6091 - EMS Billing & PCR Services, Other Solicitation Exhibits (2)Spec
ID
EPCR-1
EPCR-2
EPCR-3
EPCR-4
EPCR-5
EPCR-6
EPCR-7
EPCR-8
EPCR-9
EPCR-10
EPCR-11
EPCR-12
EPCR-13
EPCR-14
EPCR-15
EPCR-16
EPCR-17
EPCR-18
EPCR-19
EPCR-20
EPCR-21
EPCR-22
EPCR-23
EPCR-24
EPCR-25
EPCR-26
EPCR-27
EPCR-28
EPCR-29
EPCR-30
EPCR-31
EPCR-32
EPCR-33
EPCR-34
EPCR-35
EPCR-36
EPCR-37
EPCR-38
EPCR-39
EPCR-40
EPCR-41
EPCR-42
EPCR-43
EPCR-44
EPCR-45
EPCR-46
EPCR-47
EPCR-48
EPCR-49
EPCR-50
EPCR-51
EPCR-52
EPCR-53
EPCR-54
EPCR-55
EPCR-56
EPCR-57
EPCR-58
EPCR-59
EPCR-60
EPCR-61
EPCR-62
EPCR-63
EPCR-64
EPCR-65
EPCR-66
EPCR-67
EPCR-68
EPCR-69
EPCR-70
EPCR-71
EPCR-72
EPCR-73
EPCR-74
EPCR-75
EPCR-76
EPCR-77
EPCR-78
EPCR-79
EPCR-80
EPCR-81
EPCR-82
EPCR-83
EPCR-84
EPCR-85
EPCR-86
EPCR-87
EPCR-88
EPCR-89
EPCR-90
EPCR-91
EPCR-92
EPCR-93
EPCR-94
EPCR-95
EPCR-96
EPCR-97
EPCR-98
EPCR-99
EPCR-100
EPCR-101
EPCR-102
EPCR-103
EPCR-104
EPCR-105
EPCR-106
EPCR-107
EPCR-108
EPCR-109
EPCR-110
EPCR-111
EPCR-112
EPCR-113
EPCR-114
EPCR-115
EPCR-116
EPCR-117
EPCR-118
EPCR-119
EPCR-120
EPCR-121
EPCR-122
EPCR-123
EPCR-124
EPCR-125
EPCR-126
EPCR-127
EPCR-128
EPCR-129
EPCR-130
EPCR-131
EPCR-132
EPCR-133
EPCR-134
EPCR-135
EPCR-136
EPCR-137
EPCR-138
EPCR-139
EPCR-140
EPCR-141
EPCR-142
EPCR-143
EPCR-144
EPCR-145
EPCR-146
EPCR-147
EPCR-148
EPCR-149
EPCR-150
EPCR-151
EPCR-152
EPCR-153
EPCR-154
EPCR-155
EPCR-156
EPCR-157
EPCR-158
EPCR-159
EPCR-160
EPCR-161
EPCR-162
EPCR-163
EPCR-164
EPCR-165
EPCR-166
EPCR-167
EPCR-168
EPCR-169
EPCR-170
EPCR-171
EPCR-172
Description of Capability
ePCR
General specifications
The system will comply with and is certified for the latest version of NEMSIS data and reporting standards used by the State having jurisdiction. (Effective 1/1/2017 NEMSIS 3.3.4 or
higher is mandated)
The system will comply with latest version of HL7 data and reporting standards used by the State having jurisdiction.
The ERMS is able to capture incident data elements available in the CAD system.
The system complies with State rules and regulations for EMS data collection and reporting.
CAD interface to ERMS has capability for a near real-time connection (not a closed call download).
The system allows creating an NFIRS report from within the Patient Care Record (PCR).
Data quality control measures are built into ePCR module.
The system must allow authorized users to define smart rules to validate data entry for quality assurance.
The system allows for use via tablet .
The system is HIPAA compliant.
The system is capable of exporting required billing related information to a third party billing agency by secure means (i.e. encryption or similar security).
The system can attach defibrillator event files.
The system accepts electronic signatures under many roles attached to a single PCR.
Electronic signatures must be compliant with the Electronic Signatures in Global and National Commerce Act of 200.
The system is able to calculate age when date of birth is entered. Age must be in appropriate units of time, e.g. for infants less than 30 days, the units will be days, infants greater
than 1 month but less than 1 year, the units will be months.
Previous patient medical history is available for repeat patients without having to provide any special designation. The data contains basic information such as DNR orders, allergy information,
medical history, medications, etc.
The system is able to identify and reconcile duplicate patient records for reporting and billing purposes.
The system assigns a unique number to each patient, separate from the incident number.
The system assigns PCR numbers/identifiers in such a way as to never have a duplicate number.
The system is able to save and reopen the incomplete PCRs for later completion.
The system is able to export incomplete (draft) PCRs for later retrieval and completion on a different computer system.
The system is able to associate supplemental reports with any PCR (input from multiple sources/units).
The system generates a report listing incomplete PCR's for a time span specified by an authorized user.
The system provides a notification method to agency designated users related to incomplete PCR reports.
Designated users are able to review complete or incomplete ePCRs and return them to their author for addendums or corrections.
The system provides an “auto-narrative” to capture essential data points and begin building the incident narrative based in system administrator templates.
The system can edit/modify "auto-narrative".
The system is able to turn off "auto-narrative" feature at the discretion of an authorized user.
The system can capture the name of receiving RN or MD at hospital.
The system provides areas for user definable fields.
The system provides areas for user definable drop-down pick lists.
The system tracks accidents involving agency apparatus.
The system tracks accidents involving agency personnel.
The data collected in accident reports includes, at a minimum:
Vehicle type
Damage
Protection used
Type of collision
Speed
Posted Speed(s)
Location (e.g., highway, parking lot, city street)
The system captures dispatch and unit status time stamps from CAD, which include:
Call Received time
Dispatch Notified time
Unit Dispatched time
Enroute time
First Responder Arrived time
First Medic Arrived time
Unit Arrived time
At Patient time
Transferred Care time
Left Scene time
Arrived Destination (Hospital) time
Left Destination time
Call Cancelled time
In Service time
Complete - Back in Quarters time
The system is able to note time delays (e.g., traffic, trains, vehicle failures)
The system flags and tracks the following:
Staging time
Standby time
Alcohol and drug related incidents
Incidents involving vehicle crashes
Any unusual incidents (e.g. odor investigation)
Incidents involving persons using personal protective equipment.
Nature of Call Information, which includes:
Response Mode to Scene
Medical Priority Dispatch Code
EMD Performed
EMD Card
Nature of Call on Scene
Patient Information, which includes:
Name
Allow for unknown patient names
Allow for Hospital patient numbers for unidentified patients
Address
Phone
SSN
DOB
Allow for estimated age value if DOB unknown
Height
Weight
Provider and patient signatures, where applicable.
Acknowledgment of HIPAA notice delivered
Acknowledgment of HIPAA notice signed
Reason for lack of patient signature for HIPAA notice delivery.
Acknowledgment of Billing Consent signed
Reason for lack of Billing Consent signature.
Family relative information
Physician information
Guarantor information
Insurance information
Billing Information, which includes:
Mileages
Fee code
Mileage Rates
Loaded Miles Fee
Total Charges
Patient Assessment, which includes
Chief Complaint
Onset date and time
Secondary Complaint
PTA (prior to arrival) vital signs.
Vitals signs (multiple)
Performing Medic
Date and Time
PCO2 device
PCO2 reading
PO2
Pain Index
Stroke Scale
Level of Response using AVPU scale
Pulse
Respiration Rate
Blood Pressure
Temperature
ECG
Reason field if ECG not done/collected
12 lead EKG
Reason field if EKG not done/collected
Broselow Scale
Thrombolytic Checklist.
Glasgow Comma Scale, multiple instances (i.e. initial score, secondary scores for critical patients or change of status)
Trauma Score
The system tracks Physician Assessment for multiple patients
Physician assessment record includes, but is not limited to:
Head
Face
Eyes
Mental Status
Neurological Status
Neck
Back
Chest
Lungs
Abdomen
Skin
GU (Pelvis/Groin)
Circulation
Extremities
Sign & Symptoms (multiple instances, from drop-down/table driven field)
Free-text field for "other" type entries related to signs and symptoms
Medical History (multiple instances, from drop-down/table driven field)
Free text field for "other" type entries related to Medical History
Allergies (multiple instances from drop-down/table driven field)
Free text field for "other" type entries related to Allergies
Current Medications (multiple instances, from drop-down/table driven field)
Free text field for "other" type entries related to Current Medications
Trauma
Mechanism of Injury
Interventions (multiple)
Intervention data includes:
Procedures (multiple)
Sub-procedures (multiple) to address manner of procedure performed
Medications (multiple), with the following fields for each Medications entry:
Dose
Route given
Unit of measure
Cardiac Arrest Information
Cardiac Occurrence Screening
Cardiac Monitoring
AED Equipment
The system is able to attach the complete cardiac monitoring or AED record (from power on to end of event) to call record
The system provides an interface to or data intergration capability with Physio Control's LIFENET system and LIFEPAK 15 12-lead ECG data.
The system is able to interface with cloud based EKG solutions (Vendor shall note which cloud based solutions they are compatible with in comments)
An authorized user is able to customize Q/C Rules.
The system captures up to 12 additional fields per specific procedure.
The additional specific procedure fields are customizable by an authorized user.
The system is able to capture up to 12 additional fields per medication.
The additional medication related fields are customizable by an authorized user.
The system provides an interface to the LexisNexis Accurint database system.
The stored medical procedures can be edited by an authorized user.
The system will process patients separately, allow different dispositions, and different lead medic to be assigned for each.
Patient and incident reports can accommodate various forms of media (e.g. digital photos, video, EKG strips) as attachments.
Data points captured with a cardiac arrest patient contain Utstein data and CARES data sets.
Childbirth data points use APGAR scoring system.
The system tracks narcotic usage. (patient or incident usage)
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