In 2016, the ACCT Standards Committee released version one of its Critical Care Transport (CCT) Standards (available at www.ACCTforPatients.org). This first version included Always and Never Event as well as safety metrics adapted to CCT from the Joint Commission on the Accreditation of Hospital Organizations. The Standards Committee had wrestled with establishing clinical metrics for the standards as well. We began to evaluate the clinical metrics being submitted to the Ground and Air Medical qUality in Transport (GAMUT) database by some of our members. Recognizing that GAMUT was supported by the Air Medical Physician Association (AMPA) and the American Academy of Pediatrics (AAP) and that the Commission on the Accreditation of Transport Systems (CAMTS) was utilizing the GAMUT metrics for its accreditation process for all levels of transport, it was recommended that we evaluate how a relationship between ACCT and GAMUT could be mutually beneficial.
Dr. Michael Bigham of Akron Children’s Hospital, one of the founders of GAMUT, was invited to present at the ACCT Spring Standards Retreat in Philadelphia in 2017. He not only presented on the GAMUT metric data collection process, but he also provided research data and quality improvement projects that have resulted from the data collected. Our members were also impressed with the value provided to individual programs that implemented successful, targeted quality improvement projects after benchmarking against other programs from around the country. Recognizing ACCT’s dedication to quality critical care transport, Dr. Bigham invited ACCT to be members of the GAMUT Steering Committee upon the completion of his presentation and question/answer session. It was also determined by the ACCT Standards Committee and ACCT Board that this relationship could accelerate our efforts to establish CCT clinical metrics into the next version of the ACCT CCT Standards, provide our membership with a single process for submitting quality data, and provide GAMUT with CCT program input for expanding CCT specific metrics and benchmarking processes.
In April of 2017, the ACCT Standards Committee compiled fourteen metrics for submission to GAMUT database. These metrics included clinical, safety, and process metrics. Currently, members of the ACCT Board and Standards Committee are involved in voting on the over 250 metrics submitted to GAMUT.
In June of 2017, the ACCT Standards Committee completed a membership survey to assess our association’s use of the GAMUT database. We had approximately half of our membership respond to the survey with 23% indicating that they submit all of the GAMUT metrics and 23% partially submitting metrics. 50% of the respondents indicated they intend to submit metrics to GAMUT in the future. Comments for not submitting metrics included issues with the clarity of GAMUT metrics, program software limitations, personnel resources available, and concerns over data security. Since the programs that do collect and submit data to GAMUT rank the value of assessing and benchmarking data at 8 and 9 out of 10 respectively, the Standards Committee is working to improve the GAMUT process through our involvement.
Our goals for 2018 include another excellent presentation by a GAMUT representative at the Spring Leadership Development Series and Standards Retreat in Philadelphia on March 20th and 21st. Jeffrey Stearns, the ACCT Standards Committee Chair, attends monthly GAMUT Steering Committee Meetings and has opened communications regarding process changes that could address some of the concerns for the ACCT membership to enhance the value of GAMUT specifically for CCT programs without decreasing value for other levels of care utilizing GAMUT. As this relationship expands, the Standards Committee will be able to build the next version of the CCT Standards with clinical quality metrics from GAMUT that are specific to critical care transport.
To learn more about GAMUT, visit its website at http://gamutqi.org/