iii. Advocate for the creation of incentives for reporting on industry supported quality measures.
c. National EMS associations should: i. Promote the exchange of health care information at the community level. ii.Facilitate data sharing through advocacy for interoperability standards. iii. Advocate for the creation of incentives for the meaningful use of data. 4.Reporting on Quality a. Local EMS authorities / agencies should: i. Emphasize the importance of data collection and quality improvement amongst their providers. ii.Implement process measures supported by national guidelines such as time to EKG for suspected myocardial infarction and prehospital notification for suspected stroke. b. State EMS authorities / associations should: i. Require the reporting of measures endorsed by national guidelines. ii.Encourage the reporting of additional measures either endorsed by national guidelines, supported by literature, or developed in collaboration with local EMS authorities, agencies, and stakeholders. iii. Facilitate the reporting of outcomes through policy development that encourages clinical feedback to EMS agencies from downstream providers such as hospitals. c. National EMS associations should: i. Fund the research and development of EMS quality metrics. ii.Engage national quality organizations such as the National Quality Forum and the Agency for Health care Research and Quality in the ongoing development of quality metrics
5. Emphasize Patient and Provider Safety a. Local EMS authorities / agencies should:
i. Promote a culture of safety in which providers feel protected from retribution for raising safety concerns. (similar to the values in a school of thought known as “Just Culture.”) ii.Establish policies that encourage reporting incidents and protocols for investigating those incidents utilizing a root cause analysis approach. iii. Educate providers about the importance of patient safety, provider safety and reporting incidents, including “near misses.” iv. Develop capabilities to support provider resilience and recovery from physical and mental health stresses caused by critical incidents. b. State EMS authorities / associations should: i. Promulgate standards related to vehicles, equipment and training that protect the EMS provider and patients being cared for in the prehospital setting. c. National EMS associations should: i. Advocate for a national data system for reporting and tracking responder safety and patient safety in EMS. ii.Embed the culture of safety into national educational guidelines.
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CHAPTER 5
MOUNT SINAI HEALTH SYSTEM | UNIVERSITY OF CALIFORNIA, SAN DIEGO
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