Performance Improvement

The WVEMS Performance Improvement Committee will review any EMS call. The Committee will also review any inter-facility transfer of a trauma patient for compliance with the Regional Trauma Triage Plan. Results will be used by our Medical Direction Committee in an effort to improve overall patient care within our region. Referrals may be made anonymously, however if you wish to receive feedback, please provide your name. A copy of the PPCR from the referred incident should be provided along with the referral form. Feel free to refer exceptionally GOOD calls as well as those with possible deficiencies.

Medical Incident Review Form


  pdf Performance Improvement Plan FY 2014  (83 KB)
  pdf Trauma Performance Improvement Plan FY 2014 (189 KB)

Performance Improvement / Quality Assurance Helps EMS By...

  • Improving Quality, consistency and customer satisfaction in EMS systems
  • Providing a way that EMS systems can define and improve what they do
  • Supporting strategies to improve staffing patterns, education, and reimbursement
  • Assisting EMS to define, measure and analyze their system of care

Performance Improvement / Quality Assurance Model

Do you have a PI Program for your agency?

In preparation for the State Office of EMS enforcement of the Virginia Emergency Medical Services Regulations section 12 VAC 5-31-600. Quality management reporting, the Western Virginia EMS Council's Medical Direction Committee, has developed a model performance improvement plan. Please feel free to use this plan... Work with your OMD, and modify it as you see fit, to meet the needs of your agency.


Does Your Program Meet State Guidelines?

12 VAC 5-31-600. Quality management reportingAn EMS agency shall have an ongoing Quality Management (QM) Program designed to objectively, systematically and continuously monitor, assess and improve the quality and appropriateness of patient care provided by the agency. The QM Program shall be integrated and include activities related to patient care, communications, and all aspects of transport operations and equipment maintenance pertinent to the agency's mission. The agency shall maintain a QM report that documents quarterly PPCR reviews, supervised by the Operational Medical Director.

Contact WVEMS for assistance to ensure that your PI program is in compliance!

How Does Your PI/QI Plan Work?

A PI/QI program is not meant to serve as a watchdog for big problems. A good PI/QI program tracks information that can be used to improve the overall effectiveness of your agency.

  • How do you choose which PPCR/Subjects to review?
  • Do you use peer review?
  • Do you share your review with the providers who were on the call?
  • What do you look for when you review a PPCR, subject, or protocol?
  • Do you send a quarterly report to your OMD?

pdf Performance Improvement Project - EZ-IO 2006-1 (63 KB)

pdf Performance Improvement Project - EZ-IO 2006-2 (92 KB)

pdf Call Times (57 KB)

pdf Dispositions (413 KB)

pdf Spinal Immobilization and GCS (18 KB)

pdf PI Projects 06-08 (18 KB) pdf For a listing of future project topics, please see the most recent minutes if the PI Committees (28 KB)

pdf Trauma Scene Time Study - Pub Oct 2008 (33 KB)

pdf Chest Pain Procedure Study - Pub Oct 2008 (34 KB)

pdf IO Study Data - Pub Oct. 2008 (17 KB)

pdf PI Project - On Scene Times by Airway Type - March 2010 (632 KB)

pdf Trauma PI Project - Evaluation of Pre-Hosp Arrest Cases - March 2010 (1.53 MB)

pdf PI Projects for FY 2013 (72 KB)


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