Marshall Washick
Building Measurement Infrastructure for Emergency Medical Services
I help EMS agencies move beyond dashboards and averages to understand what their data actually reveals about system performance, clinical outcomes, and operational improvement.
About
I’m Marshall Washick - Continuous Quality Improvement Manager at DC Fire and Emergency Medical Services, Co-Chair of the Measure Analysis and Research Committee for NEMSQA, and author of Introduction to Prehospital Analytics.
My work challenges how the EMS industry measures performance. Most agencies rely on simple averages and generic dashboards that mask systematic problems. I build analytical frameworks that expose what’s actually happening in your system - using statistical process control, improvement science, and methods that respect the complexity of prehospital care.
I hold an MS in Emergency Health Services (Epidemiology/Preventative Medicine, UMBC) and work as a practicing paramedic. I publish The EMS QI Desk newsletter exploring systems thinking and measurement infrastructure in emergency services.
Book
Introduction to Prehospital Analytics (in development)
The first comprehensive guide to analytical methods for EMS systems - covering data linkage, statistical process control, improvement study design, and translating analytics into operational action. Built with R and Quarto for full reproducibility.
Current Focus
- Analyzing systematic patterns in pain management using national NEMSIS datasets
- Building quality improvement infrastructure that challenges physician-dominated EMS epistemology
- Consulting with agencies on measurement frameworks that drive actual improvement
- Developing analytical approaches for operational performance beyond response time averages
Connect
Find me on LinkedIn or contact me about consulting, speaking, or collaboration.