The Center for Systems Improvement (CSI) designs, builds, improves and supports systems of care for high-risk time-sensitive conditions, like 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.

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. Like the gears of a fine watch, 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 – these systems of care fall short of their potential. 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, in a timely manner, at a lower total cost.



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



See All Services
Vlog / Blog Posts

Latest Updates

This post is part 5 in our series on run charts. This one addresses the run chart rule for outliers. It defines an outlier – subjectively. The video then summarizes this five part series on run charts. (Duration = 5 min. 0 sec.) Transcript This is part 5 in our series on run charts. In… Read More

Continue Reading

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

Continue Reading

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

Continue Reading

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

Continue Reading

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

Continue Reading

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

Continue Reading
View Vlog/Blog