OAR 333-250-0320
Quality Assessment and Performance Improvement


The licensed ambulance service shall establish and maintain an effective quality assessment and performance improvement program that is approved by the EMS medical director and ambulance service administrator and may include:


A method to monitor, evaluate and improve organizational efficiency and care delivery;


A method to select and track performance improvement indicators which may include, but are not limited to:


Accurate patient assessment;


Medical intervention delivered in accordance with established protocols;


Success of skills;


Quality of clinical documentation; and


Clinical outcome data;


A process for investigating and addressing patient safety issues raised by means other than measured indicators; and


A defined quarterly reporting process for performance improvement activities and issues including:


Documenting and reporting individual issues and clinical indicator results; and


Documenting and reporting aggregate data of clinical indicators and other activities to staff.


To assist the licensed ambulance service and the EMS medical director in determining if appropriate and timely emergency medical care was rendered to a patient, the ambulance service designated official may request the following information from the receiving hospital as authorized by ORS 682.056 (Patient encounter data reporting):


Patient admit status and unit admitted to;


Any procedure listed in the National Highway Transportation Safety
Administration dataset dictionary (NEMSIS), using a version to be determined by the Authority, and performed on the patient within the first hour of being admitted;


Any medication administered to the patient within the first hour of being admitted; and


Trauma system entry by emergency department staff.


Information provided under section (2) of this rule is considered confidential pursuant to
ORS 682.056 (Patient encounter data reporting). Any employee or volunteer participating in a quality improvement session must have a signed confidentiality statement in their personnel file.

Source: Rule 333-250-0320 — Quality Assessment and Performance Improvement, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-250-0320.

Last Updated

Jun. 8, 2021

Rule 333-250-0320’s source at or​.us