Rappahannock EMS Council Performance Improvement Plan

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The Rappahannock EMS Council Quality Improvement Committee operates under the Regional EMS Performance Improvement Plan & the Regional Trauma Performance Improvement Plan. The committee will review any EMS call as requested and supports the regional quarterly QI Reporting Program under our Medical Direction Committee. Data that is tracked will be used by our Operational Medical Directors in an effort to improve overall patient care within the region. When requesting an EMS call review, please use the EMS Incident Review Request Form for system and medical call reviews, and the Trauma Incident Review Request Form for trauma call reviews.

Performance Improvement / Quality Assurance Helps EMS By...

1. Improving Quality, consistency and customer satisfaction in EMS systems
2. Providing a way that EMS systems can define and improve what they do
3. Supporting strategies to improve staffing patterns, education, and reimbursement
4. Assisting EMS to define, measure and analyze their system of care

Does your agency have a Quality Management Program in Place?

12 VAC 5-31-600. Quality Management Reporting: An EMS agency shall have an ongoing Quality Management (QM) Program designed to objectively, systematically and continuously monitor, assess and improve the quality and appropriateness of patient care provided by the agency. The QM Program shall be integrated and include activities related to patient care, communications, and all aspects of transport operations and equipment maintenance pertinent to the agency's mission. The agency shall maintain a QM report that documents quarterly PPCR reviews, supervised by the Operational Medical Director.

In preparation for the State Office of EMS enforcement of the Virginia Emergency Medical Services Regulations section 12 VAC 5-31-600. Quality management reporting, the Rappahannock EMS Council's Quality Improvement and Medical Direction Committee has developed a model performance improvement plan. Please feel free to use this plan... Work with your OMD, and modify it as you see fit, to meet the needs of your agency.


Contact the REMS Council for assistance to ensure that your PI program is in compliance!

Rappahannock EMS Council Quarterly Reporting Requirement:

In addition to the standard reporting requirements, each quarter the Medical Direction Committee approves three Performance Improvement Topics for QI review by our region’s EMS licensed agencies. Report forms are provided to each agency by the council office and will be specific to each quarter’s selected topics. Quarterly QI Reports are due to the council office as indicated below:

NOTE: Reports are due the first business day on or after the due date indicated.

• First Quarter – January/February/March (Due April 30th )
• Second Quarter – April/May/June (Due July 31st)
• Third Quarter – July/August/September (Due October 31st)
• Fourth Quarter – October/November/December (Due January 31st)

Should an agency fail to submit the quarterly report by the due date, the Operational Medical Director will show them as non-compliance and not allow any test waivers for affiliated members during the next quarter and until they become compliant.