EMS and Advanced Quality Management Metrics
It would be difficult to deny that EMS systems place a great deal of emphasis on responses time and this often serves as one of the primary metrics for performance. Such a metric is entirely reasonable given the importance of reaching someone in critical condition sooner, as opposed to later, can potentially save their lives or at least improve their outcomes. This is an intuitive concept that people have believed for several generations. Previous generations of heuristics in regards to response time and survival rates represented concepts such as the "golden hour" in which is the most important for mitigating mortality and improving health outcomes in critically injured patients (Lerner, 2001). Furthermore, in the modern EMS system, there be more factors that are also important to consider. For example, if advanced life support (ALS) is really need in a situation, and only basic life support (BLS) is dispatched, then there may be other considerations that are necessary to gauge performance than simply response time.
Yet, evidence-based clinical measures of emergency medical services (EMS) system performance have been few in number, largely due to the limited quantity and quality of research committed to the prehospital arena (Myers, Slovis, Eckstein,...
EMS Systems There are many different EMS systems that utilize advanced life support (ALS) professionals in different ways. Some EMS systems will have an ALS professional on all first response units such as found in the Portland and Washington County. The ALS group is a team of highly trained individuals that provide more advanced medical care to patients while they are in transit and their training exceeds that of an EMT
King County, WAshignton Emergency Medical Service (EMS) "Measure and improve" is the motto that drives King County EMS Demographics of the System King County, Washington - Overview Service Area Population Density Economic Indicators from Census Data Structural Attributes of the EMS System Geographic Scope Standard Setting and Enforcement Division of Functions Market Allocation Failure to Perform -- Consequences Business Structure Management Level King County EMS System Outputs Prevention and Early Dectection Bystander Action and System Access 911 Call Taking First Response Dispatch and Services Ambulance Services Receiving Facility Interface Medical Oversight HallMarks of HPEMS Accountability Independent
Emergency Medical Service (EMS) Division of Emergency Medical Services -- King County, WA The emergency medical services (EMS) team in King County serves nearly two million people in the local area and states that they provide lifesaving services on average of every three minutes (Public Health - Seattle & King County, 2015). Some of the key data that is included in the 2014 annual report are: Each year, approximately 1 out of 10
King County, WAshignton Demographics of the System King County, Washington Service Area Population Density Economic Indicators from Census Data Structural Attributes of the EMS System Geographic Scope Standard Setting and Enforcement Division of Functions Market Allocation Failure to Perform -- Consequences Business Structure Management Level Demographics of the System King County, Washington King County, Washington is the most populace county in the state of Washington as well as in the top 15 most populated counties in the United States (13th). The county has a total land
EMS single-tier response (STR) or a multi-Tier response (MTR) is optimal for a community? While EMS are present in every community, each community has different needs and the response of the EMS should be tailored in a community-specific fashion. For example, some communities are far more dependent upon EMS to provide critical services because of their demographics. A large city such as New York will often have more critical incidents
Performance Measures for (50,000 call per year) EMS EMS ORGANIZATIONAL PERFORMANCE MEASUREMENT That the organization implements additional clinical performance measures, including those to evaluate the quality of the EMS. That the organization uses survey data to evaluate and analyze customer and employee satisfaction and that a proper feedback and control mechanism is in place to use this data to implement required changes. This report starts from the premise that Emergency Medical Services will
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