Quality Improvement and Safety

At Mount Sinai EMS, Quality Improvement and Safety are the highest priority. 

As required, by Article 30 of New York State Public Health Law, quality improvement and assurance are important to maintain a high standard of care in EMS.  As a hospital-based EMS service, we work with a diverse group of Emergency Care Providers to continuously evaluate the work that we do.   In addition to the mandatory requirements of the New York City REMAC, we closely monitor critical clinical conditions such as stroke, cardiac arrest and cardiac emergencies. 

Capitalizing on our electronic patient care data, we utilize quantitative tools and case-based reviews to identify opportunities for improvement in our care.  This data is used for provider education, identification of active and latent patient safety issues and operational improvement to support clinical work. 

Mount Sinai EMS Quality Metrics

Chest Pain

1. 1. Percent of patients >35 years old with chest pain who receive ECG*
   2. FMC to ECG for patients  >35 yo with chest pain

Cardiac related chest pain who are suspected/confirmed STEMI patients.

1. 1. First Medical Contact to ECG < 10 min (%)*
   2. FMC to Hospital (81) < 30 min (%)*
   3. FMC to balloon time < 90 minutes (%)*
   4. Aspirin given
   5. Appropriate destination

All ALS Cardiac Arrests

1. 1. Resuscitation quality a
      • Presence of Codestat Data
      • Presence of appropriate settings
      • Chest compression fraction
      • Compression rate and quality
   2. Appropriate ALS care
   3. ROSC
   4. Sustained ROSC*
   5. Survival (as permitted given hospital follow-up)*

All patients brought by EMS with EMS provider impression suspected stroke.

1. 1. Documentation of last known normal
   2. Documentation of prehospital stroke scale
   3. On-scene time (From patient contact to departure <20 min)
   4. Notification documented