15 Miss. Code R. § 3-2-1.8.2

Current through June 25, 2024
Rule 15-3-2-1.8.2 - Specific audit filters will be established by the STEMI PI committee
a. In general, the following performance improvement processes should be performed by each STEMI center. The results of these reviews shall be reported to the STEMI PI committee.
i. Each STEMI center assigns a PI person to oversee the process
ii. Standards established
iii. Determine audit filters
iv. Collect data
v. Evaluate data
vi. Determine PI issues present
vii. Develop corrective action plan (CAP)
viii. Re-evaluate to document results/effectiveness of CAP
b. The following performance elements should be considered by each pre-hospital entity:
i. Accuracy of patient assessment and 12-lead ECG interpretation
ii. Protocol adherence
iii. Procedures initiated/completed
iv. Medical control interaction
v. Transport mode (air/ground)
vi. Record/documentation
vii. Inter-facility care/transport
c. The following performance elements should be considered by each STEMI center:
i. Outcome review
ii. Complications
iii. Deaths
iv. Achievement of time sensitive goals, i.e., door-to-balloon time
v. Adherence to designation level criteria

15 Miss. Code. R. § 3-2-1.8.2

Miss. Code Ann. § 41-3-15
Adopted 9/3/2017
Amended 5/25/2018