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Performance Improvement
Purpose of the Medical & Trauma Performance Improvement Committees

The Performance ImprovementCommittee (PI) and the Trauma Performance Improvement Committee (TPI), under direction of the Regional Operational Medical Director is responsible for assuring and improving the quality of pre-hospital care within EMS systems that are served by the Blue Ridge Emergency Medical Services Council (BREMS).  These committees will work under the provisions of this Performance Improvement Plan (PIP).

Virginia EMS Rules and Regulations 12 VAC5-31-600
"An EMS agency shall have an Ongoing Quality Management (QM) Program designed to objectively, systematically, and continously monitor, assess, and improve the quality and appropriateness of patient care prodied by the agency.  The QM Program shall be integrated and include activities related to patient care, communications, and all aspsects of transport operations, and equipment maintenance pertinetn to the agnecy's mission.  The agency shall maintain a QM report that documents quarterly PPCR reviews, supervised by the operational medical director." 



Membership of the CQI Committees

The BREMS Regional CQI Committee is comprised of a representative from each locality in the BREMS region, to include CVCC Public Safety Programs and Centra Air and Ground Transport Services.
In addition, we have a hospital representative from Trauma Services and the Emergency Room. 
We also include other area hospitals in the BREMS region.

These meetings have an open-door policy. Any certified EMS Provider in the BREMS Region and All Operational Medical Directors (OMDs) are invited to attend at any time.

 The PI Committees shall be comprised of a representative/or their designee from:

 Each jurisdiction: 

Accredited education program:  Jason Ferguson/Lisa Aiken

Air Medical: Robbie Conner

Amherst County: Sam Bryant

Appomattox County: Susan Walton

Bedford County/Bedford City:  Janet Blankenship

Campbell County: Michelle Turner/Frank Smith

Commercial Transport Agency: Jeff Tanner & Tom Walton

Hospital Representative: Dr. Tom Forsberg, Co-Director for LGH Trauma Services; Kelly Brown, Centra R.N., Centra Trauma Services; Vacant, ED Representative

Lynchburg City:  Ricky Bomar, Robert Lipscomb or designee

Regional Operational Medical Direction Committee:  Dr. Wendy Wilcoxson, Dr. Kayla Long



Performance Improvement



 Regional PI Plan:


Meeting Minutes:

icon BREMS CQI Meeting Minutes - June 2018

icon BREMS CQI Meeting Minutes - March 2018




Tool Sheets:

BREMS Regional CQI Incident Form & Policy 

icon EMS Incident Form & Policy


Quarterly Reports: 

icon FY 2018 - Q1 Field Coordinator's Report


  Centra Trauma Services Information for EMS Agencies

icon Trauma Alert Criteria for 2017

Centra Trauma Services would like EMS Providers to look over the Trauma Alert Guidelines.

 It is not required by EMS providers to notify Medical Control of "Trauma Alerts".  However if you feel you have a patient that fits in the Alert Guidelines please notify Medical Control when calling in your report.  Also, please remember during your call report, to state your AGENCY NAME and LEVEL OF CARE (EMT, Enhanced, Intermediate or Paramedic).  Please contact BREMS with any questions/concerns.