
Skill and willingness to improve their clinical skills and utilization of the limited resources at hand
There is little to no effort to improve provider abilities, no effort made to respect field crews time consistently. Timekeeping maintenance only rewards AMR and does not protect employees in the same way.
QA/QI process needs significant revamping and the education should reflect that. Also the new employee orientation program is best described as lacking. AMR has been wasting time churning out accelerated EMT Basic courses that poorly prepare the participants to actually function in an emergency.
Quit focusing on culture, that is a poor metric/miserable goal. Please give crews the education to improve their patient care, pay them appropriately and compensate for excellence/improvements. Manage staffing and retention so that crews get to leave on time and not neglect their families.
Poor pay, poor training, poor accountability, poor feed back from upper management, poor staffing, "Just Culture" does not solve problems and should be thrown out. Hold individual clinicians responsible for their actions or lack of actions and attempt to correct them so that patient care improves