PCRTrend
EMS ANALYTICS
EMS AGENCY
Demo County EMS
Triage to Alternate Destination (TAD) Dashboard
Policy PD# xxxx  ·  NEMSIS 3.5 / 3.5.1  ·  2026-1Q
DashboardMedical Director FindingsDefinitions
Medical Director Summary — 2026-1Q
In 2026-1Q, of 270 emergency encounters, 127 (47.0%) completed a triage-to-alternate-destination transport — 93 to mental-health facilities and 34 to the sobering center. The 72-hour scan found 14 confirmed bounce-backs (11.0%) plus 0 probable matches for QA review. Protocol-deviation screening flagged 10 transports (7.9%): 10 altered-patient, 0 overdose-at-sobering, 3 dystonic-reaction.
Focus Areas This Quarter

Action Items

Confirmed bounce-back rate (11.0%) exceeds the 10% ceiling — review return-visit cases for destination appropriateness.
Protocol-deviation rate (7.9%) exceeds 5% — 10 transports flagged; see the QA sheet.
TAD transport rate (47.0%) is below the 60% target.
Quarter-over-Quarter — 2025-4Q → 2026-1Q

Trend vs Prior Quarter

TAD encounters fell ▼ 1 (128 → 127)
Transport rate down ▼ 4.2 pts (51.2% → 47.0%)
Confirmed bounce-backs fell ▼ 1 (15 → 14)
Protocol deviations fell ▼ 9 (19 → 10)
Mental-health transports fell ▼ 1 (94 → 93)
Sobering transports unchanged ▬ 0 (34 → 34)
Medical Director Review
Notes:
Medical Director SignatureDate
Narrative generated deterministically from this quarter's metrics — figures match the Dashboard exactly. · Generated by PCRTrend