Day 1 of the Michigan Center for Rural Health EMS Data and Quality summit summarized in a single word: NEMSQA.
Go to your ePCR program and run the reports and see what comes up.
Are your crews not documenting/doing, or are they putting the information in the narrative and not ticking the checkboxes? These are two different behaviors. A recurring theme from the table conversations is that we must recognize the data collection burden that is placed upon the crews; each new version of NEMSIS adds more fields, and your own Medical Direction/improvement efforts adds to that burden... crews want to take care of their patients, not spend agonizingly long times getting this tidbit and that tidbit...
And, you might also find out what Nick Lemcool and Kathryn D. discovered: their "version" of D10 was not recognized by the system; the crews were properly caring for patients, but the database didn't recognize their specific bag volume, so it said the crews were failing the metric.
One last comment: Before you jump to "the crews need more training", please go to them and seek to understand first. Understand why they do what they do--what are the friction points and barriers between your ideal state and the current reality? Don't reach for carrots or sticks until you learn what's actually going on.
Tomorrow, Jeffrey L. Jarvis, MD will tear into this radical idea that we can measure the effectiveness of our system in ways that don't involve looking at how quickly we can get on scene... 😉
Improving EMS comes in some wonderful ways.
Improving EMS comes through some wonderful people.
#EMS