EMS QA review platform

Chart QA that bends to your agency—not the other way around.

Reflex is a configurable quality assurance review platform for EMS agencies. Define your own roles and permissions, capture the PCR fields you actually track, version your question sets, and route charts through the exact escalation path your medical directors expect.

Explore a live demo loaded with sample data—browse as different roles, no signup. Resets hourly.

  • Fully managed + hosted
  • Dedicated agency workspace
  • Permission-based access
  • Your colors, light + dark
riverside.reflexqa.com/analytics
Reflex analytics dashboard showing pass rates, crew filters, and custom PCR metadata filters

Everything a QA program needs

One review platform, shaped to how you work.

From intake to escalation to analytics—every layer is configurable, so Reflex matches your protocols instead of forcing new ones.

Configurable roles + permissions

Create unlimited roles and toggle granular permissions—who can view which reviews, act at which levels, run analytics, export data, or administer the org.

Custom PCR metadata

Define exactly the fields captured at intake—text, numbers, dates, dropdowns—mark any as a filter, and compose them into unique chart identifiers.

Immutable question governance

Versioned, immutable questions with lineage and conditional follow-up sub-questions. Publish question sets with effective dates; every review snapshots the set that was live at the time.

Multi-level workflow + escalation

Configure reviewer levels and escalation rules—by score threshold or critical-question failure. Escalate to a level or hand a chart directly to a specific reviewer, with a clean path to completion at the top of the tree.

Analytics + export

Pass rates by question, crew, and call date. Filter by any metadata field, compare crews with AND/OR logic, and export everything to CSV.

Notifications + sharing

Themed email alerts on critical findings, crew notifications when their charts are reviewed (immediate, per-step, or digests), reviewer queue digests for what's pending, secure read-only links to share a review with an outside stakeholder, and built-in support tickets.

Built to be configured

The customization runs all the way down.

Most QA tools make you adapt to their model. Reflex hands you the model. Here's how deep it goes.

Roles + permissions

Every role, exactly as you define it.

Start from sensible built-in roles, then tune them permission-by-permission—or invent your own. Reviewer levels, read-only analysts, crew who only see their own charts, an auditor who can export but not act. Thirteen granular permissions allow you to build out roles any way your org is structured.

  • View-scope per role: all, at-level, authored, or crew-only
  • Separate act, administer, analyze, and export rights
  • Built-in roles are tunable; custom roles are unlimited
riverside.reflexqa.com/admin/roles
Roles and permissions screen with granular permission checkboxes
PCR metadata

Model your charts your way.

Add the fields your QA program actually tracks and drop the ones you don't. Choose field types, mark any field as a searchable analytics filter, retire fields without losing history, and reactivate them anytime. Compose fields into unique identifiers that drive de-duplication.

  • Text, number, date, and select field types
  • Per-field "available as a filter" and required flags
  • Deactivate + reactivate without touching past charts
riverside.reflexqa.com/admin/pcr-metadata
PCR metadata configuration with field types, filter flags, and active status
Question governance

Change your standards without rewriting history.

Questions are immutable and versioned with lineage, so when wording or scoring evolves you create a new version—and analytics still roll up across the chain. Publish question sets with effective dates; each review snapshots the set that was live when it ran.

  • Immutable, versioned questions with lineage keys
  • Critical questions that auto-escalate on failure
  • Conditional follow-up sub-questions, triggered by an answer
  • Question sets with effective + retire dates
riverside.reflexqa.com/admin/questions
Question governance screen showing immutable, versioned questions
Workflow + escalation

Route charts the way your org reviews them.

Define your reviewer levels and the rules that move a chart up the chain—a score below threshold, a failed critical question, or a manual forward. Escalations climb automatically, top-level reviewers reroute to a peer instead of hitting a dead-end, and every chart resolves cleanly.

  • Unlimited named reviewer levels
  • Score-threshold and critical-fail escalation rules
  • Forward to a level or a specific reviewer, with notes visible to crew or not
  • Daily and weekly reviewer queue digests; admins can reopen a completed review
riverside.reflexqa.com/admin/workflow
Levels and escalation configuration screen

Insight, not just records

See the signal across every chart.

Pass rate trends, inter-reviewer agreement, and per-question performance—sliced by crew, call date, and any custom field you've defined.

riverside.reflexqa.com/analytics
Analytics with pass rate, critical fail rate, escalation rate, and metadata filters

Filter by anything

Every searchable metadata field becomes an analytics filter—narrow to a unit, a complaint, a priority, a date range.

Compare crews

Multi-select crew members and switch between AND / OR matching to isolate exactly the cohort you care about.

Export on demand

One click sends the full question breakdown to CSV for your committee deck or state reporting.

The review surface

A focused place to score a chart.

Reviewers answer against the live question set with a running summary—score, answered count, critical fails, and outside-normal-limits—always in view. Drop a comment on any single question, leave a closing note that can email the crew, and when something needs another set of eyes, escalate, reroute, or complete in a click.

  • Live score + critical-fail summary as you answer
  • Per-question comments and a completion note for the crew
  • Complete, escalate, or reroute—with auto-escalation on critical fails
  • Notify a recipient group straight from the review
riverside.reflexqa.com/reviews
Review workspace scoring a chart with a live summary and escalation controls

Make it yours, literally

Your palette. Your subdomain. Light or dark.

Each agency gets its own primary, secondary, and tertiary colors, custom light and dark backgrounds, and its own subdomain—flowing into buttons, charts, nav, and every system email. This very page is themed from Reflex's own palette; flip the toggle to see it move.

From kickoff to first review

Fully hosted, secured, and set up for you.

Reflex is delivered as a managed service. Your agency gets its own secured workspace, subdomain, and palette—you focus on quality, and we handle the hosting, updates, and backups.

01

Kickoff

We provision your agency's workspace, subdomain, and brand colors, and connect your single sign-on—or we'll set you up with ours.

02

Configure

Tailor roles, PCR metadata, question sets, and your escalation workflow to match your QA program—with our team alongside you.

03

Go live

Invite your reviewers and start scoring charts the same day. We keep it running, updated, and backed up.

Bring rigor and flexibility to your QA program.

See Reflex configured to your protocols, your fields, and your escalation chain.