INTELLIGENT COMPLIANCE FRAMEWORK

Build Your Perfect
Compliance Engine

Configure exactly what matters to your agency. From NEMSQA indicators to AHA Mission Lifeline metrics, create a compliance framework that enforces your standards automatically across every report.

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Your Standards, Codified and Enforced

Transform policies into automated intelligence

Every agency operates under multiple compliance requirements—state regulations, national standards, payer rules, and internal protocols. Manually checking each report against all these requirements is impossible at scale. That's where intelligent rule engines change the game.

Our compliance framework gives your QA/QI team the power to build, modify, and deploy custom rule sets without technical expertise. Start with our library of 500+ prebuilt rules covering major standards like NEMSQA performance measures and AHA Mission Lifeline protocols, then add unlimited custom rules specific to your operation. Apply different rules to different call types, providers, or time periods—complete flexibility meets total automation.

Compliance Management Transformed

  • Pre-Built Excellence

    Start strong with 500+ validated rules. NEMSQA's 11 performance measures built-in. AHA Mission Lifeline STEMI/stroke metrics ready. CMS documentation requirements configured. State-specific regulations included.

  • Custom Rule Builder

    No coding required. Visual rule builder for complex logic. Test rules before deployment. Version control and rollback capability. Share rules across departments.

  • Dynamic Application

    Apply rules conditionally based on factors. Different requirements for BLS vs ALS. Payer-specific rules auto-activate. Time-based rules for protocol changes. Provider-level customization available.

Comprehensive Compliance Coverage

Every standard, every requirement, every agency need

National Standards

  • NEMSQA Clinical Measures (Stroke, STEMI, Trauma)
  • AHA Mission Lifeline System Requirements
  • NEMSIS 3.5 National Data Elements
  • CMS Emergency Transport Requirements
  • NHTSA Performance Benchmarks
  • CAAS Accreditation Standards

Clinical Protocols

  • Medication administration validation
  • Procedure indication requirements
  • Vital sign parameter thresholds
  • Treatment timeline compliance
  • Standing order adherence
  • Medical director mandates

Operational Standards

  • Response time benchmarks
  • Documentation timeframes
  • Crew configuration requirements
  • Equipment check compliance
  • Communication standards
  • Safety protocol adherence

Financial Compliance

  • Medicare medical necessity
  • Medicaid documentation rules
  • Commercial payer requirements
  • Signature requirements
  • Mileage documentation
  • Supply usage validation

Risk Management

  • Refusal documentation completeness
  • Consent verification standards
  • Controlled substance tracking
  • Incident reporting requirements
  • Patient safety indicators
  • Liability mitigation checks

Quality Metrics

  • Clinical bundle compliance rates
  • First-pass documentation success
  • Narrative quality scoring
  • Time-to-completion tracking
  • Amendment frequency analysis
  • Provider performance indicators

Building Your Compliance Framework

Add multiple frameworks and analyze across all measures simultaneously

  • 1.Add Multiple Frameworks

    Build a comprehensive compliance dashboard by adding multiple frameworks. Add NEMSQA performance measures for clinical excellence. Include AHA Mission Lifeline for cardiac and stroke care. Layer in state-specific requirements and payer rules. Each framework works together, analyzing every report against all active measures simultaneously.

    Compliance Framework Library

    Active Frameworks: 2 | Available: 12

    Currently Active Frameworks

    Analyzing all reports against: NEMSQA Performance Measures, Medicare Part B Requirements

    289 Rules

    NEMSQA Performance Measures

    Complete clinical quality framework with 11 evidence-based measures

    Active
    Stroke, STEMI, Trauma, Pediatric measures
    Time-critical intervention tracking
    187 validation rules active

    AHA Mission Lifeline

    Cardiac and stroke system requirements for accreditation

    Clinical
    STEMI and stroke alert criteria
    Time benchmark compliance
    92 validation rules included

    Medicare Part B Requirements

    Complete medical necessity and documentation standards

    Active
    Medical necessity validation
    Signature requirements
    102 validation rules active

    New York State DOH Requirements

    State-specific EMS documentation regulations

    Regional
    State protocol compliance
    Regional reporting requirements
    47 validation rules included

    Build Your Complete Compliance Dashboard

    Add multiple frameworks to analyze every report against all applicable standards simultaneously. Each framework's rules work together to ensure comprehensive compliance.

  • Modify pre-built rules to match your exact protocols. Adjust STEMI alert thresholds, add local medication requirements, or create entirely new rules. Visual rule builder shows logic flow, making complex requirements easy to implement. Test mode validates rules before activation.

    Visual Rule Builder

    Rule:STEMI Alert Criteria

    Rule Logic Configuration

    IFChief Complaint containsthese terms:
    "chest pain""cardiac""MI""STEMI"
    ANDPatient Ageyears
    THENRequire these fields:
    12-Lead ECG performedwithinminutes
    STEMI alert activation time
    Aspirin administration(unless contraindicated)
    Receiving facility pre-notification
    Non-compliance Severity:

    Test Results (Last 100 Reports)

    Reports Matched:

    18 of 100

    Compliance Rate:

    83.3%

    Avg ECG Time:

    8.7 minutes

    False Positives:

    0

  • Apply rules exactly where needed. Assign different rule sets to different call types—refusals get consent verification, STEMIs get time-critical metrics. Schedule rules for protocol changes. Create provider-specific rules for training scenarios. Everything configurable without IT involvement.

  • Track compliance rates by rule, provider, or timeframe. Identify which requirements cause the most failures. Adjust rule sensitivity based on false positive rates. Export compliance data for accreditation. Every metric available for continuous improvement.

    Compliance Analytics Dashboard

    Overall Compliance Score

    Across all active frameworks

    92.4%

    ↑ 4.2% from last month

    Framework Compliance

    NEMSQA Measures94.1%
    AHA Mission Lifeline91.3%
    Medicare Requirements87.8%
    State Regulations96.2%

    Top Failing Rules

    12-lead within 10 min142 failures
    Pain scale89 failures
    Medical necessity76 failures
    Stroke scale complete54 failures

    Provider Compliance Trends

    TJ

    Tom Johnson - Paramedic

    156 reports this month

    98.1%

    ↑ 2.3%

    MR

    Maria Rodriguez - EMT

    98 reports this month

    84.7%

    ↓ 1.2%

    Export formats: Excel • PDF • API Integration • BI Tools

Compliance Framework Impact

Measurable improvements across all compliance domains

94%
NEMSQA Compliance

Average clinical measure compliance rate achievement

18min
Faster STEMI Alerts

Reduction in door-to-balloon time through protocol enforcement

Zero
Missed Elements

Critical compliance requirements overlooked with automation

85%
Setup Time Reduction

Faster than manual policy implementation

Designed for How QA/QI Really Works

Your QA team shouldn't need a computer science degree to implement compliance checks. Our framework puts control directly in the hands of the people who understand your requirements best—your quality improvement professionals and EMS management team.

Whether you're preparing for CAAS accreditation, implementing new clinical bundles, or responding to payer audit findings, the compliance framework adapts to your timeline. Deploy new rules immediately, phase them in gradually, or run them in shadow mode to assess impact before enforcement.

COMPLIANCE RESOURCES

Master Your Compliance Framework

Templates, guides, and best practices from industry leaders

  • The Hidden Costs of Documentation in EMS

    The Hidden Costs of Documentation in EMS

    Discover five ways outdated documentation practices harm your organization and what forward-thinking agencies are doing to fight back.

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  • CareSwift: Real-World Impact for Enterprise EMS Operators

    CareSwift: Real-World Impact for Enterprise EMS Operators

    Discover how CareSwift has achieved organic growth to 30% of NYC's hospital-based EMT workforce, delivering 50-90% documentation time reduction and enterprise-scale operational benefits.

    Read more
  • CareSwift Unveils V3 Platform with Real-Time QA/QI

    CareSwift Unveils V3 Platform with Real-Time QA/QI

    CareSwift unveils its groundbreaking V3 documentation solution featuring real-time voice interaction, dynamic prompting, and pre-submission QA/QI validation for ePCR systems.

    Read more

Stop Chasing
Compliance.
Start Achieving It.

Build a compliance framework that works as hard as your QA team. See how automated rule enforcement can transform your quality program while reducing manual review burden.

Design Your Framework

Experience how CareSwift can transform your EMS documentation and revenue recovery with our AI-powered platform.

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