Continuous Quality Improvement Leadership Team Agenda and Process 2021
Develop a Continuous Quality Improvement Leadership Team agenda, select system-based QI indicators, discuss a formal QI process, utilize data and registry resources, and create an updated QI Plan Template with initial goals. Assess and refer QI indicators like Airway Management and Narcan Administration. Review policies and protocols for possible system improvements. Evaluate the effectiveness of policies through data analysis and make necessary updates to improve outcomes.
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Presentation Transcript
CQILT Annual Review 2021
What would A Continuous Quality Improvement Leadership Team Look Like Develop an Agenda Choose system based QI Indicators Discuss a Formal QI Process utilizing Data and Registry Resources: ImageTrend, first watch Create an updated QI Plan Template Initial Goals
QI Plan: CQILT EMSA Annual QI Plan Agenda Included 5 yrAgency QI Plans Data: Met 6 times this year Data Quality Reports QI Plan Data QI Indicators Policy and Protocol Review Possible System Improvement QI Indicators: 35-43 3 selected Participants Policy and Protocol: Review of Policy changes
Assess and Refer QI Indicators Airway Management Narcan Administration
Assess and Refer originally intended as a Surge Response to COVID Would Assess and Refer be an appropriate policy during normal operations Total 2021 Assess and Refer 100% QI Determined need for updates to Education based on QI Formalized a QI process, built a QI form and posted on website currently building a QI form in IT
Request made to review the current policy and its effectiveness on Fentanyl overdose Several Multi-Dose cases presented Data supported that an increase in Multi-doses needed to recover respiratory status Presentation made at MAC to consider a Policy change Narcan Drafted a Policy Sent to EMS Educators Policy went live; continue to monitor for effectiveness
MAC Presentation-60% accuracy with first pass Data Reviewed; concern that inconsistent documentation did not reflect successful intubation Subgroup formed to review documentation requirements-use power tools? Consider alternative airway Airway Management I-Gel Went to MAC for consideration Developed a Policy 2022-I-Gel QI, continue to review documentation for IT, note opportunities for improvement
IT QI Forms First Pass
Template Plan to be finalized and released next year QI Plan
