Section 3006. Quality improvement program  


Latest version.
  • 1. By January first, nineteen
      hundred ninety-seven, every ambulance service and advanced life  support
      first  response  service  shall  establish  or  participate in a quality
      improvement program, which shall be an ongoing  system  to  monitor  and
      evaluate the quality and appropriateness of the medical care provided by
      the  ambulance  service or advanced life support first response service,
      and which shall pursue opportunities to  improve  patient  care  and  to
      resolve  identified  problems.  The  quality  improvement program may be
      conducted independently or in collaboration with  other  services,  with
      the  appropriate  regional  council,  with an EMS program agency, with a
      hospital, or with  another  appropriate  organization  approved  by  the
      department.  Such  program  shall  include  a committee of at least five
      members, at least three of whom do not participate in the  provision  of
      care  by  the service. At least one member shall be a physician, and the
      others shall be nurses, or emergency medical  technicians,  or  advanced
      emergency  medical  technicians, or other appropriately qualified allied
      health personnel. The  quality  improvement  committee  shall  have  the
      following responsibilities:
        (a)  to  review  the  care  rendered  by the service, as documented in
      prehospital care reports and other materials. The committee  shall  have
      the  authority to use such information to review and to recommend to the
      governing body changes in administrative policies and procedures, as may
      be necessary,  and  shall  notify  the  governing  body  of  significant
      deficiencies;
        (b)  to  periodically  review  the  credentials and performance of all
      persons providing emergency medical care on behalf of the service;
        (c) to periodically  review  information  concerning  compliance  with
      standard  of  care  procedures  and protocols, grievances filed with the
      service by patients or their families, and the occurrence  of  incidents
      injurious  or  potentially  injurious to patients. A quality improvement
      program shall also include participation in the department's prehospital
      care reporting system and the provision of continuing education programs
      to address areas in which compliance with procedures  and  protocols  is
      most  deficient  and  to  inform  personnel of changes in procedures and
      protocols.  Continuing education programs may be provided by the service
      itself or by other organizations; and
        (d) to present data to the regional medical advisory committee and  to
      participate in system-wide evaluation.
        2.  The information required to be collected and maintained, including
      information from the prehospital care reporting system which  identifies
      an  individual,  shall  be  kept  confidential and shall not be released
      except to the department or pursuant to section three thousand four-a of
      this article.
        3. Notwithstanding any other provisions of law, none of  the  records,
      documentation, or committee actions or records required pursuant to this
      section  shall  be subject to disclosure under article six of the public
      officers law or article thirty-one of the civil practice law and  rules,
      except  as hereinafter provided or as provided in any other provision of
      law. No person in attendance at a meeting of any such committee shall be
      required to testify as to what  transpired  thereat.    The  prohibition
      related  to  disclosure  of  testimony shall not apply to the statements
      made by any person in attendance at such a meeting who is a party to  an
      action  or  proceeding the subject of which was reviewed at the meeting.
      The prohibition of disclosure of information from the  prehospital  care
      reporting  system shall not apply to information which does not identify
      a particular ambulance service or individual.
        4.  Any  person  who  in  good  faith  and  without  malice   provides
      information to further the purpose of this section or who, in good faith
    
      and  without  malice,  participates on the quality improvement committee
      shall not be subject to any action for civil damages or other relief  as
      a result of such activity.