On site medical services

Medical Services Australia comprises the Bourke Street Clinic and Corporate Health Evaluation Centre. By combining general practice with corporate healthcare, Medical Services Australia has joined two well-established health services companies into one all-inclusive health centre. Hence we extend and broaden the range of services offered to provide our clients with the most comprehensive service possible.

Our emphasis is on preventive medicine and we also provide a wide range of on-site clinical tests, including blood and pathology collection services, spirometry (lung function), computerised cardiovascular risk assessment and electrocardiogram (ECG), and assessment of and treatment of stress and anxiety. Our team of doctors and nurses deliver a wide range of medical examinations while providing the discrete, confidential and personal care you need. On site medical services Our centralised CBD location and our timely appointments are geared to your convenience. We will provide you with the service to allow you to maintain a fit, healthy lifestyle to ensure peak performance to really enjoy your life.

Measuring quality in emergency medical services (EMSs) is important since EMS is the practice of medicine in the prehospital setting. At its earliest developmental stage, an EMS system is a system of emergency care that functions to reduce death and disability usually resulting from two epidemics: trauma and cardiac arrest. In the United States, EMS systems have witnessed a major transformation since the EMS program was first established in 1966 in the Department of Transportation through the Highway Safety Act. The expansion in EMS scope and increase in the range of medical interventions performed by prehospital providers were paralleled with an increased scrutiny of the value and effectiveness of the services deployed in the prehospital setting [1, 2]. The need for increased coordination in patient care and higher quality care at lower costs has made it essential for EMS agencies to have in-place quality control or quality improvement programs that rely on key performance indicators to continuously monitor the system’s overall performance and the effectiveness of the different prehospital interventions.

The Institute of Medicine (IOM), in a report entitled “Emergency Medical Services at the Crossroads” and published in 2006, recommended the development of “evidence based performance indicators that can be nationally standardized so that statewide and national comparisons can be made” [3]. The development and implementation of these indicators would enhance accountability in EMS and provide EMS agencies with data to measure their system’s overall performance and to develop sound strategic quality improvement planning. The objective of this paper is to introduce emergency physicians and other healthcare providers to the concepts of quality measurement in EMS with a focus on clinical performance indicators currently used by EMS agencies in the USA and by ambulance services in other countries such as the United Kingdom and Australia.

Initiatives to incorporate quality assessment in EMS, similar to other healthcare settings, have adopted the frameworks and principles of quality management systems used in the business industry. The goal is to improve the end product and the customer’s satisfaction. In EMS, the end product is the care provided to patients in the prehospital setting. Quality programs usually range from basic traditional Quality Assurance (QA) to Continuous Quality Improvement (CQI) and complex Total Quality Management (TQM). Quality assurance is the static and retrospective review or inspection of services to identify problem areas [12, 13]. Quality improvement requires a continuous study and improvement of a process, system, or organization [13]. Total Quality Management is the most advanced and most comprehensive since it involves the whole organization. Elements of TQM consist of leadership commitment to quality, use of reliable indicators of quality, and involvement of front-line workers in quality improvement efforts.

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