Medical Director Findings

Medical Director Summary — 2026-1Q

In 2026-1Q, Demo County EMS evaluated 1,002 stroke transports across 3 agencies. 831 patients (82.9%) had a positive stroke scale; LVO screening was not available for this export (eVitals.30/.34 absent). Pre-arrival alerts were documented for 16 of 17 qualifying patients (94.1%, below the 95% target). Documentation rates: stroke scale 98.9%, blood glucose 97.5%, onset/last-known-well 98.7%. Stroke-center destination compliance was 0.0% (below the 95% target). Compared with 2025-4Q, pre-alert compliance fell 1.9 points and LVO-suspected volume went from 0 to 0.

Focus Areas This Quarter

Action Items

1 missed stroke alert(s) — positive scale inside the 24h window with no pre-alert; itemized in Flagged Incidents by agency.

Pre-alert compliance (94.1%) is below the 95% target.

Destination compliance (0.0%) below target — 831 positive-scale patient(s) reached non-stroke centers.

5 alert type mismatch(es) — pre-alert documented as a non-stroke condition; correct documentation at the agency level.

Quarter-over-Quarter Change — 2025-4Q → 2026-1Q

Trend vs Prior Quarter

Pre-alert compliance declined ▼ 1.9 pts (96.0% → 94.1%)

Stroke-center destination held steady ▬ 0.0 pts (0.0% → 0.0%)

Scale documentation held steady ▬ 0.0 pts (98.9% → 98.9%)

BGL documentation held steady ▬ 0.0 pts (97.5% → 97.5%)

Onset/LKW documentation held steady ▬ 0.0 pts (98.7% → 98.7%)

Positive scales unchanged ▬ 0 (831 → 831)

Missed alerts unchanged ▬ 0 (1 → 1)

Alert type mismatches unchanged ▬ 0 (5 → 5)