The Division Chief Quality Management position is responsible for coordinating system improvement activities. These include continuous performance monitoring, analysis of the performance data, coordination of improvement projects and linking improvement efforts to overall strategy. Assisting these efforts from the field perspective are the Focused Audit Committee (for system issues) and the Peer Review Group (for individual case review).

Maria Beermann-Foat holds the position of Division Chief Quality Management, and has been with Med-Act since December 1999. The Division Chief Quality Management answers directly to the EMS Chief, and works closely with the Medical Director. Chief Beermann-Foat holds a Masters degree in Business Administration from Mid-America Nazarene University, and is currently pursuing a PhD in Organization Management.