Sudden cardiac arrest, severe trauma, heart attack, stroke, and sepsis – these are just some of the high-risk time-sensitive 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 need to be effective, timely and efficient.

For each of these systems of care, there’s a staggering array of complex processes and interactions within and between multiple logistical, electronic and human systems. When they do not fit together with precision; when there’s friction between pieces; when the pieces do not move in coordination – these systems of care fall short of their potential. The Center for Systems Improvement (CSI) works with stakeholders to upgrade a community’s system of emergency care into a well-oiled machine that consistently delivers high levels of quality at a lower total cost.

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Services

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

STEMI Systems of Care – Curated Newsfeed

See information from across the web related to STEMI systems of care that has been manually filtered and often with added comments from CSI … 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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This post is part 4 in our series on run charts. This one addresses the run chart rule for runs. It shows how having too many or too few instances of crossing the centerline of the run chart can signal special cause variation. (Duration = 5 min. 19 sec.) Transcript This is part 4 in… Read More

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This post is part 3 in our series on run charts. This one addresses the run chart rule for shifts. As an example to show how to apply the run chart rule for shifts, we look at the data from an improvement project team that’s watching their time interval data as they implement a change… Read More

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This post is part 2 in our series on run charts. In this one, we discuss how variation is present in all processes and the two types of variation we are looking for in run chart interpretation – common cause and special cause variation. The use of run chart rules to differentiate between the two… Read More

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Knowing if performance is getting better, worse, or staying about the same – it can have a big impact on management decisions. The tool that helps us understand how things are going is also one of the most important data visualization tools in the quality management toolbox – the run chart. This vlog will explain… Read More

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In this forth segment of the series on Systems Concepts, we take a deeper look into the systems of care concept to understand all of the elements and organizations that are involved. We use stroke systems of care as the example. (Duration 5:48) Notes and Resources HeartRescue Project – Fosters systems of care for out-of-hospital cardiac… Read More

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This vlog post is the third in a series about the concept of systems. Quality is important, but it’s not the only dimension of system performance. This post explores the relationships between quality, cost and value and how that applies to systems of care. (Duration – 6:02) Notes and Resources Related article:  Gunderson M: The… Read More

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