The Center for Systems Improvement (CSI) designs, improves and supports emergency medical services (EMS) systems and regional systems of care for time-sensitive conditions, such as those for sudden cardiac arrest, severe trauma, heart attack, stroke, and sepsis. These are just some of the conditions where truly emergent care needs to be both effective and efficient in order to give patients the best chances of survival and recovery. Clinically proficient treatment without timely delivery is not enough. Timely delivery without proficient care is inadequate. Proficient and timely care at an unaffordably high cost is not economically sustainable. Your community’s systems of care for these conditions need to be effective, timely AND efficient.

In EMS systems and in systems of care for time sensitive conditions, there’s a staggering array of complex processes and interactions within and between multiple logistical, electronic and human systems. Like the gears of a clock, all the parts have to work together. But when the parts do not fit together with precision; when there’s friction between parts; when the parts do not move in coordination – EMS systems and these time sensitive systems of care fall short of their potential. CSI works with stakeholders to refine a community’s emergency medical care systems into well-oiled machines that consistently deliver high levels of quality, in a timely manner, with a high level of operational efficiency.

EMS Quality Academy

The EMS Quality Academy provides resources for EMS quality managers and others interested in learning about quality, improvement science, and how to design, implement and improve a quality management program in EMS organizations or systems of care for time sensitive conditions. Click here to see our offerings and get more information.

Services

Consulting

Community-Level Assessments

Sometimes, problems and opportunities to improve stretch across an entire community or region. These types of change initiatives need to engage all of the… Read More

Supplier Industry Consulting

CSI has strong experience consulting with suppliers to the emergency care market. These services may be helpful for development or refinement of products; forming custom … Read More

EMS System Assessments

EMS systems and provider organizations can catalyze dramatic internal and external improvements as a result of an independent assessment of their… Read More

Outsourced EMS QI Data Analysis

Some organizations may find that their QA/QI resources are being consumed by efforts to take the raw data their organization collects and turn it into reports. After that, … Read More

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Composite measures are useful tools for summarizing groups of metrics as a single metric. This webinar shows how to build composite measures based on polarity, magnitude and weighting. The example used throughout this webinar was building a basic cardiac resuscitation performance measure consisting of five process metrics – compression rate, depth, peri-shock pause, compression fraction… Read More

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This webinar illustrates how process capability indexes contrast the reality of process performance against process specifications that have both lower and upper specifications – like too slow or fast, large or small, etc. The example used in the webinar tells the story of an ad hoc improvement project team that went through several process changes… Read More

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Measuring and improving performance at a systems-level has several unique challenges. In order to measure how well the system of care for a time sensitive emergency is working, we need to combine data across multiple entities. In some communities, this can get quite complex with multiple hospitals and multiple EMS agencies. It may require organizations… Read More

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