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 Center for Systems Improvement is proud to announce the opening of the EMS Quality Academy. This resources is designed 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 and systems of care for time sensitive conditions. Click here to see our offerings and get more information.



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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This webinar will challenge current approaches in the design and operation of systems of care for time sensitive conditions, such as those for STEMI, trauma, stroke, cardiac arrest and sepsis. The webinar will help you rethink how these systems are organized and then introduce the multi-condition Time Sensitive Care Coalitions model. Faculty: Mic Gunderson, Tim… Read More

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Typically, EMS providers organizations are held accountable for meeting specified response time standards, but not for their clinical performance. This webinar considers the needs, challenges and implementation of clinical performance requirements for EMS provider organizations. The webinar also explores what some of those clinical performance requirements might be. After the main presentation, a panel discussion… Read More

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This is the fifth and final webinar in our series on the Team-Based Quality Model. This module explores the vision and implementation for a new EMS job description – the EMS Clinical Specialist. This person leads a clinical speciality team in monitoring how well a particular clinical area is functioning and finding ways to improve… Read More

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This is the fourth webinar in our series on the Team-Based Quality Model. It goes into further details on the team-based quality model with: Ad hoc improvement project teams The project charter document that defines work and deliverables The crucial role played by the senior management team The relationship between ad hoc project improvement teams… Read More

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This is the third webinar in our series on the Team-Based Quality Model. Clinical Specialty Teams are small groups of staff members who share a passion for care in a clinical area, such as, cardiac arrest, STEMI, trauma, stroke, pediatrics, or airway management. These teams are empowered by the medical director and senior management team… Read More

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This is the second webinar in our series on the Team-Based Quality Model. This webinar helps clarify the distinction between organizational and systems-level quality improvement efforts. It goes on to present the time sensitive care coalition model for a community or region. It seeks to create synergies between separate time sensitive care committees that might… Read More

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