Ems Quality Improvement Case Study

Your team has been chosen to participate in an internship in a prestigious health care organization working for the chief information officer (CIO). As one of your internship assignments, the CIO has asked your team to prepare a presentation she can use in a briefing to the board of directors on electronic medical records.

Although the overall state of compliance for the organization is good, there are several areas that have been identified as “Priority Focus Areas” due to a past history of nonconformities. All these areas are related to Information Management and Record of Care, Treatment, and Services, in particular:

Although the overall state of compliance for the organization is good, there are several areas that have been identified as “Priority Focus Areas” due to a past history of nonconformities. All these areas are related to Information Management and Record of Care, Treatment, and Services, in particular:

My clinical site utilizes an electronic medical record. This system is integrated with the nearby hospital system. Information is placed directly into the patients’ electronic medical record (EMR). Details related to the history and physical are entered as information is obtained during each visit. Behavior and psychosocial details get recorded in a standardized template such as a SOAP note.

I will be evaluating ForKids located in Norfolk, Virginia. This agency serves homeless families in their community. I called the agency and asked for their permission to evaluate them. I let them know the evaluation is for a class assignment, and that I might have to conduct observations and interviews later on. They were more than happy to help me.

Mary Beth is certified in EMS Ambulance Coding. As part of our Compliance Program, Mary Beth performs post payment claim audits, and looks for proper level of care billing, and ICD10 coding accuracy. Mary Beth will address any billing or documentation issues with executive management and the billing specialists. She has proven extremely efficient in handling of erroneous insurance denials, and also bills for fire and rescue scene clean up services. She has had numerous patient and client compliments. Mary Beth runs the office in a smooth and efficient manner.

Currently I do not participate in any of the EMS Field. I work in mental health St. Helena Hospital, and we receive many patients from the emergency room, but are not directly in the EMS Field. Within the next few weeks I will become an official volunteer EMT at Angwin ambulance. I personally have always enjoyed helping others and that's what brought me into the healthcare field. I look forward to working as an EMT because that's more along the lines of what I want to do as a career, which is an emergency room nurse. I chose the EMS Field because not only do I love helping others but I enjoyed the challenges that EMTs face and the constantly changing environment. I enjoy being on the front lines of the action and getting to play an instrumental role in everything from holding a hand saving a life.

Comparing Maryland EMS to the White Paper, the White Paper’s several recommendations to improve systems as a whole was built into the framework of Maryland EMS, and aided in the growth of our system. Since the White Paper, many improvements have been made. First, there is now a standard curriculum for EMT-Basics, EMT-Intermediate, and EMT-Paramedics through National Registry, with program accreditation guidelines developed by CoAEMSP. Specifically in Maryland, there is now a defined scope of practice written by physicians, implemented through standing-orders in a statewide protocols.

I chose to do my evaluation assignment on the Eric March Foundation for Wildland Firefighters. This organization is committed to serving firefighters and their families that are directly affected by wildland deaths. I chose this organization because it close to home. On June 30th, 2013 19 Granite Mountain Hotshots wildland crew members died while defending the town of Yarnell, Arizona from a wildland fire. The fire was named the Yarnell Hill Fire and was the deadliest in Arizona, the 6th deadliest in America. The crew members were part of our community in and around Prescott, Arizona. Eric March, the Superintendent of the Granite Mountain Hotshots, was my husband’s partner in EMS (Emergency

Quality improvement data is followed in all health care setting. The use of Cerner EHRs allows data to be obtained from patient charts to analyze core measures. According to the joint commission influenza and pneumococcal vaccinations measures should be addressed in all hospital in-patients (The Joint Commission, 2015). Data can be retrieved on those patient who were diagnosed with pneumonia to determine if they received the vaccinations for pneumonia and influenza. As well as tracking the time frame between diagnosis and treatment, and additionally the patient outcome. This is captured through the documentation of the clinical staff. The information can be analyzed to determine the quality improvement changes that need to be implemented to improve patient outcomes.

I welcome all EIS posts and am flexible with regards to the topical area and the geographic location of the assignment. Throughout my career, I have been fortunate to have diverse work and volunteer experiences, both abroad and within the United States. These opportunities have given me a profound appreciation for the interdisciplinary nature of public health. During the course of my career and education, I have provided primary and urgent medical services for communities without insurance; traveled to Sweden to conduct qualitative research aimed at improving chronic cancer pain; developed community outreach materials

This case study is based on the integration of electronic medical records known as EMR. The integration process came from Dryden, New York and was tested by a small medical practice named Dryden Family Medicine. The practice has been known for its outstanding family based services given to their community. The implementation process of EMRs doesn’t come without risks, but with its outstanding paper based medical record keeping that continued to expand as the practice grew left the Dryden Family practice no other choice but to try out something new in hopes for a better outcome.

The requirement for quality and safety improvement initiatives influences the health care system. Quality health care is health services for individuals and populations that increase the likelihood of desired health outcomes and are consistent with current professional knowledge (Hughes, 2008).

In the United States alone there are 98,000 deaths per year caused by low quality health care (Ignatavicius & Workman, 2013, pg. 2). This statistic is disturbing because the errors that resulted in death were errors that were preventable. The intent of this chapter is to bring awareness to health care providers that are able to make a change in the quality of health care. In current practice patients are subjected to medication errors, preventable hospitalizations, premature death, and poor care provided due to racial, ethical, or low-income factors.

Assessment, Evaluation and Improvement – had to adopt a systematic approach to evaluating their successes and failures. They conducted real time evaluations to assess and influence emergency response. These exercises provided vital information about the effectiveness of their response and allowed them to make crucial adjustments to their process.