NEMSQA Measures

National EMS Quality Alliance Measure Set

In August 2019, the NEMSQA Measure Development Committee and Board of Trustees approved the eleven measures below for inclusion in the National EMS Quality Alliance Measure Set. The measure worksheets containing the technical specifications (including pseudocode) to support mapping measures/data to the National Emergency Medical Services Information System (NEMSIS) registry are available under NEMSQA Measure Technical Documents. Users are required to create a FREE user profile to access the technical specifications in order to facilitate communication of updates to the measures. Additional resources developed to assist with measure use and implementation are posted beneath the table.

Agencies and EMS professionals are encouraged to choose measures most meaningful to their patient population and implement those measures to improve performance and patient care. Data should be collected for an initial baseline period and results used to develop meaningful interventions to improve quality of care.

New 2023	Measure ID	Description	Type	National Quality Strategy Domain
*	Airway-01	Percentage of EMS responses originating from a 911 request for who receive a successful advanced airway placement on first attempt without documented hypotension or hypoxia during the peri-intubation period.	Outcome	Clinical Process – Effectiveness
*	Airway-05	Percentage of intubation procedures performed during an EMS response originating from a 911 request in which adequate patient oxygen levels were achieved prior to intubation procedure.	Process	Patient-Safety
*	Airway-18	Percentage of successful advanced airway procedures performed during an EMS response originating from a 911 request in which waveform capnography is used for tube placement confirmation and monitoring.	Process	Clinical Process – Effectiveness
	Asthma-01 *previously Pediatrics-02*	Percentage of EMS responses originating from a 911 request for patients with a diagnosis of asthma who had an aerosolized beta agonist administered.	Process	Clinical Process – Effectiveness
	Hypoglycemia-01	Percentage of EMS responses originating from a 911 request for patients with symptomatic hypoglycemia who receive treatment to correct their hypoglycemia.	Process	Clinical Process – Effectiveness
	Respiratory-01 *previously Pediatrics-01*	Percentage of EMS responses originating from a 911 request for patients with primary or secondary impression of respiratory distress who had a respiratory assessment.	Process	Clinical Process – Effectiveness
*	Respiratory-02	Percentage of EMS responses originating from a 911 request for patients with hypoxia during which oxygen is administered.	Process	Clinical Process – Effectiveness
	Pediatrics-03b	Percentage of EMS responses originating from a 911 request for patients less than 18 years of age who received a weight-based medication and had a documented weight in kilograms or lengthbased weight estimate documented during the EMS response.	Process	Patient Safety
	Safety-01	Percentage of EMS responses originating from a 911 request in which lights and sirens were not used during response.	Process	Patient Safety
	Safety-02	Percentage of EMS transports originating from a 911 request during which lights and sirens were not used during patient transport.	Process	Patient Safety
*	Safety-04	Percentage of EMS transports originating from a 911 request or interfacility request for patients less than 8 years of age during which patients are transported using a pediatric restraint device.	Process	Patient Safety
	Seizure-02	Percentage of EMS responses originating from a 911 request for patients with status epilepticus who received benzodiazepine during the EMS response.	Process	Clinical Process – Effectiveness
	Stroke-01	Percentage of EMS responses originating from a 911 request for patients suffering from a suspected stroke who had a stroke assessment performed during the EMS response.	Process	Clinical Process – Effectiveness
*	Syncope-01	Percentage of EMS responses originating from a 911 request for patients with syncope during which a 12-lead (or greater) ECG is performed.	Process	Clinical Process – Effectiveness
*	TBI-01	Percentage of EMS transports originating from a 911 request for patients with suspected traumatic brain injury during which oxygen level, ETCO2, and systolic blood pressure are documented.	Process	Clinical Process – Effectiveness
	Trauma-01	Percentage of EMS responses originating from a 911 request for patients with injury who were assessed for pain.	Process	Patient Experience
	Trauma-03	Percentage of EMS transports originating from a 911 request for patients whose pain score was lowered during the EMS encounter.	Outcome	Patient Experience
	Trauma-04	Percentage of EMS responses originating from a 911 request for patients who meet CDC criteria for trauma and are transported to a trauma center.	Process	Clinical Process – Effectiveness
*	Trauma-08	Percentage of EMS transports originating from a 911 request for patients with trauma during which GCS, systolic blood pressure, and respiratory rate are documented.	Process	Clinical Process – Effectiveness
*	Trauma-14	Percentage of EMS transports originating from a 911 request for patients meeting Step 1 or Step 2 prehospital field triage criteria for trauma during which a pre-arrival trauma alert is initiated.	Process	Clinical Process – Effectiveness
*	TTR-01	Percentage of EMS responses originating from a 911 request for patients not transported by EMS during which a basic set of vital signs is documented.	Process	Clinical Process – Effectiveness

Measure Specification Table (NEMSQA)_2021: A quick-reference table that includes broad-view measure specifications (i.e., numerator and denominator criteria) for each measure.
Project Summary with Measure Narratives: An overview of the EMS Compass 2.0 project and narratives for each measure, which include systems implications.
Frequently Asked Questions: Answers to commonly asked questions.
NEMSQA Measure Technical Release Notes_2021: A reference table that documents changes made to the NEMSQA measures during the 2021 annual review.
Fact Sheet: An info page explaining why agencies and systems should migrate from EMS Compass legacy/candidate measures to the National EMS Quality Alliance Measure Set.

NEMSQA Measures

National EMS Quality Alliance Measure Set

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