Local EMS Agency STEMI Program Quality Improvement and Evaluation Process.

(1)

Policy Development -- A cardiologist assisting in the development of LEMSA prehospital care policies, procedures, and protocols relevant to the care of STEMI patients.

(2)

Multidisciplinary QI Committee. A multidisciplinary STEMI QI Committee, including representation from prehospital providers and general acute care hospitals (GACHs).

(3)

System Participation. Participation of all relevant prehospital providers as well as designated STEMI receiving centers and STEMI referring hospitals in:

(4)

Regional Coordination Review. Evaluation of regional coordination and integration of STEMI patient movement, including STEMI destination policies or STEMI IFTs that involve GACHs outside the LEMSA's jurisdiction.

(5)

Case Review. Review of STEMI-related deaths, locally defined adverse events, and transfers.

(6)

System Performance Evaluation. Evaluation of program structure, process, and outcomes.

(7)

Confidentiality Protections. Compliance with the California Evidence Code, Section 1157.7 to ensure confidentiality and disclosure-protected review of selected STEMI cases.

(1)

Evaluation Support Process. The LEMSA shall implement a process utilizing cardiac care committee work and regular data reporting to share information bi-directionally with EMS providers, system-participating GACHs, and the local medical community. This process shall support ongoing STEMI critical care system evaluation, including the STEMI critical care system plan, to ensure that the plan meets the needs of the local EMS system.

(2)

Periodic Performance Evaluation. The LEMSA shall periodically evaluate the performance of its STEMI critical care system on a basis of at least every three (3) years. Results of the STEMI critical care system evaluation shall be made available to system participants.