This report counts, per provider, how many calls came in dispatched as Critical or Emergent (eDispatch.05 = 2305001 or 2305003) but were assessed as Lower Acuity (Green) at first patient contact (eSituation.13 = 2813005). These are the calls where dispatch said "this is hot" and the provider said "this is not."

The Downgraded Incidents report grid listing providers and their downgrade counts.

How to use it

  1. Open Operations → Provider Quality → Downgraded Incidents.
  2. Pick a window — 3 or 6 months gives a meaningful sample.
  3. The grid lists each provider with a downgrade count.

Why this matters

Downgrades are not inherently wrong. Dispatch information is incomplete by definition — they assess by phone, the provider assesses in person. Most downgrades are the EMD card guessing high.

What you are looking for is patterns:

  • One provider downgrading at a substantially higher rate than peers may be assessing differently — possibly under-triaging.
  • Calls that were downgraded and then deteriorated en route are the worst-case scenario. The medical director should review these case-by-case.