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<br />B. Provide Continuous Quality Improvement <br /> <br />Dr. Bourianoff shall direct, approve, and oversee all Quality Improvement activities. <br />Methods of Continuous Quality Improvement will include chart audits, EMS training officer <br />observations, exception reports, ED Nurse feedback, educational programs, protocol testing, <br />skills testing, random surveys, and organized research activities. <br /> <br />Dr. Bourianoffwill develop immediate action plans for sentinel events which are defined as <br />resuscitation cases, no transports, patient or family complaints, high risk procedures such as <br />cricothyrotomy, chest decompression, intraosseous placement, rapid sequence induction, <br />narcotic administration, adverse outcomes, and communication failures. <br /> <br />In addition, Dr. Bourianoff will see that 10% of each EMS certificant's patient charts are <br />audited bi-monthly. Dr. Bourianoff will arrange for assistance in Continuous Quality <br />Improvement gathering if calls run more than 75 days behind processing. This assistance <br />will be provided at no extra cost to Dr. Bourianoff. <br /> <br />Dr. Bourianoff will also oversee the operation of an ad hoc peer review committee made up <br />of three CITY paramedics, two first responders, and one ED Nurse. <br /> <br />C. Approve Continuing Education Programs <br /> <br />Dr. Bourianoff shall approve continuing education based on Continuous Quality <br />Improvement parameters and individual improvement programs. Dr. Bourianoff will <br />develop specialized programs and implement them as needed through the office ofthe City <br />of Paris EMS Training Coordinator. <br /> <br />D. Representation <br /> <br />Dr. Bourianoff will be required to attend the CITY EMS Advisory Board Meetings on a <br />quarterly basis. Periodic and special requested attendance will be required for Medical Staff <br />meetings at CHRISTUS St. Joseph's Hospital's north and south campuses, Emergency <br />Department Committees, and CITY Council meetings as well as any other matters requiring <br />the involvement of the Medical Director. Dr. Bourianoff will provide information on <br />Continuous Quality Improvement for local concern and customization of policies, protocols, <br />and procedures. <br /> <br />E. Accountability <br /> <br />Dr. Bourianoff is accountable and responsible for all patient care protocols, policies, and <br />procedures and the extension, limitations of extension, or removal of authority to any EMS <br />provider in the CITY EMS System to provide emergency medical care. Dr. Bourianoffwill <br />also understand this Agreement is a Performance Contract. <br />