Local EMS Agency EMSC Quality Improvement and Evaluation Process.

(1)

Policy Development. An EMSC program Medical Director assisting in the development of LEMSA prehospital care policies, procedures, and protocols relevant to the care of pediatric patients.

(2)

Multidisciplinary QI Committee. An EMSC or QI committee that addresses multidisciplinary EMSC QI work.

(3)

System Participation.

(4)

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

(5)

Case Review. Review of pediatric 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 a disclosure-protected review of selected pediatric cases.

(1)

Evaluation Support Process. The LEMSA shall implement a process utilizing EMSC committee work and regular data reporting, as set forth in this section, to share information bi-directionally with EMS providers, system-participating GACHs, and the local medical community. This process shall support ongoing EMSC program evaluation, including the EMSC program 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 EMSC program on a basis of at least every three (3) years. Results of the EMSC program evaluation shall be made available to system participants.