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QA/QI INTERFACE WITH LOCAL EMS AGENCY AND STATE EMS AUTHORITY The QA/QI Manager will be responsible for the direct interaction with the local EMS Agency (Orange,l_os Angeles and Riverside County EMS agencies), and will bean active participant in any county.EMS/QI process. Orange, Los Angeles and Riverside County EMS agencies will be known or referred to as EMS agencies (LEMSA) through this document. By cooperating with the local EMS agencies (LEMSA), Care Ambulance Service will make available mutually agreed upon relevant records for program monitoring and :evaluation. QA/QI Manager or his/her designee will be responsible for the following: • Cooperate with the LEMSA in carrying out the responsibilities of the LEMSA's EMS QI Program and participate in the LEMSA Technical Advisory Group. • Cooperate with the LEMSA in the implementation of state required EMS system indicators. • Cooperate with the LEMSA in the implementation of state optional EMS system indicators. • Cooperate -with the local EMS agency in monitoring, collecting data on, and evaluating state required and optional EMS system indicators. • Cooperate with the local EMS agency in monitoring, collecting data on, and evaluating local/regional EMS system indicators. • Cooperate in the re-evaluation and improvement of state and local EMS system indicators. • Develop, monitor, collect data on, and evaluate indicators specific to the EMS provider as needed. • Conduct meetings for internal review of EMS provider information and development of performance improvement plans related to the findings. • Establish a mechanism to receive input from the local EMS agency, other service providers and other EMS system participants for the development of f performance improvement plans. • Assure reasonable availability of EMS QI Program training and in-service education for EMS provider,personnel. • Prepare plans for expanding_ or improving the EMS Provider EMSQI Program. • Participate in meetings and presentations of state and local EMS system information for peer review to local designated advisory groups and other authorized constituents. QUALITY REVIEW COMMITTEE The Quality Review Committee (QI Committee) is a multi -disciplinary group thatvtilizes collective insight to evaluate system issues. The committee will meet a minimum of two times (or more as needed) a year and review audit findings /results regarding ,field care issues, develop indicators, acknowledge performance improvement, and develop action plans for deficiencies. The committee does not determine disciplinary action. The.focus' is to look at "global" system -wide issues. If field care is to be reviewed the employees Who participated in the call are to remain anonymous. The committee will look at issues 250-262