Peninsulas EMS Council has a strong focus on improving the EMS provided within our region.  We accomplish this focus through several activities and programs:

Regional Performance Improvement Plan (General EMS) - Through the efforts of the PEMS Performance Improvement (PI) Committee and the Performance Improvement Coordinator, PEMS produces a regional plan each three years to guide the process of improving EMS in areas other than trauma.  This plan is reviewed annually and revised when necessary.

  Click here to download the PEMS Regional Performance Improvement Plan (General EMS).


Regional Performance Improvement Plan (Trauma) - Through the efforts of the PEMS Performance Improvement Committee and the Performance Improvement Coordinator, PEMS produces a regional plan each three years to guide the process of improving EMS with regard to trauma.  This plan is reviewed annually and revised when necessary.

  Click here to download the PEMS Regional Performance Improvement Plan (Trauma)


Regional QA/QI and Performance Improvement guidance - PEMS provides education and advice to regional agencies with regard to establishing internal QA/QI and performance improvement plans and programs.  The templates used in production of these plans and programs fully meet the requirements of 12VAC5-31, Virginia EMS Regulations.

  Click here to download the General EMS Quality Management Template

  Click here to download the Trauma Quality Management Template


Statistical Reviews and Reports - PEMS provides reports to authorized agencies and organizations who do not have their own capability to do so, providing statistical information regarding provision of EMS in the PEMS region.  


Medical Incident Review (MIR) - PEMS provides a system whereby any member of an agency, the healthcare system or the general public can make known their concerns regarding specific patient care incidents.  Each of these incidents is investigated and referred to the agency having authority for accomplishment of corrective action where necessary.  Information obtained through this process is handled with all due regard for HIPAA/PHI considerations.  Sanitized and aggregate results of MIRs are reviewed by the PI Committee to determine whether flaws in systemic processes contributed to the circumstances requiring the review.

Click here to submit a Medical Incident Review or download a form here and send to our secure fax at 804-302-6073.


Regional coordination - The PEMS PI Coordinator communicates regularly with PI counterparts in our sister Councils to determine where we can coordinate to reduce duplication of effort in performance improvement activities throughout Virginia.

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~ PEMS Performance Improvement (PI) Committee ~

 PEMS PI Committee consists of representatives from every aspect of our regional EMS system, including paid and volunteer EMS providers from municipal and rural areas.  Also represented are hospital emergency departments, the regional trauma center, as well as helicopter and transport EMS agencies.  All aspects of regional EMS are considered by the PI Committee, including trauma, stroke, and cardiac care, transport decision matrices, medications, and other areas as needed.  The PEMS PI Coordinator provides administrative and logistical support and performs statistical analysis as needed. 

The PI Committee serves the data and information needs of the Trauma Triage, STEMI, and Stroke Task Forces as well as the Medical Advisory Committee and other PEMS committees and stakeholders.  The PI Committee also supports the needs of our hospital partners in accomplishing their accreditation goals for their various specialty teams.

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