All EMS related state laws can be found on the Oregon Health Authority's EMS and Trauma Program website.
Under this authority Washington County has adopted its own county Code, Administrative Rules, Ambulance Service Area (ASA) Plan, and Franchise Agreement for Emergency Ambulance Services.
Washington County Code 8.32: Emergency Medical & Transportation Services Ordinance
911 Transportation Performance Reports
Monthly performance assessments are one way of monitoring the EMS system for the county and serve as a feedback tool for AMR. Both operational and clinic items are measured:
Operational Measurements:
- Response Time Interval: Measured from the time the call is assigned to AMR to the time their ambulance arrives on scene.
- Outlier Minutes: Measured as the number of minutes, while responding to calls, exceeding twice the response time limit.
- Level Zero: Measures the number of minutes and distinct events when AMR did not have an ambulance immediately available to respond.
Clinical Measurements:
Beginning in May 2024, We began looking at specific clinical actions that can help measure the quality of care given. This is part of the work that Washington County is doing to modernize the way that EMS response is measured. These measurements are all associated with responses to cardiac arrest:
- Ability to quickly share information and feedback with responding clinicians
- Use of cardiac arrest performance and data collection technology
- Data from the defibrillator submitted for analysis
- Annotated (analyzed) CPR report returned to clinician for review
- Clinical skills measured
- Compression Rate (clinician does chest compressions at 100-120 per min.)
- Compression fraction (60%)
- Compression pauses (clinician pauses for an average of 10 seconds or less for activities like giving breaths or checking vital signs)
- Ventilation rate (clinician gives 4-12 breaths per minute)
Compliance Summaries:
- Operational Compliance Reports
- Clinical Compliance Reports