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QA...QI...CQI…PI...Call it what you will…..

QA...QI...CQI…PI...Call it what you will…. Philip J. Froman, MD, FACEP EMSMDC, INC. Let’s keep our butts out of court. The real story. Why does QI matter?. Improves patient care. Why does QI matter?. Improves patient care Protects patient. Why does QI matter?. Improves patient care

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QA...QI...CQI…PI...Call it what you will…..

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  1. QA...QI...CQI…PI...Call it what you will….. Philip J. Froman, MD, FACEP EMSMDC, INC.

  2. Let’s keep our butts out of court The real story

  3. Why does QI matter? • Improves patient care EMS:QA

  4. Why does QI matter? • Improves patient care • Protects patient EMS:QA

  5. Why does QI matter? • Improves patient care • Protects patient • Protects EMS EMS:QA

  6. Why does QI matter? • Improves patient care • Protects patient • Protects EMS • Teaching tool EMS:QA

  7. Why does QI matter? • Improves patient care • Protects patient • Protects EMS • Teaching tool • Improves Charting EMS:QA

  8. When do we do QI? • On every call EMS:QA

  9. When do we do QI? • On every call • Every departmental EMS meeting EMS:QA

  10. When do we do QI? • On every call • Every departmental EMS meeting • Case reviews EMS:QA

  11. When do we do QI? • On every call • Every departmental EMS meeting • Case reviews • Doc in the Park EMS:QA

  12. When do we do QI? • On every call • Every departmental EMS meeting • Case reviews • Doc in the mountains • State and National Conferences EMS:QA

  13. What is QI? • Reviews actual patient care EMS:QA

  14. What is QI? • Reviews actual patient care • Reviews documentation EMS:QA

  15. What is QI? • Reviews actual patient care • Reviews documentation • Creates mode of departmental teaching EMS:QA

  16. What is QI? • Reviews actual patient care • Reviews documentation • Creates mode of departmental teaching • Satisfies national standards EMS:QA

  17. What is QI? • Reviews actual patient care • Reviews documentation • Creates mode of departmental teaching • Satisfies national standards • Gives mode of constant feedback EMS:QA

  18. What is QI? • Reviews actual patient care • Reviews documentation • Creates mode of departmental teaching • Satisfies national standards • Gives mode of constant feedback • Gives individual strengths and weaknesses EMS:QA

  19. How do we do it? • Chart at the time of the call EMS:QA

  20. How do we do it? • Chart at the time of the call • Review your chart after writing it EMS:QA

  21. How do we do it? • Chart at the time of the call • Review your chart after writing it • Review by departmental QI personnel EMS:QA

  22. How do we do it? • Chart at the time of the call • Review your chart after writing it • Review by departmental QI personnel • County QI personnel EMS:QA

  23. How do we do it? • Chart at the time of the call • Review your chart after writing it • Review by departmental QI personnel • County QI personnel • Review by medical director EMS:QA

  24. How do we do it? • Chart at the time of the call • Review your chart after writing it • Review by departmental QI personnel • County QI personnel • Review by medical director • Close the loop with case reviews EMS:QA

  25. Date/Time Sequential run number Face sheet information Vital signs Oxygen saturation C.H.A.R.T. Pertinent negatives Medication/Allergies PMH/PMD Nontransport documentation Signatures What to include... EMS:QA

  26. Legibility Sequential run numbers Address abnormal vital signs Pertinent positive and negative Nontransport documentation Medicines/allergies PMH/PMD No head to toe Transport/transfer notes Describe, do not diagnose Poor picture painted Tunnel Vision Common errors EMS:QA

  27. Case Discussions • Head injury/Altered mental status EMS:QA

  28. Case Discussions • Head injury/Altered mental status • Abdominal pain EMS:QA

  29. Case Discussions • Head injury/Altered mental status • Abdominal pain • Chest pain EMS:QA

  30. Case Discussions • Head injury/Altered mental status • Abdominal pain • Chest pain • Overdose EMS:QA

  31. Case Discussions • Head injury/Altered mental status • Abdominal pain • Chest pain • Overdose • Febrile seizures EMS:QA

  32. Case Discussions • Head injury/Altered mental status • Abdominal pain • Chest pain • Overdose • Febrile seizures • Wounds EMS:QA

  33. Complete the cycle • Feedback to individual EMS:QA

  34. Complete the cycle • Feedback to individual • Feedback to department EMS:QA

  35. Complete the cycle • Feedback to individual • Feedback to department • Feedback to County EMS:QA

  36. What’s next? • Templates EMS:QA

  37. What’s next? • Templates • Computer charting EMS:QA

  38. QUESTIONS?

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