Who oversees the Quality Assurance Program?

• A. An EMS MD or SEMSV MD
• B. The Regional Medical Director
• C. The QA Director
• D. An EMS MD or SEMSV MD

Answer: (D)

The idea being tested is who holds accountability for guiding and approving the Quality Assurance program within an EMS system. In EMS, the Medical Director is the clinical leader responsible for patient care standards, protocol adherence, and the overall quality of care. This role is the driver of the QA framework—setting goals, approving the QA plan, reviewing performance data, and authorizing changes to policies based on findings. The QA program operates under that medical direction to ensure every aspect of care aligns with medical standards and regulations.

That’s why the overseer is the EMS Medical Director (or SEMSV Medical Director): they provide the authoritative clinical leadership that underpins QA activities. The Regional Medical Director oversees larger geographic regions and isn’t the primary overseer of a single system’s QA program. The QA Director handles day-to-day QA tasks, but ultimate oversight rests with the Medical Director.