ATCEMS Performance Dashboard > Blood Glucose Check for Seizure Patients > Performance Measure Definition: Blood Glucose Test in Seizure
Performance Measure Definition: Blood Glucose Test in Seizure

Description: This is the percent of seizure patients who receive a blood glucose level (BGL) assessment by EMS.
Desired Outcome: All seizure patients receive a blood glucose level test before arrival at the hospital.
Relevance: Seizures can be caused by hypoglycemia (low blood glucose). A blood glucose level assessment is a quick and accurate test that can help paramedics form an accurate impression and care plan for these patients. This is important because hypoglycemia can be reversed easily in the field.
Measure Domain: Clinical Care
Type of Measure: Process

Operational Specifications
Formula Description: Count of patients with a primary impression suggestive of seizure who have a blood glucose level recorded in the Vital Signs section of the ATCEMS ePCR system, divided by the count of all patients with a primary impression suggestive of seizure.
The resulting measure is expressed as a percentage.
Unit of Analysis: Patient contact
Population: 
  • Numerator: Patients with a primary impression suggestive of seizure who have a documented BGL assessment.
  • Denominator: Patients with a primary impression suggestive of seizure. 
Measure Frequency: Fiscal quarter
Minimum Population/Sample: None
Performance Standard: At least 95% of all seizure patients will have a BGL assessment recorded in the Vital Signs section of the ATCEMS ePCR system each fiscal quarter.
Acceptable Quality Level: Performance may not fall below 87% for more than two consecutive quarters or any three quarters in a year.
Interval Description: Not applicable
Reporting Value: Percent of patient contacts
Aggregation: Aggregate patients based on date/time of phone pickup in Communications Center for incident.
Stratification: None
Limitations: Patients for whom medics record findings in locations that are not amenable to standardized reporting tools (e.g. recording findings in narrative or comment fields instead of vital signs fields) will present as a false negative.
Related Measures: None
Notes: None

Reporting
ATCEMS Open Performance Dashboard
City of Austin Open Data Portal


References
Office of the Medical Director, Austin/Travis County EMS System (2014). “Clinical Performance Indicator 6.5: Blood Glucose Level in Seizure Patients.”

Metadata
Development Status: Actively reporting
Definition Version: Version A
Revision Date: 2017-01-25
Revised By: David Andersen