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Electronic Run Reports. Regional Perspective Joanne LeBrun Regional Coordinator – Tri-County EMS. Tri-County EMS. 30 services 9 are using the system 3 actively training. Comments I Hear. “I would never go back to paper!” It is worth the effort.”
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Electronic Run Reports Regional Perspective Joanne LeBrun Regional Coordinator – Tri-County EMS
Tri-County EMS • 30 services • 9 are using the system • 3 actively training
Comments I Hear • “I would never go back to paper!” • It is worth the effort.” • “Our bills are paid faster and we receive more money.”
Training • Allow time for training • Created a training plan • Train before you implement • Useful strategy – • 20 reports per provider with QI
Training • Add to EMS Curriculum • Instructor training module for EMS classes
Run Report Manual • Clear definitions • Method to update and disseminate changes • Available before training begins
Involve Hospitals Early • What are their expectations? • How do they want the patient information? • What are they doing now? • How are they using the information now? • Space concerns
Patient Safety • Proper information transfer is key to patient safety • If report won’t be left at hospital – agree in advance what will be left
How Much Time Will It Take? • Study how long it currently takes to properly complete a legible handwritten run report • QI Review • Electronic factors – Keyboarding skills • Interruptions
Features • Frequent flyer lists • Integrated with dispatch • Easy access – web • Tablet PC Pros and Cons
Access to Reports • Who • When • How • Tracking • Locking the form – • prevent changes – allow addendums
Cautions • Avoid “big brother” syndrome
Format • How many pages? • Easy to read and understand • Auto narrative or not?
Things to Consider • Storage, back up, retrieval, archive • If on web – • Capacity – How many at once? • Speed of transfer • Refusals and signing of privacy forms
Advantages • Easy to read • Improved documentation • Calculates report completeness • Need to determine what is “complete” • Acceptable time frame for completing form • Improved/ease of QI
Advantages • Contemporary information • Planning • Feedback • Budgeting • Meeting • Performance • Complaints/concerns
Advantages • More money, faster
Advantages • QI Reports • Trends • Query • Benchmarks
Real Uses • Protocol use and success • Resolve call concern (have facts immediately) • QI notes and email
Regional Uses • QI, Trending, Benchmarking, Resolve Problems • Trauma tracking • Follow up • System status
Future • Ease of QI Reports • What works, what doesn’t • Safe practice • Help identify training needs or protocol changes based on trends • Communication tool