1. EMS Tool Box CQI-To-Go SAFE-T Analysis
VT District III EMS
Continuous Quality Improvement
Quality Assurance Program
October, 2010

2. Continuous Quality Improvement Committee
Sarita Austin Kirsten Jaquith Chris McCarthy Bethanne Marshall Mike O’Keefe Kate Soons Don Turner Brian Welsh Daniel Wolfson
VT District III EMS
CQI/QA
EMS Service
Essex Rescue Colchester Rescue Richmond Rescue Outside Agencies
District Membership Survey
Special Thanks To: Michael Chiarella Daniel LaPierre

3. 2008: Formation of CQI Committee
CQI-IQ: Listening Survey
Initial Projects:
Pre-Hospital EKG STEMI
Combitube vs King Airway
Vital Sign Study
SIREN Grant Application
Development of EMS Tool Box
CQI-To-Go
SAFE-T

4. New law requires District and Service level CQI/QA
VT State EMS
District III EMS
District III Medical Advisor
CQI Council
Service CQI/QA Committee
Other EMS Districts
Oversees CQI/QA for District
Mission to promote, ensure, and enhance pre-hospital emergency services to all people served within District 3, and to assure that the services provided are consistent with best practices and evidence based medicine.
Council Representation
Individual case analysis
SAFE-T Analysis
(Standard Assessment For EMS – Template)
CQI-To-Go – Provides Technical Support

5. District Wide Continuous Quality Improvement Initiatives
Advanced airway:
Combitube/King/ETT
Chest Pain:
EKG
STEMI Alert
Medications
Documentation:
Vital sign study
SIREN

6. District III CQI Continued
Stroke:
Stroke Assessment
Stroke Alert
Seizure:
Fingerstick Glucose
Benzo (Paramedic)
Cardiac Arrest:
AED per protocol
ACLS (Paramedic)

7. District III CQI Continued
Asthma:
Albuterol
Duoneb (Paramedic)
Altered Mental Status:
Fingerstick glucose
D50
Narcan
IV Access/IVF
IV Indicated
IV Attempts/Success
IVF administered

8. District III CQI Continued
Pulmonary Edema:
Nitroglycerin (Paramed)
CPAP (Paramedic)
Trauma:
Non-entrapment time limited to < 10 mins
GCS score calculated
Trauma Alert

9. Dashboarding System for rapid feedback to EMS providers
Individual, Service, and District wide summary data and reports
SIREN will allow this to occur

10. SAFE-T Analysis
CQI-To-Go
EMS Tool Box

11. SAFE-T Analysis Standard Assessment For EMS Template

12. SAFE-T Analysis Standard Assessment For EMS Template
Service Level CQI/QA
Form Completeness
Narrative
Terminology
Interpretive Findings
Adherence to Protocols
Feedback to Crew
Feedback to Individuals
Feedback to Service

20. 10-50

21. SAFE-T Analysis 10-50 10% of EMT-B 50% of EMT-I All Paramedic Runs
May do more

22. CQI-To-Go Presented by Kate Soons
Ideas on how to successfully implement CQI/QA and the SAFE-T analysis at your service