Transitional Emergency Medical Coordination and Quality Improvement Services

The Vendor is required to provide transitional emergency medical coordination and quality improvement services.
- A bridge project to keep specific project deliverables going while the county transitions to a new full-time staff.
- Clinical:
• Review clinical compliance exception requests monthly with ems medical director (EMSMD).
• Review relevant data and documentation.
• Consider logistical barriers and their relevance to the exception requests.
• Evaluate and develop guidelines and protocols for basic life support (BLS) expansion
• Review current agency BLS transport guidelines and make appropriate updates driven by quality improvement and other relevant data.
• Develop and refine separate BLS patient care protocols based on current best practice, national standards, and state scope of practice guidelines.
• Review data on nurse navigator (NN) utilization; create recommendations for expansion of NN as well as BLS based on NN utilization.
• Develop protocol and educational and credentialing standards
• Perform background literature review and research addressing clinically relevant topics such as communicable and chronic diseases, cardiac arrest, STEMI, stroke, trauma, frequent callers, and healthcare disparities.
• Report learnings and recommendations to the EMSMD
- Quality improvement:
• Review specific cases with ems epidemiologist to identify areas of system improvement:
1. Advanced/basic life support - call types flagged as having potential for better response by a BLS unit
2. Agitated patient qi - clinical cases of patients who receive intermuscular (IM) sedatives secondary to agitation
• Conduct analysis and present results for quality improvement initiatives for the agency quality improvement workgroup.
• Provide technical support and subject matter expertise in data analysis and report to the clinical quality improvement committee, ems alliance, and others; this includes independently creating and/or evaluating data definitions and quality and making decisions related to data interpretation (e.g., refinement, adoption, and implementation).
• Attend and report out as necessary to monthly quality assurance/improvement (QA/GI) and clinical strategic planning (CSP) meetings.
- Operational:
• Evaluate individual components of ems system as a whole, e.g., asset utilization, response package assignments, ambulance patient offload time (APOT), etc. develop recommendations for system improvement.
• Develop and test first watch triggers for ems surveillance including, but not limited to, APOT, call volume, transport distribution, various ems incident time segments.
• Review cases transported between facilities utilizing the 9-1-1 system; develop report to be delivered to hospitals and agency; develop recommendation for mitigation strategies.
- Emergency planning:
• Review and draft updated annex h: emergency medical services resource management plan in coordination with ems team and public health emergency preparedness plans coordinator.
• Develop ems ambulance contingency plan in coordination with regional partners and members of agency team.
- Contract Period/Term: 6 months
- Questions/Inquires Deadline: March 11, 2025