled Substance Disposafinall.pdf04/15/13 2:28 pm237.39 KB