• Quarterly reports on quality indicators are due within one month of the end of each calendar quarter.  Links to these forms in MS Excel format can be found below. Failure to submit these reports may result in loss of medical control for the ambulance service involved.
• QA/PI Officers are required to attend no less than 50% of the continuing education sessions offered each year.  These sesions are held on the first Wednesday of every other month (see calendar).  If the QA/PI officer is unable to attend a proxy may be sent.
• Paramedics, EMTs, and RNs who are employed by an ambulance service operating under the auspices of the CMEMSD are also welcome to attend these meetings.
• Run reviews are scheduled with each ambulance service no less than twice annually.  ALS level employees are required to attend these meetings.  If a provider is unable to attend he/she must schedule an individual meeting with the Performance Improvement Coordinator within 10 days of the group meeting.  Failure to do so may result in loss of individual medical control.
• The most common source of PI related concerns is paramedic protocol drift.  Each paramedic should review the protocol manual often enough to retain mastery of the protocols.  
• Questions regarding performance improvement should be addressed to Michael Brewer at (601) 984-6314.

Scope of Practice

Every medical profession has a scope of practice.  In our case scope of practice is determined by state law and by the regulations put forth by the Bureau of EMS.  Scope of practice determines exactly which assessments and skills you as a paramedic are allowed to perform.  At present the paramedic level scope of practice includes specific medications.  A paramedic may not administer any medication which is not on the Bureau of EMS approved medication list. Scope of practice is a matter of law and cannot be modified by a physicians order.  Carrying out an assessment or treatment which is not in your scope of practice may result in loss of medical control.