Mahshid Abir1,2,3, Jane Forman2,4, Rekar K Taymour5, Christina Brent1,2, Brahmajee K Nallamothu2,6,7, Jaqueline Scott8, Kathy Wahl8. 1. Department of Emergency Medicine, University of Michigan, Ann Arbor, MI. 2. Acute Care Research Unit, Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI. 3. RAND Corporation, Santa Monica, CA. 4. Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI. 5. MMS Holdings, Canton, MI. 6. Division of Cardiovascular Diseases and the Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI. 7. Michigan Integrated Center for Health Analytics & Medical Prediction (MiCHAMP), University of Michigan, Ann Arbor, MI. 8. Michigan Department of Health and Human Services, Lansing, MI.
Abstract
OBJECTIVE: To identify modifiers of emergency medical services (EMS) oversight quality, including facilitators and barriers, and inform best practices and policy related to EMS oversight and system performance. METHODS: We used a qualitative design, including 4 focus groups and 10 in-depth, 1-on-1 interviews. Primary data were collected from EMS stakeholders in Michigan from June to July 2016. Qualitative data were analyzed using the rapid assessment technique. RESULTS: Emergent themes included organizational structure, oversight and stakeholder leadership, interorganizational communication and relationships, competition or collaboration among MCA stakeholders, quality improvement practices, resources, and needs specific to rural communities. CONCLUSIONS: EMS is a critical component of disaster response. This study revealed salient themes and modifiers, including facilitators and barriers, of EMS oversight quality. These findings were evaluated in the context of current evidence and informed state policy to improve the quality of EMS oversight and prehospital care for both routine and disaster settings. Some were particular to geographic regions and communities, whereas others were generalizable.
OBJECTIVE: To identify modifiers of emergency medical services (EMS) oversight quality, including facilitators and barriers, and inform best practices and policy related to EMS oversight and system performance. METHODS: We used a qualitative design, including 4 focus groups and 10 in-depth, 1-on-1 interviews. Primary data were collected from EMS stakeholders in Michigan from June to July 2016. Qualitative data were analyzed using the rapid assessment technique. RESULTS: Emergent themes included organizational structure, oversight and stakeholder leadership, interorganizational communication and relationships, competition or collaboration among MCA stakeholders, quality improvement practices, resources, and needs specific to rural communities. CONCLUSIONS: EMS is a critical component of disaster response. This study revealed salient themes and modifiers, including facilitators and barriers, of EMS oversight quality. These findings were evaluated in the context of current evidence and informed state policy to improve the quality of EMS oversight and prehospital care for both routine and disaster settings. Some were particular to geographic regions and communities, whereas others were generalizable.
Entities:
Keywords:
disaster response; emergency medical services; prehospital care; quality improvement
Authors: Mahshid Abir; Rekar K Taymour; Jason E Goldstick; Rosalie Malsberger; Jane Forman; Stuart Hammond; Kathy Wahl Journal: Int J Emerg Med Date: 2021-04-14