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• Set'a target date for re-evaluation <br />Repeat steps 1 -8 . <br />• Obtain'consensus from participants,(QI Committee, CEO and Directors) for <br />sharing results <br />Identify Authors.and associated participants <br />Draft final. publication document <br />• Resubmit"to group for final approval <br />'e. IPuhlish document. <br />Current Indicators:. <br />Detailed explanation of indicators will be found in the back:of this plan in Appendix A <br />Section III: Evaluation of System, Indicators <br />Analysis <br />Care Ambulance Service uses a monthly trending ahalysis tool that uses percentages. <br />Each quarter there is an m <br />area for sumarizing findings,,tiends identified; effectiveness <br />Of previous actions and corrective actions. The data is gathered by the Managerof. <br />QA/QI or QA/QI Specialist. The Nurse, Manage_ r may also be asked to, gather data for <br />the trending tool. <br />Presentation <br />This information will be presented to the QI Committee with the trending analysis tools <br />and any raw data twice a_year. <br />Trending Tool <br />Flow Chart <br />Line Chart <br />Pie. Graph <br />Utilizing the processes outlined in Appendix F. of the EMS System'Quality Improvement <br />Program Model Guidelines, the QI Committee will meet at'least twice a year -to evaluate <br />and discuss the data provided by the Manager of QAlQI according to the following <br />agenda: <br />1. Review of prior meeting action items. <br />2. Presentation of indicators and results/trends. <br />a. For each h indicator that the committee reviews, the following process will be <br />failowed: <br />I. Identify the objectives of the evaluation. <br />II. Present indicators and related EMS information <br />III. Compare,performance with goal&or benchmarks <br />IV. Discuss performarice with peers/colleagues <br />V. Determine whether improvement or.further e_ valuation'is required.. <br />VI. Establish plan based upon decision <br />VII. Assign responsibility for,post-decision action plan <br />3..Examine'correlations between/among trends. <br />4. Acknowledgement of,positive trends; discussion of _unsatisfactory trends. - <br />250 -268 <br />