Utah Admin. Code R911-10-21 - Continuous Quality Improvement Program

(1) An air ambulance provider shall establish a quality management team and a program that shall assess and improve patient care provided by the air ambulance provider.

(2) The quality management program shall include:

(a) a development of protocols, standing orders, training, policies, and procedures;

(b) approval of medications and techniques for field use by service personnel;

(c) direct observation, field instruction, in-service training, or other means available to assess the quality of field performance; and

(d) participation in local and regional performance improvement activities.

(3) An air ambulance provider shall have a written policy that outlines a process to identify, document, and analyze sentinel events, adverse medical events, or potentially adverse events with specific goals to improve patient medical safety and the quality of patient care.

(4) Policies and procedures shall include:

(a) a review of events for the effectiveness and efficiency of the organization, its support systems, and individuals within the organization;

(b) a method of information gathering developed for when a sentinel event is identified, including outcome studies, chart review, case discussion, or other methodology;

(c) a utilization review process;

(d) findings, conclusions, recommendations, actions, and follow-up made and recorded; and

(e) training and education needs, individual performance evaluations, equipment or resource acquisition, patient medical safety, and risk management issues.

(5) An air ambulance provider shall notify the department within 72 hours of the identification of any sentinel event, a change in accreditation status, an incident, an accident, or an outside investigation for patient care, patient safety, or provider safety.

Notes

Utah Admin. Code R911-10-21

Adopted by Utah State Bulletin Number 2024-14, effective 7/1/2024