Trauma QI Performance Dashboard

Medical Director Summary — 2026-1Q

In 2026-1Q, Demo County EMS processed 4,608 trauma transports across 7 agencies. 582 patients (12.6%) met positive trauma triage criteria — 222 by physiologic/anatomic findings and 360 by mechanism of injury. Pre-arrival alerts were documented for 519 of 582 positive-TTC patients (89.2%), below the 95% target. Destination compliance was 96.9% (meeting the 95% target), with 18 positive-TTC patients delivered to non-trauma centers. Compared with 2025-4Q, the pre-alert rate held 0.0 points and missed alerts were unchanged.

Focus Areas This Quarter

Action Items

63 missed alert(s) — positive-TTC patients transported with no documented pre-alert. Each is itemized in the Flagged Incidents report and attributed to the transporting agency for follow-up.

Pre-alert rate (89.2%) is below the 95% target. Agencies under target are visible in the Agency Performance table.

271 over-alert(s) documented without supporting TTC criteria — review for appropriateness; clinical judgment may apply.

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

Trend vs Prior Quarter

Pre-alert rate held steady ▬ 0.0 pts (89.2% → 89.2%)

Destination compliance held steady ▬ 0.0 pts (96.9% → 96.9%)

Positive-TTC volume unchanged ▬ 0 (582 → 582)

Missed alerts unchanged ▬ 0 (63 → 63)

Alert type mismatches unchanged ▬ 0 (0 → 0)

Over-alerts unchanged ▬ 0 (271 → 271)

Key Findings

2026-1Q

System processed 4,608 trauma transports across 7 agencies

519 of 582 (+)TTC patients received pre-hospital alerts (89.2%)

582 patients (12.6%) met positive TTC — 222 physio/anatomic, 360 mechanistic

63 missed alert(s) — positive TTC with no documented pre-alert

Destination compliance 96.9% — 18 (+)TTC to non-trauma centers

271 over-alert(s) without supporting TTC criteria

0 alert type mismatch(es) flagged for documentation review

194 special consideration case(s) — not classified as (+)TTC