What Is Our Quality Management Program?

 The Stettler District Ambulance Association Integrated Quality Management program is responsible for ensuring that the level of emergency medical patient care and transportation provided by our practitioner’s is done at a reliable and standard level.

 

We achieve this by constantly evaluating our Integrated Quality Management program by recognizing strengths and weaknesses in the system and respond as necessary. The Integrated Quality Management program helps establish a standard of care and identifies needs for training programs and education to ensure proper and professional care is provided. The program’s ability to identify areas where our practitioners are high performing allows for acknowledgment and positive feedback.

 The Integrated Quality Management program consists of many different levels such as, allocation of resources, strategic planning, ethics culture, quality improvement, safety culture and risk management.  We ensure to engage our community, support partnerships, propose strategies, provide direction, take action, measure indicator results and share learning.  Although we typically concentrate on current practice, we evaluate our past and look to the future.

An effective Integrated Quality Improvement program provides the public with confidence that their emergency medical service is serving them with an established standard of care of quality and safety.

 The organization’s leaders measure for improvement based on Langley’s model for improvement, which focuses teams on three fundamental questions:

  1. What are we trying to accomplish?

  2. How will we know that a change is an improvement?

  3. What changes can we make that will result in improvement?

Change has led to an improvement when:

  • The work or activity is done more efficiently or effectively (process improvement)
  • There is a positive change in client outcomes
  • The effects of the change are enduring

 The organization’s leaders will monitor the progress and achievement of the Integrated Quality Improvement Program by implementing a two year plan.  The two year Quality Improvement Plan will achieve organization-wide improvements.  The organization’s leaders will identify opportunities for improvement and verify that the corresponding changes and improvements are implemented.  Staff and service providers are involved in interpreting the results, solving problems, and making improvements (Accreditation Canada Leadership Standard – 15.4).

The organizations leaders have identified five quality and safety issues:

  1. Driving Risks

  2. Hand Hygiene Compliance

  3. Human Resources

  4. Medication Safe Practice

  5. Staff Development

 The organization’s leaders will regularly review and evaluate the quality improvement initiatives for feasibility, relevance and usefulness.

 An Integrated Quality Improvement program involves a team of dedicated professionals who ensure that medical care provided in the field by pre-hospital personnel is:

  • Safe
  • Client-Centered
  • Accessible
  • Efficient
  • Appropriate
  • Cost-effective
  • Population Focused
  • Standardized

 

 The organization’s leaders will monitor the progress and achievement of the Integrated Quality Improvement Program by implementing a two year plan.  The two year Quality Improvement Plan will achieve organization-wide improvements.  The organization’s leaders will identify opportunities for improvement and verify that the corresponding changes and improvements are implemented.  Staff and service providers are involved in interpreting the results, solving problems, and making improvements (Accreditation Canada Leadership Standard – 15.4).

 The organization’s leaders will measure the quality improvement initiatives identified in the two year plan:

  • Measurement identifies what needs to change and the baseline performance

  • Measurement identifies results of change initiatives

  • Measurement identifies if desired impact has been reached

  • Measurement identifies unexpected impacts

 

The organization’s leaders will also communicate the results of quality improvement activities broadly, as appropriate.  Broad communication includes communicating with the governing body, staff, service providers, volunteers, and patients and families.  The organization’s leaders may also share the results of quality improvement activities with partners, stakeholders, and the community as a whole.

 

At least quarterly, the quality performance of the organization is monitored and evaluated against agreed-upon goals and objectives (Accreditation Canada Governance Standard 12.0 – Required Organizational Practice).

 

Results are communicated in accordance with legislation that protects information related to quality, risk management, and personal health information (Accreditation Canada Leadership Standard – 15.5).

 

 Information about the quality performance of the organization is used to make resource allocation decisions and set priorities and expectations (Accreditation Canada Governance Standard 12.0 – Required Organizational Practice).

The Stettler District Ambulance Association Integrated Quality Improvement Program encompasses the following:

  • Values Driven Decisions
  • Employee Competency
  • Employee Engagement
  • Worklife
  • Accessibility
  • Community Needs Assessment
  • Operational Planning
  • Directions, Goals, Objectives
  • Communication Planning
  • Ethical Framework
  • Advocacy
  • Quality Monitoring
  • Quality Improvement
  • Continuity
  • Patient Safety
  • Workplace Safety
  • Preventative Maintenance
  • Incident Reporting System
  • Emergency Management
  • Risk Reduction/Resolution
  • Risk Analysis
  • Hazard ID/Risk Assessment
  • Reviews and analyzes legislation, regulations, guidelines and best practices pertaining to EMS operations in Alberta.
  • Coordinates revisions or changes to policy and procedures in response to changes in regulations.
  • Ensure patient care is delivered following the standards required by Alberta Health Services.
  • Develop ‘action plans’ to ensure compliance.

 

 Summary

 EMS Components and Integrated Quality Improvement Activities:

  • Medical Direction
  • Protocols; continuous re-evaluation
  • Training
  • Communications and dispatch
  • Pre-hospital transport
  • Inter-facility transport
  • Receiving facilities
  • Public information and education
  • Audits and quality assurance
  • Disaster planning
  • Positively influences patient outcome