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Things that Matter

Metrics 2015
The Things that Matter (TtM) were developed by AMR’s clinical and medical leaders across the country and target seven current areas of critical importance to patients and communities. These include:
  • Assuring Safe Patient Care & Transport: Assuring that patients are safe while in our care
    • Organizational reduction in adverse event rate
    • EMS Safety Attitudes Questionnaire (average practice score)
  • Cardiac Arrest Resuscitation: Focus on prompt, appropriate & effective resuscitation
    • Survival to hospital discharge (%) (CARES)
    • ROSC (% at ED delivery) 
    • Neurologic Outcome (average CPC 1-5) (CARES)
    • CPR Quality (% of time with active chest compressions) (if using CPR Analytics)
    • Field termination of resuscitation (% of cases) (CARES)
  • Reduction in Pain & Discomfort: Enhance patient comfort & reduce pain
    • Pain scale(and or nausea scale)  improvement at ED (% of cases)
    • Documentation of pain scale (at least x2) (% of cases)
    • Documentation of pain treatment (% of cases)
    • Documentation of controlled substance use (% of cases)
    • Documentation of comfort measures (% of cases)
  • Safe & Effective Maintenance of Airway & Ventilation: Assure optimal airway patency, ventilation & oxygenation
    • Improvement in EtCO2 at ED  (% of cases with abnormal initial EtCO2)
    • Physiologic measures  improvement at ED
    • Utilization of advanced airways (% of total cases)
    • Documentation of EtCO2 and SpO2 (at least x2) (% of cases)
    • Documentation of EtCO2 at ED handoff (% of cases)
    • Use of airway checklist (% advanced airway cases)
  • Relief of Respiratory Distress: Relieve respiratory distress & optimize ventilation & oxygenation
    • Improvement in respiratory distress scale at ED (% of cases)
    • Physiologic measures improvement at ED)
    • Documentation of respiratory distress scale (at least x2) (% of cases)
  • Time Sensitive Conditions:  Effective & Timely Care for STEMI/Stroke, Spesis & Trauma: Recognize & appropriately care for STEMI/Stroke, Sepsis & Trauma
    • Physiologic measures improvement at ED
    • Transport to designated facility (% of cases)
    • Time to activation (average in minutes)
    • Time to intervention (average in minutes)
    • Documentation of Physiologic data (at least x2)  (% of cases)
    • Diagnostic agreement with specialty facility (% cases)
    • Functional outcome (FIM score)
  • Appropriate Record of Care:  Complete documentation, appropriate and accurate account of patient care