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emsCharts User Manual

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1. Add QA Flag Microsoft Internet Explorer Add QA Flag Date Time 01 17 2006 15 14 Flag Type PRID 695390 Created By diwebb Comments vou didn t fill anything out Save Cancel Figure 99 c View Flags The number after these words indicates the number of QA flags attached to the chart Viewing QA flags was previously discussed in section 6 2 d READ ONLY If the user does not have permission to edit the chart these words will appear e Patient The name of the patient associated with this chart a Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt QA Flag Create Allows user to create QA Flags 9 30 2009 Page 80 emsCharts com User Manual 7 Patient Record Search You can search for a patient record by clicking on Search in the menu system This will bring up the search page Figure 100 Search Form Date Record IDs rom ona L pep All Dates C railowrano S Dispatch IDs Transport Number sd paLithocode Service Patient Criteria Units dS FirstName sid crew B p l Iel Other Criteria CCN OoOo G4 Levels Address OO Receiving Status Medical Categories Procedure Criteria Export Criteria Referring Receiving Type Type M Custom Criteria Category Select a category Search Results Layout Dispatch ID Local ID Patient Record ID PRIC Dispatch Date f Time Location
2. iji Search for Users Names Pitt County Memorial Hospital Ei its CA Search for Hospitals EMS and other sample of Searchable Text Box Search boxes are divided into two sections The top portion Figure 17 and Figure 18 lists the possible criteria to search upon The search is case insensitive does not distinguish between upper and lower case letter however spaces do count There are also two special characters you can use while searching These are called the wildcards and are listed in the tables below See El Univ Starting with Univ Starting with the letter S and containing Percent Sign None or more characters eS S vin the letters VIN ob Second and third letters are ob Rob Bob Robert as well as Jobe etc Underscore Exactly one character 9 30 2009 Page 12 emsCharts com User Manual Selection Dialog Box Microsoft Internet Explorer Siz led Enter selection criteria Hospital Select none Figure 17 Hospital Search Box A Selection Dialog Box Microsoft Internet Explorer ae X Enter selection criteria User Only search your service Select me Select none Figure 18 User Search Box You will notice that the user search box Figure 18 has several additional items at the top Most of the time you will be searching for a user who belongs to your service so leave the Only search your service checkbox checked Clicking the Select me link will quic
3. 16 4 4 Run Report When the name of a report is clicked on if the user is the author of the report or they have a role that has been assigned rights to view the report the button will be enabled Clicking this button will run the report and the output will be displayed in a similar manner to clicking the Test tab while creating a report However the output screen will not show the emsCharts logo menu system or footer Figure 195 Test report for user manual Date Disp Medical Category Unit Receiving Hospital 01 02 2004 16 01 Unknown Problems Uniti 01 05 2004 16 01 Unknown Problems Uniti 01 16 2004 13 01 Unknown Problems Uniti f 01 26 2004 12 01 Unknown Problems Uniti 01 28 2004 14 01 Unknown Problems Uniti 01 29 2004 15 01 Unknown Problems Uniti 05 i 06 i 06 23 2004 16 06 it 06 28 2004 17 06 it Airway Obstruction 07 30 2004 12 07 it 05 28 2004 13 05 Unknown Problems Uniti Figure 195 9 30 2009 Page 141 emsCharts com User Manual 16 4 5 Schedule Report When the name of a report is clicked on if the user is the author of the report or they have a role that has been assigned rights to edit the report the Schedule Report button will be enabled Schedule Report is used to run a report on a fixed schedule and have the results emailed to a list of users Clicking this button will bring up the Schedule Report page Figure 196 Schedule for MD Report Schedule task t
4. Every chart starts at the initial entry level designated by SO Service level 0 This is where the current crew can add and modify chart information Once the chart is completed it is advanced to the next service level by clicking on the Advance Chart button on page 9 This next level is defined by the service administrator For example the next level could be a peer review level where the next shift coming on would review the charts or an administrator level who reviews all charts It is important to note every chart must pass through every service QA level and once it has it is then advanced to the first command facility QA level However the command facility will not be able to view or advance charts that are still in the service QA process At any point during the review process QA flags can be added to draw extra attention to the chart Alternatively the QA process can be automated by using Auto Advance This will automatically advance the chart through the QA levels unless an event defined for that level is listed in the chart The chart then stops at that QA level Auto Advance is discussed more in the Administration Manual in the QA Levels section 4 2 Special Reports Special reports are used to provide additional information about unusual events during a transport These reports are part of the quality assurance process and thus are not legally discoverable unlike the chart and any addendums Special reports are usually cre
5. Figure 123 It is composed of the following sections a Show unreviewed only Show All The user can choose to view all special reports or only those that he or she has not reviewed b Show all flagged Clicking this link will only display the reports that have been flagged c Display past This dropdown list lets the user change the time frame of special reports to be displayed up to a maximum of 10 weeks Selecting a new time frame causes the page to be automatically updated Special reports older than 10 weeks can be viewed by using the Search option described in greater detail in the Searching section below Whenever a user changes the number of weeks to view that setting is saved for Subsequent use d Reports waiting review This is where the special reports are listed Each line includes the date and time the report was created the subject if one was provided the PRID if applicable and the name of the user who filed the special report If a report is marked as urgent a red exclamation point will appear to the left of the date Ifa report is flagged a red flag will appear to the left of the date Also if a line appears in gray that signifies that a user has already reviewed that report 10 2 Viewing a Special Report Clicking on a special report on the special reports home page allows the user to view that special report Figure 124 Setup Configuration gt Service gt Code Tables gt emsCharts com Module
6. Filename davetest gif Description test Date Created 01 02 2004 08 59 AM Filename seminaril1i1 doc Description asdfasdtascdt Date Created 11 12 2003 01 42 PM Filename test zip Description asdfasdt Date Created 11 20 2003 10 48 AM Figure 212 After you click a category you will be taken to the list of files in that category Click on a file to download it or to view it The Calendar module employees of emsCharts com provides an easy way to share upcoming events with oe Setup Configuration gt Service gt Code Tables gt Document Warehouse Categories Configure document warehouse categories 9 30 2009 Page 151 emsCharts com User Manual 18 Calendar The Calendar page can be accessed by clicking on Calendar in the menu system This brings up the Calendar page Figure 213 emscCharts com Calendar Add Event guest 10 31 02 November 2002 eiea EAS E Demo Calendar v 2002 w emsCharts com is a service of the Center for Emergency Medicine 230 McKee Place Pittsburgh PA 15213 Figure 213 It is composed of the following sections a Calendar The calendar is displayed in a monthly view with any events listed color coded to the key at the bottom If the user has sufficient privileges they can edit the event by clicking on it in the calendar b Select New Calendar Select a new view by changing any of the following 1 Calendar Name The service administrator c
7. System E Symptoms Impression Motor Vehicle incident Drugs A amp lcohol Adal Injury Details Figure 56 Chief Complaint This is a free text section It is used to describe the main injury ailment of the patient These comments can be spellchecked by clicking on the ABC icon near the top right of the box Clicking the pencil icon will auto generate a chief complaint Duration of Complaint Chief The duration of the chief complaint Air Modifier The air modifier for the trip CMS Condition The CMS condition Anatomic Location The anatomic location of an extended impression ALS Assessment Select appropriate choice for ALS Assessment If Completed for rule out diagnosis is selected in this field a new field named Ruleout diagnosis will appear to allow the user to enter the relevant data Secondary Complaint This is a free text section It is used to describe the secondary injury ailment of the patient These comments can be spellchecked by clicking on the ABC icon near the top right of the box as Setup Configuration gt Command Fac gt Chart Fields gt Complaint Durations Enables Disables complaint duration display i Setup Configuration gt Command Fac gt Chart Fields gt Air Modifier Enables Disables air modifier display a Setup Configuration gt Service gt Chart gt Other Pages gt CMS Condition Enables
8. 6 6 15 Utilization Review The Utilization Review formt Figure 92 is used to justify transport to insurance carriers for billing purposes The information that is provided will assist billing personnel to make necessary decisions and follow the proper procedures in billing the patient emscCharts com gt home Chart Status Initial Entry SO Add QA Flag guest 10 28 02 Patient Charts il Mea I Reason for Transfer Page 1 theck all that apply Dispatch Dispatch ____ 5 gure Scene Run gt Page 2 Sanda Cl Patient discharged from referring hospital _ PT CCHP Cl Did not have specialty services to treat patient Page 3 C Did not have specialty services within appropriate time frame necessary to treat patient immediately Page 4 Page 5 Did not have specific diagnostic facilities to evaluate patient Did not have specific diagnostic services within time frame to evaluate patient s immediate condition or potential condition List Specialty Service needed Select soar list NAA v Page 6 List Specialty Diagnostic Service needed Select rom list N A v Labs Fluids m peen Medical Information Wee Ns PTA Chief Complaint ePages History of Illness ActivityLog Comments Page 9 Misc Forms f Receiving Hospital Selection Entire Chart ed Print Preview heck all that apply Patient admitted to receiving hospital
9. Fae Contact Last Name f First Name fs Contact Title Provider Number nn Figure 145 Options include a Name The name of the payor b Payor Type The type of payor Auto Medicaid Medicare etc c Address 1 amp 2 City State and Zip Payor address information d Use Policy Num Select if payor uses a policy number Optionally the display name for this field can be renamed e Use Group Num Select if payor uses a group number Optionally the display name for this field can be renamed f Phone 1 amp 2 Fax 1 amp 2 Phone and Fax numbers g Contact Last Name First Name and Title Contact information h Provider Number The provider number of the service i If Mileage gt 20 use Select whether to bill loaded miles or total miles if loaded miles are great than 20 The reasoning behind this field is that Medicaid allows a service to bill for total miles if the loaded miles are greater than 20 j Fee Schedule Select a fee schedule to use with this payor For more information see 14 3 k Priority The priority this payor has in relation to the other payors If a patient has insurance from more than one payor the payor with the highest priority lowest number will be used to determine charges Clicking the See Current Priority List link opens a list of all the payors in order of priority Figure 146 a Setup Configuration gt Service gt Code Tables gt Chart Summary Setup gt C
10. gt Service gt Code Tables gt Security Roles gt role name gt View Personnel Field Define if security role can view Personnel Field for Special Reports 9 30 2009 Page 99 emsCharts com User Manual 11 Forums The Forums can be accessed by clicking on Forums in the menu system This brings up the Forums page Figure 126 f EMSCharts com f cy no new message s Category Listing f Latest emsCharts Forum Forum News Notes on Using Forums Welcome joneja the latest addition to the emsCharts Forum forum Clinical Protocol Developments Share level Command Facility Discuss upcoming changes or request changes to current protocols Topics 0 Demo Service Operations Forum Share level Service Post messages about demo setup or whatever you want Oo Topics Enhancement Requests Share tevel Public Describe requests for enhancements to emsCharts com Topics 12 General Share level Public oO Topics Recent Changes and Updates Share tevel Public Brief Descriptions of updates to emsCharts cam iam mm Topics 46 You have posted 0 messages There are currently 1 users logged in 414 users are registered to the emsCharts Forum forum customize profile search chat today help faq refresh WHO S ON 9 43 PM Last Post Forum is empty Last Post Forum is empty Last Post Monday October 07 2002 1 16 PM by hkowger Last Post Forum is empty Last Post
11. 10 01 2001 Date Tao 10 31 2002 ALL by Rec Hospital ALL by Rec Hospital 0 UPMC Presbyterian Mercy Hospital of Pittsburgh Clarion Hospital UPMC Bedford Memorial a Figure 159 Clicking on the icon will return the user to the main report page Figure 156 16 2 Cross Tabular Cross Tabular reports Figure 160 allow the user to select two criteria to compare The criteria that can be used to generate Cross Tabular Reports are listed in Figure 161 9 30 2009 Page 124 emsCharts com User Manual Report Criteria Base Station m Chemically Paralyzed PTA eet 10 Oe 200 l Destination Basis To 1073172002 S A Rows Medical Category Level of Conciousness aE Loss of Conciousness Columns Receiving Hospital C Generate Report i i Figure 160 Receiving Hospital Receiving Type Receiving Unit Referring EMS Referring Hospital As an example of cross tabular reports this guide will generate a report of Medical Categories compared to Receiving Hospitals Using the data listed in Figure 160 the following screen is generated Criteria Date Fram 10 01 2001 Date To 10 31 2002 Rows Medical Category Cols Receiving Hospital Clarion Hospital Mercy Hospital Pittsburgh UPMC Bedford Memorial UPMC Presbyterian fae Total Cardiac 1 0 0 oD g Medical NOS 0 0 E iL E 1 Neurological 0 o 1 0 o ie Obstetrical 0 1 D Oo o E Sur
12. 20 Price to charge per unit no Piirchace Mate Save Figure 131 9 30 2009 Page 104 emsCharts com User Manual Options include a Name The name of the supply b Category The category the supply falls into c Vendor The vendor that provides this supply The list of vendors is defined in the Vendors section Manufacturer The manufacturer of the supply Part Number The part number of the supply Serial Number The serial number of the supply Model Number The model number of the supply Packaging How the supply is packaged This is a free text section but some common entries include case box and each i Units in Package The number of units in the package j Price per package The service s cost for each package k Price to charge per unit The price the service charges for each unit Purchase Date The date the supply was purchased Once all the information has been entered it can be saved by pressing the Save button zamoa 13 1 4 Vendors The Vendors page Figure 132 lists vendors that sell supplies to the service Administer Code Tables Resoironics INC IO 162 address 1 Address 2 State Zip Phone 1 Fax 1 Contact Name Contact Phone ccount Number Comments Figure 132 All of the fields are self explanatory Once all the information has been entered it can be saved by pressing the Save button 13 1 5 Locations The Locations page Fig
13. ALS v Name v Q Ei 1 06 _ Meuro Airway Tail Reg a Location ens Dispatch ATT 14 06 ieee coal 4 Reshense Dota ia Zip EnRoute 01 1906 14 06 s Pages EMD i lt 7 73 eecondary Survey Ref Type Scene Unsched See oe First Resp 01 19 06 14 06 eee Category lt lt l On Scene o1gin6 14 06 Page 7 Dispatched As Not Recorded v At Pt 1 01 1906 14 06 PSR SETA Outcome Care Transfered ON Scene Grid 5 S Ly wIPEJIY 01 19 06 14 06 PIRRE Mass Casualty Not Re Recorded re Scene GPS Dep Ref 01 19 06 14 06 Stes vehe Grid Mode Lights Sirens Ar Rec fV 01 19 06 14 06 Miso Forms betot _ Moved Via v Xfer Care 01 1906 14 06 res Veke GPS I Position v Cancelled 0149 06 14 06 gt Prit Preview Th gee HL s Special Report 0 BU gS In Gtrs 0149 06 14 06 Inport Data Dv fWebb Davidl et OO Type Hosp OEMS Oother Urgency P vi al 38 aa Name N CA S rv n a mr Unit Burn Floor amp a nl Rec MD A T 8 OO Odometer Other Rec RN _ AtRef Mode Lights Sirens i End Dest Basis p v wee T L Dest Grid vi Total Team care ONLY No Dest GPS Al passe BIVAD Moved Fram x ECMO i IABP Condition Comment z Figure 37 The PCR will not be added to the database until the Add Patient button is pressed If the user backs out of the chart or navigates away from this page prior to pressing
14. Administration Totals 76 00 8 00 Page Totals Running Totals 24 00 1 00 Figure 205 Hours which have been approved appear in green 5 Detail Report Week x7 Displays a summary report of hours worked in week xof the pay period broken down by user date pay type and pay division Figure 206 on Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt View Summary Report Allows user to view summary reports 9 30 2009 Page 147 emsCharts com User Manual Guest Fake 10 26 0 1073170 Division Comments OR 2 Administration et Crew 10 31 02 Administration 10 31 02 Administration 6 7 Totais Figure 206 Base by Employee After making a pay division selection from the dropdown box click this link to display a Summary Report of only the users who entered time for the selected pay division Base by Date After making a pay division selection from the dropdown box click this link to display a report of only the users who entered time for the selected pay division sorted by date Figure 207 Date In 10 26 02 10 31 02 10 31 02 11 04 02 11 07 02 8 Administration Summary by Date Employee REG OF R SICK AC HOL DIFF Fake Guest 6 00 Fake Guest 4 00 Fake Guest 1 00 David L Webb 8 00 David L Webb 8 00 Figure 207 Edit User After selecting a user name click this link to edit the paysheet of that user 9 P
15. Code Tables gt Chest Assessment Configure chest assessment options Setup Configuration gt Command Fac gt Chart Fields gt Pelvis Assess Configure pelvis assessment display mae Setup Configuration gt Command Fac gt Code Tables gt Pelvic Assessment Configure pelvic assessment options te Setup Configuration gt Command Fac gt Chart Fields gt Abdomen Assess Configure abdomen assessment display i Setup Configuration gt Command Fac gt Code Tables gt Abdomen Assessment Configure abdomen assessment options idl Setup Configuration gt Command Fac gt Chart Fields gt Bowel Enables Disables bowel sounds display oe Setup Configuration gt Command Fac gt Chart Fields gt Heart Assess Configure heart assessment display 9 30 2009 Page 55 emsCharts com User Manual g Back Select free text section All physical findings related to the back should be documented in this section If text entry is selected the field Findings will be displayed If select is chosen Spine Thoracic and Lumbar select boxes will be displayed h Extremities Select free text section All physical findings related to the extremities should be documented in this section Any restraint devices placed on the patient prior to the crew s initial assessment should be documented in the restraint section If text entry is selected the fields Findings and Restraints will be displayed If
16. Command Fac gt Code Tables gt Neuro Exam Assessment Configure neuro exam assessment re Setup Configuration gt Command Fac gt Chart Fields gt Neurologic Deficit Assess Enables Disabled neurologic deficit assessment display a Setup Configuration gt Command Fac gt Code Tables gt Neurologic Deficit Assessment Configure neurologic deficit assessment oe Setup Configuration gt Command Fac gt Chart Fields gt Thrombolytic Screen Enables Disables thrombolytic display 9 30 2009 Page 47 emsCharts com User Manual 113 display 115 116 Setup n Setup Setup Setup Setup Configuration gt Command Fac gt Chart Fields gt Page 8 GCS Qual Enables Disables GCS qualifier display Configuration gt Command Fac gt Chart Fields gt RTS Enables Disables revised trauma score display Configuration gt Command Fac gt Chart Fields gt RTS Enables Disables pediatric trauma score display 8 Patient chemically paralyzed Used to document if the patient was chemically paralyzed Selecting Yes will default the GCS to 3 and select Chemically Paralyzed in the Motor and Sensory lists 9 Loss of Consciousness Select Yes or No to document whether or not the patient lost consciousness 10 Was Pt Immobilized Select Yes or No to document whether or not the patient was immobilized 11 Pupils Document the size and reaction of each of the pupils Size can be Normal
17. Configuration gt Service gt Chart gt Dispatch gt Track grid locations on Page 1 Enables Disables grid location display Configuration gt Service gt Chart gt Dispatch gt Track GPS Locations on Page 1 Enables Disables GPS Location Configuration gt Service gt Chart gt Referring gt Patient Movement Enables Disables Condition display Configuration gt Service gt Chart gt Chart Times gt Time Entry Configure time entry as ActiveX control or text boxes Configuration gt Service gt Chart gt Chart Times Configure times Configuration gt Command Fac gt Chart Fields gt Chart Times Configure times 9 30 2009 Page 31 emsCharts com User Manual A Times Web Page Dialog injuro H 9 2006 Receivedo1 9 2006 Notified a Standby Dispatch 0 ASSO06 EnRoute o1 9 2006 On Scene 0449 2006 At Pt 01719 2006 Lv wiPt 01 19 2008 Dep Ref 01192008 Ary Rec 0149 2006 xfer Care0113 2006 Cancelled 01 1 92006 Available 011 9 2006 In trs 01 19 2006 oggegGGGGG GGGGG G eg pai lt T Figure 39 The dates and times can be typed in and a date time combination can be copied to the lower times by clicking the green arrow y Urgency Select the response urgency of the transport z Odometer If applicable the crew member can enter the appropriate odometer readings in the boxes The Loaded a
18. Enter the number of vehicles involved in the accident 6 Seat Row of Patient Enter the row number of the seat the patient was in Once all the data has been entered it can be saved by clicking the Save button The entered data can also be removed by clicking the Delete button Drugs Alcohol Click this button to bring up the Drug Alcohol Details window Figure 59 A Drug Alcohol Details Microsoft Internet Explorer BEE Drugs Alcohol Details Alcohol Drugs Both None Indicators C None C Smell of Alcohol on Breath Patient Admits to Alcohol Use Patient Admits to Drug Use C Alcohol or Drug Paraphernalia at Scene C Not Known Figure 59 i Setup Configuration gt Command Fac gt Code Tables gt MVI Risk Factor Configure motor vehicle impact risk factors 9 30 2009 Page 44 emsCharts com User Manual Once all the data has been entered it can be saved by clicking the Save button The entered data can also be removed by clicking the Delete button m Add l Injury Details Click this button to bring up the Injury details window Figure 60 1 2 3 4 5 6 7 8 Injury Details Microsoft Internet Explorer Injury Details Intentional Yes Other Injury Cause By Bullets And Fragments 7 E 8 Safety Equip Fall Height Ft Fall Surface Landed on Work Related OYes No Figure 60 It is composed of the following sections
19. Group and Policy information The Insurance Carrier can be selected from a list of Payors defined by the service by clicking the icon Alternately the carrier name can be entered manually by clicking the a icon You can also choose who is Insured The default entry is Patient but you can also choose from the individuals entered in the Relationships Guarantors section When all the data has been entered it can be saved by clicking the Save Payor button The relationship can be removed by clicking the Remove Payor button When done click the Close Window button to return to the Patient Information page The bottom portion of the Patient Information screen includes areas to enter the patient s Previous Medical History PMHX Medications and Allergies Figure 53 Current PMHxX Current Medications Stroke Myocardial Infarction Pacemaker Insertion out Aortic Dissection Obtained From Mot Recorded Ww x Current Allergies SIE Fi Figure 53 The crew member can click on the E button in each of the three areas and select desired items from a list of predefined items Figure 54 If an item is selected in error the crew member select that item and then click the x button to delete the item To quickly select None click the PMHX information as to the source of the PMHX can also be selected icon For Advanced Picklist Microsoft Internet Expl isi x E AAA Surgical Repair AKA
20. On the far right side of each file name is a Delete button You can delete an attachment from a chart by clicking the Delete button and clicking OK in the confirmation box that appears For any file deleted a record of the file name date of deletion and user who deleted the file will be displayed c Signatures 7 This section allows users to electronically sign charts When a user presses the Sign Chart button the electronic signature window appears Figure 80 The user then enters their system password and social security number If the user can sign the chart in more than one capacity they can choose the correct title from the Sign Chart As dropdown box When the Save Signature button is pressed the signature is saved to the chart It can then be viewed by pressing the View button along with the date and time the chart was signed and the IP address of the computer the user was logged into at the time of signing Figure 81 It is also possible for a user to add addendums to the chart after signing it Should the user create an addendum after signing the chart they would then be able to sign it a second time with the corresponding new date and IP oe Setup Configuration gt Service gt Code Tables gt Chart Attachment Categories Define Chart Attachment Categories for service na Setup Configuration gt Command Fac gt Code Tables gt Chart Attachment Categories Define Chart Attachment Categories for command facili
21. b Pt Run ID The internal ID for the run of that patient for the service c Unknown If the patient s identity is unknown this box should be checked rather than filling in John Doe for a name d City St Zip When a zip code is entered the City and State boxes are automatically filled selected If a zip code is associated with more than one city and the wrong one is filled in it can be edited by the user If a service has one or more entries in the Default Ref Rec Patient Cities code table a dropdown box of these entries will appear instead e DOB Age If a date of birth is entered age is automatically calculated Age should only be used if a DOB is not known DNR Do Not Resuscitate type Only displays if at least one DNR type is defined DL State Drivers License state DL Number Drivers License number Communication Barrier Communication barriers of the patient for example hearing handicap Once completed pressing the Save Patient button will add the patient to the record as well as save the patient information to the database for future PCR needs m J Q m After a patient has been selected entered the patient data screen for the PCR that is being entered will be displayed Figure 46 This page consists of the patient information previously entered as well as Insurance and Medical information le Setup Configuration gt Service gt Chart gt Patient ID ID Enables Disables Patient ID display Also cu
22. creation The export details will be added to the Database Exports box on the right along with a link to remove the export schedule After an archive has been created it will appear in the Database Exports box Figure pangy 122 9 30 2009 Page 94 emsCharts com User Manual Database Exports Date From Date To Charts Filesize Created O6 01 7004 06 30 2004 ogi 7T MB 12 03 2004 01 13 Delete After aicking on a Month there wii be a delay before download begins Date From Date To Scheduled Ao Exports Scheduled Figure 122 This box shows the date range covered by the export the number of charts in the export the filesize and the date it was created The user can click on either date link to download the export or click the Delete link to delete the export 9 30 2009 Page 95 emsCharts com User Manual 10 Special Reports 10 1 Home Page The Special Reports home page can be accessed by clicking on Special Reports in the menu system This page displays the special reports which have not been reviewed by the user Figure 123 emsCharis com _ home guest 10 31 02 Special Reports Show unreviewed only O Show All Show All Flagged display past 10 weeks Vv Current Date Time Subject PRID Filed By Create 09 04 2002 13 18 tstestsete None Goutmann Pete Search 09 04 2002 13 23 test None Goutmann Pete 09 06 2002 10 33 test None Goutmann Pete Reports in silver have been reviewed
23. if a special report is flagged by John Doe and Jane Smith comments on it the special report will be displayed on John Doe s special reports home page This will occur even if John has already marked that special report as reviewed Also the author of a report has an inferred flag on that special report even though it will not explicitly appear 10 3 Creating a Special Report Creating a special report relating to a transport is covered in the section on creating a new chart under the Special Report section Other types of special reports can be created by clicking Create in the menu system This will bring up a screen similar to Figure 95 However on this screen a record number will not be displayed Also if the user has sufficient privileges a text box for entering extra email addresses will be available 10 4 Searching Special Reports can be searched by clicking Search in the menu system This will bring up the Search Special Reports page Figure 125 9 30 2009 Page 98 emsCharts com User Manual Search Special Reports Enter the Date Enter an ID prom pinzas E o To pura pepo ID C Only show unreviewed reports Report Categories Users Author o dh Crew a Supervisor PO a Personnel Issue SE a Figure 125 It is composed of the following sections a Date The user can select the date or date range for the creation of the special report b Only show unreviewed reports Checking this optio
24. if the user is the author of the report or they have a role that has been assigned rights to edit the report or they have the security privilege to edit all reports the Edit Report button will be enabled This button is used to edit an existing report 16 4 7 Copy Report When the name of a report is clicked on if the user has the security privilege to create reports the Copy Report button will be enabled This button is used to copy an existing report into a new report with a new name 16 4 8 Delete Report When the name of a report is clicked on if the user is the author of the report or they have the security privilege to delete all reports the Delete Report button will be enabled This button is used to permanently delete an existing report an Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Custom Reports Edit All Allows user to edit any custom report Gee Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Custom Reports Create Allows user to create custom reports a Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Custom Reports Delete All Allows user to delete any custom report 9 30 2009 Page 143 emsCharts com User Manual 17 Human Resources The Human Resources module resources duties of emsCharts com allows you to perform some basic human 17
25. s arrival and initial assessment It includes a Time The time the medication was given b Medication The medication that was given It can be entered by clicking the icon and selecting the medication given or simply typed into the text box c Concentration The concentration of the medication d Dose Rate The dose and rate of the medication a Setup Configuration gt Service gt Chart gt Other Pages gt Priors Performed By Enables Disables performed by display e Setup Configuration gt Service gt Chart gt Other Pages gt Priors Outcome Enables Disables outcome display ne Setup Configuration gt Service gt Chart gt Other Pages gt Prior Dosage Unit Enables Disables rate display as a dropdown box 9 30 2009 Page 60 emsCharts com User Manual e f g h IV Other Route How the medication was administered The user can select a route from the dropdown box or click the magnifying glass icon to select an IV entered in the previous section Performed By Select who administered the medication infusion Outcome Select the outcome of the medication infusion Drip If the medication was given via a Drip this box should be checked Once the information is placed in the appropriate boxes click the Add button to save This sequence must be completed for each individual Medication and or Infusion Once the above sections have been completed the user can click on the
26. the crew member can click on Patient Records in the Menu System along the left side of the screen and repeat the above process 6 7 Other entries on Menu System a Entire Chart Displays the entire chart on the screen in a non editable format b Print Preview Opens a new window to displays the entire chart in a printable format Also includes a Print button at the top of the page c Advance Chart If the user has sufficient permissions they can advance the chart from this menu item d Special Report The Special Report item was described above in the section State Export e Chart Toolbox The Chart Toolbox Figure 97 contains various utilities ao Setup Configuration gt Service gt Code Tables gt Chart Summary Setup gt Chart Summary Generation Method Configure the chart summary generation method 9 30 2009 Page 78 emsCharts com User Manual Chart Utility Menu Web Page Dialog Chart Utilities Show C8 Advances a ieee eter eer eee Aeretnenannanneneeneesanensensesenss Show Full Audit Create Form Letter Delete Chart Delete Patient 1 Chart Links Close Window Figure 97 These utilities include 1 Show QA Advances Displays the user and time when a chart was created modified and advanced 2 Show Full Audit Displays all audit activity related to a chart A brief version of this audit can also be printed by clicking on the Print button 3 Create Form Letter Described in the Followu
27. 1 Payroll emsCharts com provides a payroll system for entering and tracking employee s hours It is accessed by selecting Human Resources from the menu system and then selecting Payroll from the menu system on the new screen which loads This will bring up a screen allowing the user to select a pay period to view or edit Figure 200 emscCharts com home guest 10 30 02 Payroll Select Period Calloff New Period Start End Hours Status Calloff Search 1 01 06 2002 01 19 2002 2 01 20 2002 02 02 2002 3 02 03 2002 02 16 2002 4 02 17 2002 03 02 2002 5 03 03 2002 03 16 2002 6 03 17 2002 03 30 2002 7 03 31 2002 04 13 2002 8 04 14 2002 04 27 2002 9 04 28 2002 05 11 2002 10 05 12 2002 05 25 2002 11 05 26 2002 06 08 2002 12 06 09 2002 06 22 2002 13 06 23 2002 07 06 2002 14 07 07 2002 07 20 2002 15 07 21 2002 08 03 2002 16 08 04 2002 08 17 2002 17 08 18 2002 08 31 2002 18 09 01 2002 09 14 2002 J 19 09 15 2002 09 28 2002 20 09 29 2002 10 12 2002 21 10 13 2002 10 26 2002 22 10 27 2002 11 09 2002 23 11 10 2002 11 23 2002 24 11 24 2002 12 07 2002 25 12 08 2002 12 21 2002 26 12 22 2002 01 04 2003 v Figure 200 The current pay period is displayed in bold text The pay periods are configured by the service administrator by selecting the day the pay period begins on the number of weeks in the pay period and a start date to calculate the pay periods from The user selects a pay period by clicking on
28. 117 Search Results for Last Name Last Name Number of Duplicates fake z o brien z patient zg relative J test 4 Blank zi Figure 117 This page lists each of the matching results and the number of patients for that result Clicking on one of the lines will take the user to the Patient Search Results page described in the previous section 9 3 3 Merge Two The Merge Two page allows the user to quickly select two patients for consolidation Figure 118 Merge Two Patients Patient 1 38 patient new midi cons addri cons addr2 West Mifflin PFA 15122 666 66 6666 03 03 1933 888 886 8686 Figure 118 9 30 2009 Page 92 emsCharts com User Manual After a patient has been selected details for that patient will appear in the box below the name Once two patients have been selected click the Consolidate Patients button to bring up the Patient Consolidation window described earlier 9 4 Patient Record Archiving Patient Record Archiving allows services to download archived copies of charts and to download Microsoft Access databases of the raw data Archives and Database Exports can be scheduled in advance and will run starting at 1am ET to reduce activity on servers No more than a one year timeframe is permitted and busier services are urged to keep archives less than 5 6000 charts Utilities will be posted soon to assist in merging two downloaded databases together to allow administr
29. B OR C e D AND C OR B AND A These statements will all give the same result and there are many other ways this could be written After the statement has been entered it can be saved by clicking the Save button The criteria grouping page will now reload Figure 179 Test report for user manual Not Validated Criteria Grouping Criteria Date Dispatched gt 01 01 2004 Unit Unit 1 Unit vhlohrd Medical Category Promot Criteria Grouping Example A AND 48 OR A AND C Final Criteria Statement Date Dispatched gt 01 01 2004 AND Unit Unit 1 OR Unit WHICHrl 3 AND Medical Categ Figure 179 If you compare Figure 179 with Figure 178 will see that the Final Criteria Statement has changed to reflect the grouping statement For report with many criteria the Auto Generate button is available Clicking this button will generate a Criteria Grouping statement with ANDs between all the available criteria which can then be edited to produce the desired statement Reminder A blank Criteria Grouping statement is the same as a Criteria Grouping statement with ANDs between all the available criteria For the above report clicking the Auto Generate button would yield the statement 4 AND B AND C AND D The next tab is the Group By tab It is not applicable to the example we are developing so it will be covered later The next step in building a custom report is the Output tab Figure 180 9 30 2009 Pag
30. C Closest facility with needed services J Other closer facility could not accommodate patient comment Below Other closer facility could not treat specific condition comment Below Patient returning to hospital of recent treatment comment Below Special Report Chart Toolbox Comments Figure 92 The form is a simple check box type of form with free text areas to allow for comments or explanations to be provided where necessary Once the form is completed the crew member can click on the Print Preview button to print a copy of the Utilization Review form Then the crew member will click on the Save button to return to Page 9 6 6 16 Followup Letter The Followup Letter formt 4 is a simple and quick way to create a form letter for the referring agency or patient s family after a transport Figure 93 The user can select a Template from those defined by the system administrator and the relevant information is filled in from the PRC If allowed by the system administrator the user can also select the Delivery Method Once the user is satisfied with the information entered they continue by pressing the Accept button ne Setup Configuration gt Service gt Chart gt Utilization Review Configure utilization review form Setup Configuration gt Service gt Chart gt Followup Letter Configure followup letter form a Setup Configuration gt Service gt Code Tables gt Form Letter Templates Defi
31. Category Hidden Figure 129 Options include a Name The name of the category b Default Category Select if this category contains default supplies for every trip c Use On Chart Select if the supplies in this category will be available on the supply form If this category is used for non chart supplies such as paper towels set this option to No d Hidden Hide this supply category Once all the information has been entered it can be saved by pressing the Save button 13 1 2 Supply Sub Categories The Supply Sub Categories page allows the user to define supply sub categories for the service Figure 130 9 30 2009 Page 103 emsCharts com User Manual UME i ee Supply Sub Categories w Tie Supply Categories Child Category ID Mame Parent Category Hidden Figure 130 Options include a Name The name of the sub category b Parent Category The parent category c Hidden Hide this supply sub category Once all the information has been entered it can be saved by pressing the Save button 13 1 3 Supplies The Supplies page Figure 131 allows the user to define supplies used by the service Code Table Supplies Sort Administer Code Tables Supplies ID 822 Name Bub Syringe Category Airway ka Vendor Respironics INC Manufacturer Part Number Serial Number Model Number Packaging case Units in Package Price per package no
32. Chart button If any Data Validation Rules are defined then the Data Validation window will appear Figure 82 The following fields are required by the Service Test Condition Value Page 1 Dispatch Information Dispatch ID Page 1 Dispatch Information Dispatched As Obstetrical Page 1 Dispatch Information Mileage Loaded Page 1 Dispatch Information Odometer At Referring 37 Page 1 Dispatch Information Outcome Care Transfered Page 1 Dispatch Information Patient Moved Via Other Page 1 Dispatch Information Response Code Delta The following fields are reqmred by the CmdFac Test Condition Value Passed Page 1 Dispatch Information Dispatch ID Hot Blank false ro To Page Page 1 Dispatch Information Medical Category Not Blank false oo To Page The following fields are recommended by the CmdFac Test Condition Value Passed Page l Dispatch Information EFT Comment Not Blank false ro To Page Figure 82 There are two main sections one for fields that must be corrected before the chart can be locked and another for fields that corrections are recommended Any fields which failed the check will appear in red and will include a link to take the user to the chart page where that field is located so that it can be corrected If a link is clicked the Data Validation window oe Setup Configuration gt Service gt Code Tables gt QA Levels Define QA levels oe Setup Configuration gt Command Fac gt Code Table
33. Disables CMS condition display a Setup Configuration gt Command Fac gt Chart Fields gt Extended Impression Enables Disables anatomic location display s Setup Configuration gt Service gt Code Tables gt Billing Setup gt ALS Assessment Field Page 2 Configure the display of the ALS Assessment field i Setup Configuration gt Service gt Code Tables gt Bill Patient Category Options Configure the default value of ALS Assessment based on patient medical category 2 Setup Configuration gt Command Fac gt Chart Fields gt Secondary Complaint Enables Disables secondary complaint display 9 30 2009 Page 42 emsCharts com User Manual h Duration of Complaint Secondary The duration of the chief complaint i History of Present Illness This is a free text section It is used to describe the circumstances and events leading up to the transport These comments can be spellchecked by clicking on the ABC icon near the top right of the box j Cardiac Arrest If the patient suffered a cardiac arrest the crew member will click on the Cardiac Arrest button complete the Cardiac Arrest Registry box that appears Figure 57 and click the Save button Cardiac Arrest Registry Microsoft Internet Explorer E JI m x Cardiac Arrest Registry Witnessed who Witnessed NA Cardiac Etiology E CPR Started i aa CPR By Nia Resuscitation BES First Defib m 12012006 lelh W416 Defi
34. Dispatched gt 01 01 7004 Page 1 Dispatch Information Unit Unit 1 Page 1 Dispatch Information Unit WHICHrL Page 1 Dispatch Information Medical Category Promot New Criteria Category Select a category ka Acd Cancel Final Criteria Statement Date Dispatched gt 01 01 2004 AND Unit Unit 1 AND Unit Whlchri AND Medical categ Figure 177 As currently written the report is looking for trips where the unit listed on the trip was both Unit 1 and WhiChri but the report should actually return trips where the unit is either Unit 1 or WhlChr1 This can be handled in the Criteria Grouping tab Figure 178 Test report for user manual Not Validated Criteria Grouping Criteria Date Dispatched gt 01 01 2004 Unit Unit 1 Unit vWhlChrd Medical Category Promot Criteria Grouping E Example f 4 AND 48 08 A AND C Final Criteria Statement Date Dispatched 01 01 7004 AND Unit Unit 1 AND Unit Whlchrt AND Medical Cate Figure 178 9 30 2009 Page 132 emsCharts com User Manual The Criteria section lists the criteria picked earlier along with shorthand for each criterion to be used on this page This report should show all charts with either Unit 1 or WhiChri which is expressed in shorthand as B OR C With this in mind the Criteria Grouping statement can be written many ways e A AND B OR C AND D e B OR C AND A AND D e A AND D AND
35. Gout Aortic Dissection Obtained From Not Recorded Replace Patient emsCharts 10 Allegheny County Airport West Mifflin PA 15122 866 647 6262 wywyw2 emscharts com Figure 46 Some additional buttons are now available These include a Neonatal For patients under 2 years of age click to complete the Neonatal Information page Figure 47 j Setup Configuration gt Command Fac gt Chart Fields gt Neonate Button Enables Disables neonatal button 9 30 2009 Page 36 emsCharts com User Manual Neonatal Information Microsoft Internet Explorer ARa ia Neonatal Details Time of Labor Time of Bith Maternal History Para Gravida Gestational Age M weeks Parent Blood Type Type of Delivery wl Fetal Heart Rate MI Birth weight kg APGAR Mone recorded Presentation mefa SS S Complications B SSS Maternal History AES S S Tocolyties A S membranes a SSS S secr AC Comment Figure 47 b Immunizations Click to complete the Immunization history Figure 48 Additional Patient Medical History Microsoft Internet Sale Type s of Immunizations Year Immunization Status Figure 48 c Employer Click to complete employer information Figure 49 9 30 2009 Page 37 emsCharts com User Manual A Patient Employer Information Microsoft Internet Explorer ARa Employment Details Figure 49 d Physician Click to comple
36. Home My Questions amp Problems Log a Ticket View Closed Tickets Feature Request Question This is a test ticket created for emsCharts com documentation Activity Log Nothing in the log Add Information Log A New Activity Status emsCharts 10 Allegheny County Airport vest Mifflin PA 15122 866 647 6262 Figure 219 From here new information can be added to the ticket This new information can be spellchecked by clicking the ABC icon near the upper right corner of the text box This information can then be saved by clicking the Update button 20 1 2 Log a Ticket To enter a new ticket click Log a Ticket This will bring up the Log a Ticket page Figure 220 9 30 2009 Page 157 emsCharts com User Manual Log a Ticket Username a E Mail quest emscharts com Optional Questions Phone Number LE Version f Service prip sd Contact Method A Module Operating System Multiple PC Problem Multiple User Problem Question i s required Figure 220 It is composed of the following fields Username The username This field is automatically completed E Mail The e mail address the user has entered in emsCharts This field is automatically completed Phone Number The phone number s the user has entered in emsCharts If only one number is found the number is displayed as a text box Service The service the user is logging t
37. Left Alcohol Abuse Anemia Angina Angioplasty Anxiety Disorder Aortic Dissection Aortic Valve Insufficiency Aortic Valve Repair Aortic Valve Stenosis Appendectony Arthritis Asthma Figure 54 Setup Configuration gt Service gt Code Tables gt Payors Define payors i Setup Configuration gt Command Fac gt Chart Fields gt Reuse Pt Info If an existing patient is selected select Yes to copy Medical History Allergies and Medications from the previous chart 9 30 2009 Page 40 emsCharts com User Manual An entry can be found in the Advanced Picklist in Figure 54 by clicking on the letter that the entry name begins with For example clicking on A displays the screen shown in Figure 54 The user can then click on the name of the entry to add it to the Selected box The user can then click the Add button to save the entry to a list of entries to be added to the chart Only one entry can be in the Selected box at a time so this procedure must be repeated for each entry Entries not displayed when clicking on a letter can be added to the chart by typing the name into the Selected box and pressing Add When all the entries have been selected press Done to save the entries back to the chart The Current Medications section can also be configured to allow entry of dosages and routes Figure 55 Current Medications Name Dose Route Aciphex 100 MG Oral Edit Medications Figure 55 If more than one patient wa
38. Local ID Enables Disables Local ID display Also customization of Local ID label j Setup Configuration gt Service gt Code Tables gt Base Sites Define base sites j Setup Configuration gt Service gt Code Tables gt Units Define units Setup Configuration gt Service gt Chart gt Defaults gt Default staff level Choose default staff level e Setup Configuration gt Service gt Chart gt Dispatch gt Track Tail Reg on chart Enables Disabled Tail Reg display Setup Configuration gt Service gt Code Tables gt Unit Tail Registration Numbers Define unit tail registration numbers 9 30 2009 Page 28 emsCharts com User Manual Setup Setup a Setup oe Setup o Setup a Setup Setup a Setup a Setup oe Setup a Setup a Setup a Setup display a Setup a Setup dropdown a Setup i Setup ue Setup 7 Setup a Setup h Response The response code Will only appear if at least one response code has been defined When selected this will also set the Mode in the Referring box i EMD7 Selects if EMD was used j Ref Type Selects the type of trip Scene run interfacility transport etc k Mode Select whether the transport was scheduled or unscheduled Medical Category The category of medical need that necessitated the transport Burn Obstetrical etc If Dispatched As is enabled this selection will be automatically selected in the Dispat
39. Page Figure 29 allows the user with the correct permissions to configure the quick statistics to display on the home page e Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Menu System gt View Statistics on Home Page Configure if users with this role can view quick statistics on home page 9 30 2009 Page 21 emsCharts com User Manual Certifications User Preferences DEUME HomePage w Calls by Unit Show Collapsed Calls by Medical Category Fiter o Fiter o Month to Date Month to Date C Last Month C Last Month L Week to Date C Week to Date Year to Date Year to Date Last Year Last Year C Last 24 Hours C Last 24 Hours C Last 48 Hours C Last 48 Hours C Last 7 Days C Last 7 Days F Last 30 Days F Last 30 Days L Previous 24 Hours L Previous 24 Hours C Previous 48 Hours C Previous 48 Hours C Previous 7 Days C Previous 7 Days C Previous 30 Days C Previous 30 Days Figure 29 Available options include Unit Medical Category Base Station and Outcome For each option the user can choose to Show All Show Collapsed or Do Not Show Each option can also be filtered to only show specific types Finally many time ranges are available for selection Once all the settings have been entered they can be saved by clicking the Save button 5 4 3 3 Phone Messages Phone Messages
40. Specialty Exam LEP Specialty Exam Injury Specialty Exam Ml Specialty Exam Obstetrics Specialty Exam Pacemaker Specialty Exam entilatar Figure 174 Criteria Category Add From here a Category can be selected to narrow down the list of data available The categories are chosen to represent the major sections of the PCR such as the individual pages and the specialty exams Once a category has been chosen additional fields will appear Figure 175 Test report for user manual Not Validated Criteria Criteria Grouping Group By Report Criteria Category Column Criteria No Criteria Selected New Criteria Category Page 1 Dispatch Information Column Basesite Common Add Operator Criteria Eg C Prompt Figure 175 Since Page 1 was selected as the category the data points collected on page 1 of the PCR are listed in the Column dropdown box Next to this is a link marked Common Clicking on the link will bring up a new window with the 10 most popular columns for the selected category This allows users to quickly pick popular columns Depending on the column selected different options will appear in the Operator dropdown box These options may include a Equals Field must equal criteria b Not Equal To Field must not equal criteria 9 30 2009 Page 130 emsCharts com User Manual Greater Than Field must be greater than criteria GT or Equal to Fie
41. Text boxes allow you to type information directly into the web page Figure 6 Some boxes also enforce a maximum length to the amount of data that can be entered into them so if you are typing and no more text is appearing in the box chances are that you have exceeded the amount of data the box can hold These are also referred to as free text boxes in this manual Figure 6 As discussed in the section Performing a Search fields in which searches are required have the same color as the background immediately surrounding them These text boxes are read only and have an icon to their right 1 1 9 Select Boxes Select boxes look similar to text boxes but with a downward pointing arrow on the right side Figure 7 When a user clicks on this arrow a list will drop down allowing the user to make a selection by clicking on an item in the list Figure 8 The list will then disappear with the selection appearing in the main part of the box Figure 9 These are also referred to as dropdown lists in this manual 9 30 2009 Page 7 emsCharts com User Manual Diazepam Y Figure 7 Acetaminophen Figure 9 Albuterol Atropine Calcium Chloride Diazepam Diphenhydramine Droperdal Epinephrine 1 1000 Figure 8 1 1 10 Multi Select Boxes A multi select box allows a user to select one or more items from a list Figure 10 A user can select one item simply by clicking on it or make multiple selections by holding down the CTRL key and c
42. Tracker 11 15 2006 TechNote Chart Summary Setup 07 06 2004 TechNote Data Validation Like Operator 08 07 2008 TechNote emsCharts Consulting MD Quick Signing Charts Download 02 26 2007 TechNote emsCharts Mobile Configuring the LifePack 12 Download 04 27 2006 TechNote emsCharts Mobile Directory Security Download 05 26 2006 TechNote emsCharts Mobile Quick Start Guide Download 11 30 2005 Figure 223 To download documentation click the Download button to the right of the file name The date each file was updated is also displayed If a file was updated in the past 7 days it will be marked as New Adobe Acrobat Reader is required to view these files and can be downloaded by clicking the link below the file names 20 3 Download Software Clicking on the Download Software link brings up the Download Software page Figure 224 9 30 2009 Page 160 emsCharts com User Manual emsCharts Mobile Name Last Updated emsCharts Mobile V1 1 0 FullVersion Download O1 17 2006 New emsCharts Mobile V1 1 0 Upgrade 01 17 2006 New emsCharts Pocket ActiveSync Force Guest Only Connection 08 12 2004 emsCharts Pocket 1 5 1913 12 03 2005 emsCharts Pocket 1 6 1962 Download Oo 14 2005 emsCharts Pocket Installer Download 09 14 2005 Figure 224 To download software click the Download button to the right of the file name The date each file was updated is also displayed If a file was updated in the past 7 days it will be ma
43. a No value If the question does not apply to the current trip the question may be ignored Once completed the crew member will click on the Save button and the information will be saved If any area that was answered Yes requires that a special report be filed the required special report listing will appear Figure 91 Otherwise the screen will refresh and Page 9 will reappear to allow the crew member to continue completing the Required Forms emsCharts com gt home Chart Status Initial Entry SO Add QA Flag guest 10 28 02 Patient Charts The following operational special reports must be completed Page 1 i Dispatch Click on each type of report to create Page 2 PT CC HPI Page 3 Neuro Airway Wien ara Completed Return to page 9 Resp Cardio Current Special Reports for this record Figure 91 To complete a required special report the crew member points to the required special report which will highlight the report name The crew member then clicks on the highlighted report which will open the report for completion The report will be saved by clicking on the Enter Incident Report button 9 30 2009 Page 73 emsCharts com User Manual Once all of the Special Reports are completed the crew member will click on the Completed Return to Page 9 button The screen will refresh and Page 9 will reappear to allow the crew to complete any remaining required forms
44. aa test aneicnareeines 161 emsCharts com User Manual 1 System Fundamentals 1 1 Web Page Basics 1 1 1 Web Browser A web browser is an application which allows a user to view content over the World Wide Web WWW The first web browser was named Mosaic and was quickly surpassed by Netscape Microsoft then developed its own web browser called Internet Explorer IE IE eventually surpassed Netscape in popularity and today is the default web browser for most people emsCharts com must be accessed using Internet Explorer version 5 0 or above 1 1 2 Software and Hardware Requirements The following information is the MINIMUM configuration for Internet Explorer Memory listed is for IE alone not including the operating system requirements Windows 2000 or XP with 128Mb or 256Mb of RAM is recommended CPU should be Pentium class or equivalent 17 monitor recommended 15 is minimum Sound card is required for use of continuing education module Windows 98 Windows NT 4 0 with SP 6a and 16 MB of RAM minimum higher Full install size 11 5 MB 32 MB of RAM minimum Full install size 12 7 MB Windows 98 Second Edition 16 MB of RAM minimum Windows 2000 Full install size 12 4 MB 32 MB of RAM minimum Full install size 12 MB Windows Me 32 MB of RAM minimum Windows XP Full install size 8 7 MB 32 MB of RAM minimum Full install size 12 MB 1 1 3 HTML HTML short for Hyper Text Markup Language is the standard computer
45. administrator has enabled seminars and the user has uncompleted seminars c Calendar This section will only appear if the service administrator has enabled calendars It contains a list of events that pertain to your service such as training sessions meetings paydays etc The individual calendars can be viewed by clicking the Calendar link in the Menu System d System Message This section lists various news items and notices from the service command facility region or emsCharts U A WN 1 2 4 Service Login The second box on the home page is the Service Login box Figure 13 and Figure 14 and contains two sections which refer to the current user login information The upper section contains the current users information i e UserName and Service Login the Service ID that the current user is UserName diwebb logged in under Current Login Service P4 12345 hanes Sanit The lower section indicates the service name the user is logged in under It sad also allows the user to change services Unit if they are also with another service Figure 13 using the system This area also allows you to select the base site and unit number that you are on currently 9 30 2009 Page 10 emsCharts com User Manual Service Login UserName dlwebb Current Login Service PA 12345 _ The Login Base and Unit information is Change Login DLW Test Service stored and utilized when completing the Base Base1 patient care recor
46. atest report created to illustrate the user manual Output Type Regular ka Display Running Count No Disable Run Security Permissions y Administrator Basic User Billing Outside Crew Test Role Figure 173 The name of the report will appear at the top of the page with the words Not Validated below it A report must be validated before it can be scheduled If a report runs successfully when the Test tab is clicked it will be automatically validated If a report has been validated the Not Validated will not appear The second step in creating a custom report is selecting the criteria to be used to limit the amount of data returned This is done by clicking on the Criteria tab to bring up the Criteria screen Figure 174 9 30 2009 Page 129 emsCharts com User Manual Test report for user manual Not Validated Criteria Grouping Group By Report Criteria Category Column Criteria No Criteria Selected New Criteria eee Select a category wt Select a category Labs Misc Page 1 Dispatch Information Page 2 CCIHPI Page 3 Neuro Airway Page 4 Resp Cardia Page 5 Secondary Survey Page 6 Labs Fluids Page 7 Meds I s PTA Page 6 Activity Log Vitale Actions Page 9 Misc Forms Patient Page Procedures Page 6 Referring and Receiving Locations Specialty Exam Burns Specialty Exam Cardiac Arrest Specialty Exam Drains amp Tubes Specialty Exam Druga tAlc
47. by others or fram within the database Only the server can decrypt the password or answer SSN 111 223333 The following question and answer will assist in verifying your identity in the case you forget your password Enter 4 question and answer only you will know the answer to Question foo Answer bar Email quest statmedevac com In the event you loose your password you may either have a random password generated and emailed to you use this option if you are sure access to your email is secure or you may have a temporary password assigned by your administrator after which you will be required to supply the information above before accessing the system Lost Password Procedure Use secret question above Save Security Information If changing your password you will be asked to login again using your NEW password emsCharts com is a service of the Center for Emergency Medicine 230 McKee Place Pittsburgh PA 15213 Figure 20 You will be required to enter your Social Security Number in the space required Your SSN will only be able to be viewed by your service administrator and not by other users Several portions of your SSN will also be used to encrypt your security information in the database thus further protecting your identity You are then asked to enter a secret question that only you will Know both the question and the answer 9 30 2009 Page 14 emsCharts com User Manual a
48. gt Code Tables gt emsCharts com Modules gt Patient Records Enables Disables the Patient Records module a Setup Configuration gt Service gt Chart gt Display on home page Configure ID displayed on home page 9 30 2009 Page 25 emsCharts com User Manual AOA Flags Microsoft Internet Explorer QA Flags for record 895390 Date Flagged By Referenced Page Assigned To O1 17 2006 David L Webb Summary Page Any Crew Figure 34 Clicking on a flag will bring up the details for that flag Figure 35 QA Flag Information Microsoft Internet Explorer Se QA Flag Details 01 17 2006 15 15 Flag Type Documentation Confidential 593390 dhwebb Any Crew Member Referenced Page Summary Page You didn t fill anything out s Back to list Go To Page Handle via Addendum Handle via Special Report Handle via Email Discusion Figure 35 The information page is composed of the following a QA Flag Details Lists the details of the QA flag b Assigned To A user with the correct permissions can assign the flag to an individual crew member c Back to list Returns the user to the list of QA flags d Go To Page Sends the main window to the chart page where the flag was created from e Cancel Closes the QA Flag Window f Handle via Addendum Allows user to add an addendum to the chart in order to handle the QA flag g Handle via Special Report Allows user to add a special report to the cha
49. gt Special Report Categories Sub Categories and Exclusions Define special report categories sub categories and exclusions 197 Setup Configuration gt Command Fac gt Code Tables gt Special Report Categories and Sub Categories Define special report categories and sub categories 198 199 200 Setup Configuration gt Service gt Code Tables gt Special Report Categories Define email addresses for auto email Setup Configuration gt Command Fac gt Code Tables gt Special Report Categories Define email addresses for auto email Setup Configuration gt Service gt Code Tables gt emsCharts com Modules gt Chart Summary Enables Disables the chart summary module 201 Setup Configuration gt Service gt Code Tables gt Transport Outcome Options gt Create Summary Configure whether or not a summary is generated for the outcome listed on the chart 9 30 2009 Page 77 emsCharts com User Manual a choice of either printing the summary using the Print button or to accept the displayed data by pressing the Accept button which marks the form as complete Figure 96 Patient Records Patient Information Details 4 Page 1 DLW Test Service Chief Complaint Dispatch Base Base 1 HPI None given Patient Unit Unit 1 as ot a ede PRID 905465 Destination Basis None given agi Date Time 01 19 2006 12 04 Last NPP Given 5 a a arses i Given This Trip P
50. has at least one QA Level defined designate a minimum QA Level for the search e Patient Data Search by patient demographic data Includes name address date of birth and Social Security number f Chart Summary Status Designate the status of the summary Summary created not dealt with Summary complete etc g Search Press this button to display the search results page Figure 140 o Transports for 11 11 02 12 31 02 Transport Date Dispatch ID Name Status 11 11 2002 disp Er Test Summary complete 11 21 2002 0211 0782 Farmer Joesetta Summary created not dealt with 11 21 2002 0211 0782 Summary created not dealt with 12 10 2002 0212 0268 Patient Fake Summary created not dealt with 12 10 2002 0212 0268 Farmer Joesetta Summary complete 12 11 2002 none H Flo Summary complete 12 13 2002 none Patient DLW Test Summary created not dealt with 12 31 2002 none Smith Jane Summary created not dealt with Uncheck All 8 records returned Chart Summary Utilization Review L Supplies C Activity Audit Chart C Supplies w Prices Print All In New Window Use the Print All button whenever possible Export Summaries To Sweet Mark All Summaries As 0 Summary created not dealt with Figure 140 239 240 Contact your distributor to enable this module for an extra fee Setup Configuration gt Service gt Code Tables gt Chart Summary Setup gt Export to Billing Package Select an electronic billing package
51. is 5 MB e FT Rename Mie is bank the currant ile manne will be used Figure 78 a Setup Configuration gt Service gt Chart gt form name Configure forms 9 30 2009 Page 65 emsCharts com User Manual Both services and command facilities can attach files to a chart To attach a file click the Browse button navigate to the file you want to attach and click Open If you wish to rename the file enter the new name in the Rename file area If this is blank the current file name will be used Services can select a category from a list defined by their service administrator while command facilities can select a category from a list defined by their command facility administrator When finished click the Upload button to attach the file After some files have been attached the Attach File page will look similar to Figure 79 Files Currently Attached Size Date Level Categor PCcheck LOG 3 73 KB 08 15 2003 5 EKG jh69 02 24 txt 473 B 08 15 2003 C Command Review pj2003 04 21 txt 663 B 08 15 2003 5 None my log tst was deleted on 08 15 2003 by David L Webb Gick file name to downoad File name Braise Renamefle Category e Maximam size for each file is 5 ME e I Rename Me is flank the current file name wil be used Figure 79 For each file under Files Currently Attached you can see the file name size date it was attached service level and category To download a file click on the file name
52. is displayed Figure 210 Calloff Details Called Of Fake Guest Base Base 1 Date Time Called 10 31 02 10 25 Shift 10 31 02 12 00 8 hour shift Call Taken By Fake Guest Tithe Paramedic Call Taken Via Phone Live Clinical Position Paramedic Comments Hame Base Employment Position Home Work Mobile Restriction Administration Full Time ShowAll Guest Fake Administration Full Time Paramedic Feindl Ken Administration Full Time Faramedic Figure 210 This page allows the user to view the details of the calloff by clicking on the appropriate line as well as the ability to sort the results by Name Base Employment Type and Position 9 30 2009 Page 150 emsCharts com User Manual 17 4 Document Warehouse To view the Categories in the Document Warehouse click the Human Resources link on the main page and then click the Document Warehouse link Document Warehouse Categories Human Resources 5 Files Adminstration 6 Files View All Documents Figure 211 Once there you will see Figure 211 click a category to view the files within Or click View all Documents to view every document your service has entered Document Warehouse Files Filename FTBENEFITSFAKE zip Description AdamTestFake Date Created 11 28 2003 01 38 PM Filename admin menu gif Description hgjyhajh Date Created 12 08 2003 10 02 AM Filename davesnightjob gif Description wujkl Date Created 12 08 2003 09 56 AM
53. language used for creating web pages Internet Explorer and Netscape implement this standard differently and emsCharts com has been designed to comply with the IE implementation 1 1 4 Toolbars There are several toolbars in Internet Explorer and they have various uses They are a Menu Bar The menu bar Figure 1 allows access to all the features of IE The most important elements for using emsCharts com is File which allows access to the print feature and Tools which allows access to the IE configuration options located under Internet Options The uses of these features will be discussed below Fie Edit View Favorites Tools Help Figure 1 b Button Bar This bar Figure 2 normally located right under the Menu Bar provides quick access to the most commonly used features of the Menu Bar Some of the important buttons are the Back button which allows you to return to the previous page you were viewing and the Print button which allows you to print the current page The Back button has an arrow pointing to the left on it while the Print button has a picture of 9 30 2009 Page 4 emsCharts com User Manual a printer Depending on how IE is configured there may also be text to describe what each button does sack x B A pe Search 5 Favorites GA Media 4 f j dey KSI Figure 2 c Address Bar This bar is normally located right under the Button Bar and allows you to type in the
54. of the report designer Figure 172 General Report Details Report Title Description Output Type Regular w Display Running Count Disable Run No Security Permissions vi Administrator Basic User Billing Outside Crew Test Role Figure 172 ae Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Custom Reports Create Allows user to create custom reports 9 30 2009 Page 128 emsCharts com User Manual Options include 1 Report Title The title of the report This title is displayed in the list of saved custom reports 2 Description The description of the report 3 Output Type The output type of the report Options are Regular and Cross Tablular 4 Display Running Count Displays a running count of records returned in the first column of the report output 5 Disable Run Disables the Run Report button in the list of saved custom reports 6 Security Permissions Choose which security roles are allowed to view and or edit the report The creator of the special report will always have full access to the report After all the information has been entered it can be saved by clicking the Save button The general page will now reload showing the rest of the tabs used to build a custom report Figure 173 Test report for user manual Not Validated General Criteria Grouping Group By Report Details Report Title Test report for user manual Description This is
55. phone number of the person who called f Action Requested The action the caller requested the message taker to perform Page Return Call etc g Action Taken The action the message taker performed Conference Voice Mail etc h Message A free text box where a message or any other notes can be taken The name of the message taker will be automatically recorded Once all the information has been entered it can be saved by pressing the Save button 15 2 Viewing Messages When a user has one or more new phone message an entry will appear in that user s home page Figure 149 E Setup Configuration gt Service gt Code Tables gt emsCharts com Modules gt Phone Messages Enables Disables the phone messages module 9 30 2009 Page 119 emsCharts com User Manual At a Glance Incomplete Charts QA Charts Flagged New Special Reports Phone Messages Calendar No Events Found emsCharts com Status 103102 Please click here to review an important change in Special Report security Figure 149 The message summary page Figure 150 can then be viewed by clicking on Phone Messages in the menu system of the home page Date Time Caller Phone Action Requested 11 19 02 16 06 Jack Smith 999 999 9999 Return Call Figure 150 The individual messages can then be viewed by clicking on them to bring up the Message Window Figure 151 F New Message Web Page Dialog New Phone Message Date 11 19 20
56. privileges defined by your administrator and the roles that have been assigned to you 1 2 3 At a Glance The first box on the home page is labeled At a Glance Figure 12 9 30 2009 Page 9 emsCharts com User Manual Ata Glance Incomplete Charts DA Charts Flagged New Special Reports Phone Messages Ticket Replies Needed Open Tickets 7 Calendar 01 19 2006 01 25 2006 No Events Found System Messages emsCharts com Status Of T7 496 The latest version of emsCharts Mobile is now avallable for download in the Support Section of ems Charts For information about this release check out the forum post entitled emsCharts Mobile V1 1 0 Release Notes Service Announcements OS 92 03 This is a test news message Figure 12 It is comprised of the following sections a Ata Glance This section offers a brief summary of various items of interest to the user It will include one or more of the following 1 Incomplete Charts The number of charts the user still needs to complete QA Charts Flagged The number of charts the user is listed on that have QA Flags New Special Reports The number of special reports the user has not reviewed Phone Message The number of phone messages the user has not reviewed Ticket Replies Needed The number of support tickets the user has entered that emsCharts technical support is requesting more information from the user b Seminars This section will only appear if the service
57. role name gt Add Approval Entry Allows user to approve ia Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Verify Final Pay for Period Allows user to verify pay periods Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Access Admin Features Allows user to access the paysheet reports page 9 30 2009 Page 146 emsCharts com User Manual Pay Period 2002 22 Status Open Summary Report Summary with Sub sPage Totals Detail Report Week 1 Detail Report Week Base by Employee i Base by Date v Edit User Guest Fake Period Summary Regular 16 Overtime 1 Figure 203 It is composed of the following sections 1 Pay Period This lists the year of the pay period followed by the number of the pay period 2 Status The status of the pay period Open Locked Closed 3 Summary Report Displays a summary report of hours worked in the pay period broken down by user pay type and pay division Figure 204 Guest Fake REG Administration 12 00 Crew Totals 27 00 Webb Dawid L Administration Totals 76 00 8 00 Figure 204 Hours which have been approved appear in green 4 Summary with Sub Page Totals The same as a Summary Report but with Page and Running totals appearing at the bottom of each page Figure 205 REG Administration 12 00 Crew Totals 27 00 Webb David L
58. select is chosen LA RA LL and RL will be displayed i Skin gt 5 Select free text section All physical findings related to the skin should be documented in this section j Additional Information Includes the following a Obstetrics Will only appear for female patients Click to display the Obstetrics window Figure 69 Obstetrics Microsoft Internet Explorer aH Obstetrics Is patient pregnant Gravida Para Gestation wks EDC tdates LMP date Initial FHR rnin Contractions Freq Dur imin Membrane Intact Rupture Time sid Dilation em Effacement sid Presenting Pat sd Bloody Show No Comments Figure 69 Once completed the crew member can click the SAVE button to save the information and return to page 5 b Burns Click to display the Burns window Figure 70 a Setup Configuration gt Command Fac gt Code Tables gt Heart Assessment Configure heart assessment options ed Setup Configuration gt Command Fac gt Chart Fields gt Back Assess Configure back assessment display ote Setup Configuration gt Command Fac gt Code Tables gt Spine Assessment Configure spine assessment options i Setup Configuration gt Command Fac gt Code Tables gt Thoracic Assessment Configure thoracic assessment options 7 Setup Configuration gt Command Fac gt Code Tables gt Lumbar Assessment Configure lumbar assessment options pe Setup Configura
59. this section b Neck This is a free text section All physical findings related to the neck should be documented in this section Findings related to the Trachea are documented in the dropdown list Midline Deviated to Left etc c Chest 729 Select free text section All physical findings related to the chest should be documented in this section d Pelvis Select free text section All physical findings related to the pelvis should be documented in this section e Abdomen Select free text section All physical findings related to the abdomen should be documented in this section If text entry is selected the fields Appearance Palpation Bowel Sounds and Comments will be displayed If select is chosen Left Upper Right Upper Left Lower and Right Lower select boxes will be displayed f Heart Tones Select All physical findings related to heart tones should be documented in this section 135 136 Setup Configuration gt Command Fac gt Chart Fields gt Head Assess Configure head assessment display Setup Configuration gt Command Fac gt Code Tables gt Head Assessment Configure head assessment options a Setup Configuration gt Command Fac gt Chart Fields gt Trachea Enables Disables trachea display oe Setup Configuration gt Command Fac gt Chart Fields gt Chest Assess Configure chest assessment display ne Setup Configuration gt Command Fac gt
60. to export to oe Setup Configuration gt Service gt Code Tables gt Custom Chart Summary Charges Define custom chart summary charges oe Setup Configuration gt Service gt Code Tables gt Chart Summary Setup gt Minimum QA Level allowed in Chart Summary search Define minimum QA Level that can be searched an Setup Configuration gt Service gt Code Tables gt QA Levels Define QA levels for the service 9 30 2009 Page 111 emsCharts com User Manual The top of the search results page displays the transport date and id the patient name if available the summary status and the number of chart attachments for that summary If a billing export has been enabled it will also display an Exported column The checkboxes allow the user to select individual summaries to print export or change status Moving the mouse pointer over the different lines will cause that line to be highlighted in different colors according to the summary status If the summary has not yet been created the row will be highlighted in red If the summary is complete the row color will be green Any other summary status will highlight in yellow Clicking on a line will open a new window with the summary displayed Figure 141 Patient Information Details DLW Test Service Chief Complaint Base Base 1 HPI Unit Unit 1 PRID 437985 Destination Basis Date Time 11 18 2004 15 16 Last NPP Given Dispatch ID 04 2561 Given This Trip No __
61. web address you are trying to reach i e www emscharts com Figure 3 Address AiG Siwy emscharks coms Figure 3 d Links Bar This bar provides a space to store the internet sites you most frequently visit A new site can be saved by clicking and on the icon to the left of the address in the address bar and dragging it over the links bar When you release the mouse button the link will appear in the links bar Figure 4 Links ems charks cor IG Google Figure 4 1 1 5 Printing There are many ways to print data from emsCharts com The pages that will commonly be printed already include a Print button on the page itself If the page that needs to be printed does not include a print button it can also be printed by clicking the Print button on the Button Bar the one with the printer on it Finally a page can also be printed by clicking on File on the Menu Bar and then clicking on Print If you would like custom headers and footers on your printed pages you can click on File and then click on Page Setup This brings up the Page Setup window Figure 5 which will allow you to modify the headers and footers 9 30 2009 Page 5 emsCharts com User Manual Page Setup Source Auto Select wyt Headers and Footers Orientation Portrait Landscape x ae ell at Has Jalpk idajp KATIT pasa RIHHERLHI E FEER Margins finches 0 75 Figure 5 Right 0 75 Top Bottom 0 75
62. who filed the special report e Personnel Issue If the user has sufficient permissions the name of an employee can be entered in this field to signify that the special report pertains to that person f Filed By Crew The name of the user who filed the special report and the crew associated with the transport if applicable g Type 2 General categories that the special report may fall into All categories are available while the special report is being written However it is possible for the Command Facility and or Region of a service to prevent categories from being changed after a special report is filed This prevention applies to anyone on the service level including service administrators The checkboxes of these categories will be disabled h Flag Report Remove Flag If the report is not flagged the Flag Report link will appear allowing the user to flag the report If the report is flagged the Remove Flag link will appear allowing the user to remove the flag from the report Flags are discussed in greater detail below i Sub Categories 7 If the user has sufficient privileges and sub categories have been defined by the system administrator a link to display these sub categories will appear j Subject A brief description of the contents of the special report ue Setup Configuration gt Service gt Code Tables gt Special Report Categories Sub Categories and Exclusions Define special report categories sub categor
63. will not be able to modify the chart after saving this page Continue Figure 42 As a general note the pages of the PCR can be navigated by the Back and Next buttons at the bottom of the screen or by the Menu System on the left of the screen 9 30 2009 Page 33 emsCharts com User Manual 6 6 2 Patient Information The Patient Information screen allows you to enter the pertinent information for a new patient When the page is first loaded it will look similar to Figure 43 emscCharts com gt home Level Initial Entry SO Add QA Flag dlwebb 01 19 06 logout Patient Charts No Patient Selected Search for Existing Patient Add New Patient Patient Name Unknown Dispatch Page 2 PT CC HPI Neuro Airway Resp Cardio Page 5 Secondary Survey g Labs Fluids Meds I s PTA Page 3 Activity Log Mise Forms Entire Chart Print Previews Special Report Chart Toolbox Import Data emsCharts 10 Allegheny County Airport West Mifflin PA 15122 866 647 6262 www1 emscharts com Figure 43 The options are 1 Search for Existing Patient Clicking this button will bring up the Patient Search window Figure 44 A Selection Dialog Box Microsoft Internet Explorer BE Enter selection criteria Patient Figure 44 From here the user can search for a patient and then either select an existing patient or enter information for a new patient 2 Add
64. y i Strong Strong v IABP Settings _ Activity Log Page 9 r F o Sed hob J D Not Appreciated Y Cap Refill Lessthan2Seconds Edema Not Appreciated Entire Chart Comments Print Previews Defaults Cancel Changes lt lt Back Next Page gt Special Report Chart Toolbox Import Data emsCharts 10 Allegheny County Airport West Mifflin PA 15122 866 647 6262 www emscharts com Figure 63 This page is comprised of the following sections a Respiratory 1 Effort Select the effort required by the patient to breathe Apneic Distressed etc 2 Breath Sounds 2 7 Select the breath sounds of the patient from both the left and right lungs Clear Wheeze etc If enabled by the Command Facility comments can also be entered in a text box 3 Oy The rate at which the patient is receiving oxygen 4 Via The method by which the patient is receiving oxygen BVM Room Air etc 5 Comments This is a free text section It is used to document additional information 6 Ventilator If the patient is on a ventilator upon the crew s arrival the crew member can click on the Ventilator button The Ventilator box will be displayed Figure 64 and the crew member can complete the information regarding the ventilator settings for the patient an Setup Configuration gt Command Fac gt Chart Fields gt Breath Picklist Enables Disables breath picklist display td Setup Conf
65. 002 S Times wec Hob Het Pits Na J o kf d coe BUN cr Glu Mg PT O ett sf ceKyMB NH pco2 Hcos pH poe BE SAT Troponin othe SSS Figure 73 9 30 2009 Page 58 emsCharts com User Manual The BE SAT and Troponin boxes will only appear if enabled by the Command Facility The lab information can now be entered and saved by pressing the Add Labs to Chart button b Intake and Output This section is for the documentation of all intake and output values for the patient The crew member will document the amount in the appropriate box If the crew is not aware of the specific amount UNK should be documented for unknown The number 0 should only be documented if the known amount is actually 0 c Defaults Pressing this button will enter 0 into all of the intake and output boxes except for CRYS Intake During transport Once the above sections have been completed the user can click on the Next Page button to proceed to Page 7 a Setup Configuration gt Command Fac gt Chart Fields gt Lab BE Enables Disables Lab BE display 137 Setup Configuration gt Command Fac gt Chart Fields gt Lab SAT Enables Disables Lab SAT display sa Setup Configuration gt Command Fac gt Chart Fields gt Lab Troponin Enables Disables Lab Troponin display 9 30 2009 Page 59 emsCharts com User Manual 6 6 8 Page 7 PTA IVs amp Medicat
66. 01 19 06 10 45 380 130 380 97 6 13 Method Value Custom Column 2 Label _Sa02_EtCO2_ l T PT CC HPI l n Sete ae 4 0119 06 Page 3 Se Neuro Airway Custom Column 1 Label AD Comments Resp Cardio Page 5 Secondary Survey Labs Fluids ___ Page 7 Repeat Vital Signs No Change ie GCS E j Protocol Y Assessed By Meds ivs PTA Add Line And Action Notes Place the mouse over the vitals and click to edit delete Place the mouse over the action name and click to edit delete Misc Forms Entire Chart Print Preview Special Report Chart Toolbox Import Data emsCharts 10 Allegheny County Airport West Mifflin PA 15122 866 647 6262 wwyw2 emscharts com Figure 76 The other important field on this page is Add Action This field is used to document all procedures and actions performed by the crew It can be used by itself or in conjunction with a set of vitals Once the action has been selected from the dropdown box the crew member will click the Add Line button The screen will refresh and the Add Procedure Log window will appear The following procedures are available 1 Medication for the documentation of all medications administered by the crew Up to five medications can be entered at one time 2 Titrate for the documentation of any titration of an infusion 3 Intubation for the documentation of all intubat
67. 02 Time 16 06 For David L Webb Type Phoned Caller Jack Smith Caller Phone 999 999 9999 Action Requested Return Call Action Taken Take Message Message It s very important you call me back Message taken Op Darid 1 Web Caneel Figure 151 This window displays all the information entered in the New Message window as well as the name of the user who took the message Once the user has read the message and does not want to see it any more he or she can press Reviewed If the user wants to save the message for a later date he or she can press Cancel 15 3 Search Messages can also be viewed by searching for them Figure 152 9 30 2009 Page 120 emsCharts com User Manual Search Messages Enter the Dates From 11719 2002 To 11 19 2002 Jel E For User 3 E Figure 152 The user selects a date range and optionally a user name and presses Search to display the search results page Figure 153 Date Time For Caller Phone Action Requested 11 19 02 16 06 David L Webb Jack Smith 999 999 9999 Return Call Figure 153 This screen displays the date and time of the message who it was for the caller the caller s phone number and the action requested The individual messages can then be viewed by clicking on them to bring up the Message Window Figure 151 9 30 2009 Page 121 emsCharts com User Manual 16 Reports 256 Reports allow you to view overall statistics a
68. 10 Allegheny County Airport West Mifflin PA 15122 866 647 6262 wywyyw2 emscharts com Figure 67 If the Command Facility option Anatomical Exam is set to Yes Page 5 of the PCR will appear similar to Figure 69 a Setup Configuration gt Command Fac gt Chart Fields gt Anatomical Exam Configure anatomical exam display na Setup Configuration gt Command Fac gt Chart Fields gt Anatomical Exam Configure anatomical exam display 9 30 2009 Page 54 emsCharts com User Manual emscCnaris com gt home Level Initial Entry 0 Add QA Flag Pt Young Patient diwebb 01 20 06 logout Patient Charts External Skin Unspecified Current Injuries Injury Dispatch no injuries recorded Patient fy Current Assessments Assessment PT CC HPI Page 3 Neuro Airway no assessments recorded hai General Comments no comments recorded Resp Cardio Page 5 Page 6 Labs Fluids ____ Page 7 Meds IVs PTA Activity Log Page 9 Misc Forms Entire Chart Print Preview Special Report Chart Toolbox Import Data Additional Exam Information emsCharts 10 Allegheny County Airport West Mifflin PA 15122 666 647 6262 wwywS emscharts com Figure 68 Regardless of configuration the following data can be entered a Headt Select free text section All physical findings related to the head should be documented in
69. 29 04 09 03 16 46 Base 1 SO oe420 04 16 03 09 09 Base 1 SO 62431 04 16 03 09 51 DLW Test HO Base 1 Mercy Hospital of Pittsburgh So oo oo 4 21 05 13 15 Base 1 s 3900 04 71 03 13 22 Base 1 SO agiz 042103 13 33 Base 1 SO oo 966 04 21 05 16 23 Base 1 s0 o41 94 04 22 03 11 27 Base 1 SO o4e71 O4 24 035 10 23 Base 1 O odes 04 24 05 10 33 Base 1 SO aglia 04 26 03 09 33 Base 1 SO 56720 O4 50 05 11 31 Base 1 Children s Hospital Pittsburgh Sd 56721 04 50 03 11 31 Base 1 Children s Hospital Pittsburgh SO Records Returned 17 Print ll Figure 101 Clicking on an entry will bring up that chart Pressing the Print All button will print all the charts listed If the search was performed with a Receiving Status of Rec unable to receive chart a button labeled Mark all as Sent to Receiving will appear allowing the user to update the receiving status of the charts listed Additionally if a search is done at one QA level which is at or lower than the users QA level and if configured by the service administrator gt a Bulk Advance Charts button will appear allowing the user to advance many charts at once on Setup Configuration gt Command Fac gt Code Tables gt Patient Categories Define patient categories tas Setup Configuration gt Service gt Export Define states service exports to ang Setup Configuration gt Service gt Code Tables gt Common Addresses Configure common addresses for the serv
70. 4 Performed By Select who secured the airway 5 Outcome Select the outcome of securing the airway 6 Comments This is a free text section It is used to document additional information h Default Button Inserts the default values defined by the Command Facility into the Pupils React Sensory and Motor text boxes Once the above sections have been completed the user can click on the Next Page button to proceed to Page 4 oe Setup Configuration gt Command Fac gt Chart Defaults gt Pupils Reactive Sensory and Motor Define defaults for these text boxes 9 30 2009 Page 49 emsCharts com User Manual 6 6 5 Page 4 Respiratory Cardiovascular All documentation on Page 4 Figure 63 should be representative of the crew member s initial assessment findings emsCharts com gt home Level Initial Entry 0 Add QA Flag Pt Young Patient diwebb 01 20 06 logout Patient Charts RESPIRATORY Page 1 Effort Normal v Breath Sounds L clear v R Clear v Dispatch Sl Bco Eh D Graas a Page 2 02 fin Via E Performed By Outcome S PT CC HPI Comments ES CARDIOYASCULAR Pulses Left Right Invasive Monitoring Art Line Brachial Left A Brachial Right Femoral Left YW Carotid Not Checked Y Not Checked v_ Radial Strong v Strong v L PA Line ow Not Checked Not Checked Temp Fe
71. 4 3 User Preferences The User Preferences tab allows the user to set preferences for various parts of emsCharts com These include 5 4 3 1 Patient Charts Patient Charts Figure 27 allows the user to configure the display of the Patient Record Search Results page Figure 28 i Setup Configuration gt Service gt Export Configure which states the service exports to 9 30 2009 Page 20 emsCharts com User Manual Certifications User Preferences Module Patient Charts v Patient Record Search Output Incremental Count F Dispatch ID Patient Record ID PRIC Dispatch Date Time Location Basesite C Unit Receiving Patient C Clinical Category C Suteome F Interhospital 7 Scene Current O4 Level Cancel Changes Search for User Figure 27 Date Time Location Base Receiving 040703 23 57 DLW Test HQ Base 1 UPME Presbyterian 04 08 03 00 05 STAT MedEvac Base 1 Children s Hospital Pittsburgh 04 09 03 16 46 Base 1 04 16 03 09 09 Base 1 04 16 03 09 51 DLW Test HO Base 1 Mercy Hospital of Pittsburgh 04 21 03 13 15 Base 1 04 21703 13 22 Base 1 04 21 03 13 33 Base 1 04 21703 16 23 Base 1 04 22 03 11 27 Base 1 O4 24 03 10 25 Base 1 04 24 03 10 35 Base 1 04 26 03 09 33 Base 1 04 30 03 11 31 Base 1 Children s Hospital Pittsburgh 04 30 03 11 51 Base 1 Children s Hospital Pittsburgh Records Returned 17 Figure 28 5 4 3 2 Home Page Home
72. Code 85 Referring hospital unable to provide required treatment gt Page 3 Code 66 Nearest hospital unable to provide required treatment pSecondary Surve gt Page 6 r Code 95 Situation Transfer requiring stretcher for patients unable to travel by another _ Labs Fl ds means for medical services Page 7 Meds IVs PTA Pages z poos oat ed m Code 90 Situation Accidents acute injuriesitrauma e g fractures crushing injuries Page 3 obvious multiple injuries burns near drowning poisoning a MedicaliSwaicl gt Entire Chart Code 91 Situation Overdose 7 gt Print Preview Special Report Chart Toolbox Code 92 Situation Acute illness sudden onset eg sudden altered level of consciousness or mental status severe chest pain or paralysis Code 93 Situation Obstetrics ruptured membranes crowning or deliver rape feith or without evidence of hamonrhage or other trauma z Code 94 Situation Chronic ilin ess with an acute episode e g wiinessed seizures l unstable symptomatic blood sugar respiratory distress il x Figure 88 Once completed the crew member will click on the Enter button The screen will refresh and Page 9 will reappear to allow the crew to complete any remaining required forms If it is necessary to edit the Reason for Transport Form links to add new reasons or to delete existing reasons will appear instead of checkboxes Figure 89
73. Custom reports allow the user to generate highly customized reports from most data points tracked by emsCharts The Custom Reports screen Figure 171 lists all reports the user has created and or has permission to access 9 30 2009 10 01 2001 10 31 2002 Hour of Day by Level of Conciousness Level of Conciausness Alert Hour of Day 15 Unit Location Medic 2 Mine Medic 2 Industrial Figure 170 Time Outcome DOs Transported Page 127 emsCharts com User Manual Run Report Saved Reports Breath Sounds Criteria creates output DL Test Report MD Report Medical Category Hew Report Mull Testing schedule Report Edit Report Referring Report Seg Test test Test of Copy Testing Dates testing of Crew entry Testing Prompt Testing Query Testing related code tables Testing users Testing Verity Vital Signs Copy Report Delete Report Create Mewe Report E Report Details Created to test output of patient data alidated Yes Scheduled Yes Created by David L Webb 06 22 2004 15 34 Modified by David L Webb 07 13 2004 15 24 Figure 171 Clicking on a saved report will enable the buttons for the tasks the user is allowed to perform as well as bringing up a summary of information about that report in the Report Details area 16 4 1 Create New Report Clicking the Create New Report button brings up the General page
74. Dilated etc while reaction can be Reactive Sluggish etc Any reaction comments can also be entered in the React text box 12 Extremities gt Document the motor and sensory performance of each the patient s extremities Motor control can be Normal Flaccid etc while sensory can be Normal Absent etc 13 Stroke Scale Select the stroke scale used and result Immobilization Document how the patient was immobilized Will only appear if the field Was Pt Immobilized is set to Yes Initial Glasgow Coma Score GCS This is used by the crew member to document the patient s initial Glasgow Coma Score upon the crew s arrival The sections are 1 Eye Opening Can be Spontaneous To Pain etc 2 Motor Obeys Command None etc 3 Verbal Entries will differ depending on age of patient 4 Total This is the score automatically calculated from the previous selections 5 Qual Select an option to qualify the GCS documented Revised Trauma Scoret This area will only appear if the patient is a Trauma patient and if enabled by the Command Facility The crew member will document the Initial Systolic Blood Pressure and the Initial Respiratory Rate The revised trauma score will be automatically calculated Pediatric Trauma Scoret This area will only appear if the patient is a pediatric Trauma patient and if enabled by the Command Facility It includes the following Size Select the size of the patient in kilogr
75. Fac gt Chart Fields gt Injury Details Enables Disables additional injury details display Setup Configuration gt Command Fac gt Code Tables gt Injury Mechanisms Configure injury mechanisms Setup Configuration gt Command Fac gt Code Tables gt Safety Equipment Configure safety equipment Setup Configuration gt Command Fac gt Chart Fields gt Other Agencies Enables Disables other EMS display i Setup Configuration gt Command Fac gt Chart Fields gt Other Agencies Enables Disables other EMS display a Setup Configuration gt Service gt Chart gt Other Pages gt Exposure Button Enables Disables exposure button display 9 30 2009 Page 45 emsCharts com User Manual 100 103 105 Setup os Setup i Setup Setup Setup u V W Exposure Bioterrorism Microsoft Internet Explorer See Figure 61 It is composed of the following sections 1 Protective Equipment Select the protective equipment used 2 Contact with Blood Fluids Select if there was any contact with blood fluids 3 Type of Exposure Select the type of exposure 4 Exposed To primary Select the primary agent of exposure 5 Personnel Exposed Select the personnel who were exposed Patient Belongings This is a free text section It is used to describe any belongings that the patient had with them during the transport and the status of the belongings at the time the patient was transfe
76. Figure 30 allows the user to configure which users they commonly take messages for 9 30 2009 Page 22 emsCharts com User Manual Certifications User Preferences Wh izae Phone Messages Phone Message Recipient Favorites Guest Fake Search for User Figure 30 These names are then displayed when entering a new phone message Figure 31 New Phone Message Date 05 05 2003 Time 13 03 Type For Favorites v Caller Select User Action Requested 8 8 PPO Te Message Figure 31 5 5 Activity Audit The Activity Audit lets users with the correct security privilege to search for activity by various criteria Figure 32 j Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Security Activity Audit Allows user to view security activity audit 9 30 2009 Page 23 emsCharts com User Manual Search Activity Log Enter Criteria From 12782003 l To znazoo User sh Sort O Ascending Descending Figure 32 The user can search by date range user PRID template actual page name in URL The results can be sorted in ascending or descending order The maximum number of results returned is 2000 9 30 2009 Page 24 emsCharts com User Manual 6 Patient Care Record To create a new Patient Care Record or to view previous charts from the home page click Patient Records to bring
77. Intentional Select if the injury was intentional Injury Cause Select the cause of the injury The user can type part of an ICD 9 based Injury Cause e code explanation then press the Find button and it will search for all similar e codes Alternatively you can push the Find button without typing anything and it will pull up the full list Mechanism Select the mechanism s by which the injury occurred Safety Equip Select the safety equipment used Fall Height If the injury was caused by a fall enter the height of the fall Fall Surface If the injury was caused by a fall select the hardness of the fall surface soft hard etc Landed On If the injury was caused by a fall select the part of the body the patient landed on head back etc Work Related Select if the injury was work related Once all the data has been entered it can be saved by clicking the Save button The entered data can also be removed by clicking the Delete button n Scene Description This is a free text section It is used to describe the area in which the patient was found These comments can be spellchecked by clicking on the ABC icon near the top right of the box o p Other EMS Select other EMS agencies who assisted in the call Other Agencies Select other agencies who assisted in the call Exposure Click this button to bring up the Exposure Bioterrorism window Figure 61 Setup Configuration gt Command
78. JNPP History Transport Number none Patient 2004 C Patient Patients in Unit 1 Lv Patient Lv Ref At Rec TxCare Available Consent Signed CMN Obtained CMS Cond Code None given ICD9 PMHX ICD9 Injury ICD9 Diagnosis Pt Moved Via None given Crew Crew 1 Webb EMT Pt Moved From None given Crew 2 Impression Wone given Crew 3 Sere Other EMS one given refering Med Consults Nene aven West Mifflin PA 15120 s 412 460 3000 Procedure Details 3 BLS emergency Location Zip Code 115120 Ground Mileage Receiving N Patient Patient 2004 C Manually modified West Mifflin PA 15122 111 11 1111 Sex M ennen Race White Non Hispanic Tx Age 20y Subscriber No Pt Category Outcome Care Transfered None Given Odometer Start 13 At Rec 56 Mileage Loaded 22 View Supplies View Chart View Full Audit Make Unbillable Accepted Attached Files 0 Custom Forms 0 Activity Audit Add QA Flag Figure 141 The display of various items on the summary can be configured in the Chart Summary Setup code table The Supply form Utilization Review form Activity Audit form Chart and any attached files can be viewed by clicking on the appropriate buttons If the user has permission to view the Full Audit of the chart they can click View Full Audit to view print the audit If the transport should not be billed this can be accomplished by pressing the Mak
79. New Patient Skips the search step and takes the user directly to the New Patient page This button can be disabled in the service configuration 3 Patient Name Unknown Skips the search step and takes the user directly to the New Patient page and checks the Unknown checkbox This button can be disabled in the service configuration Add New Patient and Patient Name Unknown will take the user to the New Patient page Figure 45 i Setup Configuration gt Service gt Chart gt Patient gt Force Patient Search Forces users to search for existing patients 9 30 2009 Page 34 emsCharts com User Manual emscCnaris com l gt home Level Initial Entry 50 Add QA Flag diwebb 01 19 06 logout Patient Charts Patient Information prip 0 Patient ID al Pt Run ID L sti First Middle Glunknown ssn Address sexi E a Blood Type i City St Zip a County Weight G kg v Phone S Citizen of United States Barriers to Care Not Recorded v DOB Age v Race f w DL State DL Number Mise Forms 2 Entire Chart 2 Print Preview gt Special Report Import Data emsCharts 10 Allegheny County Airport West Mifflin PA 15122 866 647 6262 wywyw2 emscharts com Figure 45 Most of the fields are self explanatory The ones that need more explanation are a Patient ID The internal ID of the patient for the service
80. Next Page button to proceed to Page 8 Pe Setup Configuration gt Service gt Chart gt Other Pages gt Priors Performed By Enables Disables performed by display 163 9 30 2009 Setup Configuration gt Service gt Chart gt Other Pages gt Priors Outcome Enables Disables outcome display Page 61 emsCharts com User Manual 6 6 9 Page 8 Activity Log 2 Page 8 of the PCR Figure 75 is displayed below emscCnaris com gt home Level Initial Entry 50 Add QA Flag Pt Test Patient diwebb 01 20 06 logout Patient Charts First Resp 12 04 AtRefi 12 04 AtPT 12 04 tv PT 12 04 iv Ref 12 04 AtRec 12 04 Tx Care 12 04 Time Method a02 Etco2 RESP Action Comments Page 1 Dispatch _____ Patient Page 2 ial a ee Page 3 Neuro Airway Resp Cardio Page 5 a l Method MAP maane Fi i Custom Column 1 Label Value a02 EtCO2 RESP Resp H Comments Repeat Vital Signs No Change Secondary Survey GCS E Yim Y Pain Y Labs Fluids Page 7 Meds I s PTA OM Assessed By bs AddLine nd Action Protocol Notes Place the mouse over the vitals and click to edit delete Place the mouse over the action name and click to edit delete Misc Forms Entire Chart Print Previews Special Report Chart Toolbox Import Data emsCharts 10 Allegheny C
81. Number of Charts 16 4 3 Cross tabular Reports Cross tabular reports allow the user to select two data points and then display a grid of the number of charts for each junction An example is the number of charts per basesite for each medical category To create this report make sure to select an Output Type of Cross tabular on the General tab After entering any desired Criteria click on the Output tab Figure 192 Cross tabular report for user manual Not Validated Criteria Grouping Group By Output Criteria Parameter 1 Category Select a category wt Parameter Category Select a category Cancel Figure 192 Unlike regular reports only two parameters can be selected for cross tabular reports For this report select Medical Category for Parameter 1 and Basesite for Parameter 2 then click Save Figure 193 Cross tabular report for user manual Parameter Category Page 1 Dispatch Information Column Basesite Figure 193 To see the output click on the Test tab Figure 194 9 30 2009 Page 140 emsCharts com User Manual Cross tabular report for user manual Base 2 Airway Obstruction Cardiac Cardiac 4rrest Diabetes Dizziness Hyperthermia Neonatal Medical Neurological Obstetrical Other Pain Paralysis Respiratory Surgical Trauma Unknown Problems Mo Oat PONMePRPUOOPPRBHEIIH WMrRFOOoOrPrOoaoaodoooocodoooerdo J ere Merere Be te Ge Total Figure 194
82. Patient Current 24 Leve Activity Audit Criteria Figure 100 It is composed of the following sections d b 205 208 209 Setup a Setup cor Setup Setup Setup Dates Select the date or date range to search All dates can be searched by checking the All Dates box Record IDs Search by PRID Dispatch ID or Local ID Pennsylvania services can also search by PA Lithocode Service There are multiple search options associated with a service These are 1 Base s 7 Select one or more bases to search If no bases are selected all will be searched 2 Unit s Select one or more units to search If no units are selected all will be searched 3 Crew Select a crew member to search If no crew member is selected all will be searched Other Criteria These are other options that can be used to search for summaries They are 1 QA Levels Options can refer to letter status or QA Level Default is Select All Charts Configuration gt Service gt Chart gt Dispatch ID Enables Disables Dispatch ID and renaming of Dispatch ID Configuration gt Service gt Chart gt Local ID Enables Disables Local ID and renaming of Local ID Configuration gt Service gt Code Tables gt Base Site Define Base Sites for the service Configuration gt Service gt Code Tables gt Units Define Units for the service Configuration gt Service gt Code Tables gt QA Levels Define QA lev
83. Report Configure special report form 9 30 2009 Page 76 emsCharts com User Manual 196 A Special Report can be generated from anywhere in the chart by clicking on the Special Report link near the bottom of the Menu System on the left hand side of the screen It is composed of the following sections a Date Time The date and time the Special Report form was opened b Record Number The record number of the transport automatically inserted c Base Unit The base and unit recorded in the chart automatically inserted d Supervisor The supervisor of the crew member can be selected by clicking on the people icon e Your Name Crew The users name and the crew associated with the chart automatically inserted f Subject A brief description of the contents of the special report Mark as Urgent Flag Report Optional tags used to draw more attention to the special report h Type 97 General categories that the special report may fall into This is discussed in greater detail below i Narrative This is where the user documents the circumstances events of the special report The Narrative can be spellchecked by clicking on the ABC icon near the top right of the box j Auto Email If the service administrator has configured that certain users should receive an email when a certain type of special report is filed their email addresses will appear here k Extra Email Enter the email addresses of any other peo
84. The codes for headers and footers are listed in the table below Desired Text Window title Page address URL Date in short format as specified by Regional Settings in Control Panel Date in long format as specified by Regional Settings in Control Panel Time in the format specified by Regional Settings in Control Panel Time in 24 hour format Current page number Total number of pages Centered text following amp b Right aligned text following amp b amp b A single ampersand amp Code amp b amp b amp amp Table 1 It is important to note that when printing charts the header and footer will be set by emsCharts com 1 1 6 Window Behavior Taskbar Sometimes by clicking a button or some other method a new window will appear But sometimes you will click on another window or something else will happen and this new window will disappear If this happens don t panic At the very bottom of the screen is the taskbar By clicking on one of the entries on the taskbar it will bring that window to the front of all the others If it is a new window it will most likely be the farthest entry on the right 9 30 2009 Page 6 emsCharts com User Manual Other times a new window will appear and if you try to go back to the main page you were working on nothing happens If the computer has speakers that are turned on you will also hear an error sound This means that you must deal with this new window before you
85. Thursday October 31 2002 5 35 PM by goutmann Figure 126 Three forums will always be displayed They are a Enhancement Requests Describe requests for enhancements to emsCharts com b General General posts Current User guest c Recent Changes and Updates Brief descriptions of updates to emsCharts com The service administrator can also create other forums 229 only for the use of the service For example in Figure 126 the forum Demo Service Operations Forum can only be viewed by members of the Demo Service More specific help on actually using the forums can be obtained by clicking on the help and faq buttons 229 9 30 2009 Setup Configuration gt Service gt Code Tables gt Forum Categories Define forum categories Page 100 emsCharts com User Manual 12 Continuing Ed The Continuing Education page Figure 127 lists seminars which can be viewed online Combitube Overview of the Combitube s uses advantages disadvantages indications and tips John Cole View 05 10 2001 for use and placement Several case studies are reviewed as well ME 5 Slides Yes Modify Seminar not started ssessment Required Flight Physiology This is the presentation which must be completed by all recent Flight Crew new hires TJ Doyle View He eels Seminar not started MD ae eliglss nes Modify Assessment Required Figure 127 This page has the following sections Created The date the semina
86. Unit column is going to be changed to Center When finished the Output tab will look like Figure 185 9 30 2009 Page 136 emsCharts com User Manual Test report for user manual Report Output Category Column Display Title Order Page 1 Dispatch Information Date Dispatched Date Disp Ascending Page 1 Dispatch Information Medical Category Medical Category Page 1 Dispatch Information Unit Unit Page 1 Dispatch Information Receiving Hospital Receiving Hospital New Criteria Category Add Cancel Figure 185 Clicking on the Test tab and again selecting Medical Category Not Equal To Weakness will produce the following output 9 30 2009 Page 137 emsCharts com User Manual Test report for user manual Date Disp Medical Category Unit Receiving Hospital 01 02 2004 15 55 Unknown Problems Uniti 01 02 2004 15 55 Unknown Problems Uniti 01 02 2004 16 12 Unknown Problems Uniti Oo 01 02 2004 16 12 Unknown Problems Uniti PO 01705 2004 16 53 Unknown Problems Uniti 01 05 2004 16 53 Unknown Problems Uniti 01 05 2004 16 53 Unknown Problems Uniti 01 05 2004 16 53 Unknown Problems Uniti PO 01 05 2004 16 53 Unknown Problems Uniti oo 01 16 2004 13 45 Unknown Problems Uniti oo 01 16 2004 13 45 Unknown Problems Uniti 01 16 2004 13 45 Unknown Problems Uniti PO 01 26 2004 12 02 Unknown Problems Uniti 01 28 2004 14 25 Unknown Problems Uniti Oo 01 29 2004 15 57 Unknown Problems Uni
87. Volume EMSCHARTS COM User Manual v 3 1 0 9 30 2009 Content Provided by David Nicholas Pete Goutmann David L Webb EMSCHARTS COM User Manual emsCharts Inc 600 Mifflin Rd Suite 102 Phone 866 647 8282 Fax 412 461 3270 Table of Contents 1 System Fundamentals cssscseseseees 4 1 1 Web Page BaSICS ccscseseeeeeeeeeaeeeeaes 4 Ll WED BIOWSED o anaa AAAA 4 1 1 2 Software and Hardware Requirements 4 1 1 3 a ARA Cree AE mes pre nr em ner T ren 4 Wedge TOODA S mna 4 Let PINONG corte 5 dace wn ccc as facudentdi ania tdcuatth cdlcaneaci 5 1 1 6 Window Behavior Taskbar 6 1 1 7 Use of the Tab Key annin akanena 7 11 8 TEXT BOXES Watiana a a ana vant 7 LL99 Select BOXES or iaaa AAN 7 1 1 10 Multi Select BOXeS cccecssecsersseeeersaeeees 8 1 2 Home PagEiseurienuriae ra 8 LAs Reader Bal nisassiss iene aaa 9 122 Men Syte orare eana naa eraa aa AEA 9 IA iA GIANCS tiaina Tan 9 1 24 Service Loimaa aiaa 10 12 51 Quick Statistics cianiar 11 1 3 Performing a Search 12 1 4 Logging OUt yanar rA 13 2 Login ProCeSS sssssssnsnnnnnnnnnnnnnnnnnnnn 14 3 How to use this manual scscseses 16 4 System Concepts cscssssseseesesessseeaes 17 4 1 Quality Assurance Levels s s s 17 4 2 Special Reports cscecssesrseesreneseenees 17 4 3 Data Validation ccscssceceeeeserseeeeeens 17 5 COnfiQuration cccccccsseseseneseneses
88. a check in the Restocked box as well as adding 1 to the Quantity Subsequent clicks will continue adding to the Quantity For example if an item is clicked 3 times the Quantity will be 3 and the Restocked box will be checked When finished click the Save Supplies button to save The user is then taken to the Supply Summary page Figure 87 Supplies Used Restocked POL See At Receiving Alryy ay Bulb Syringe Yes Medications Albuterol Medications Dopamine Edit Supplies Return to page 9 Figure 87 From here the user can click the Edit Supplies button to return to the supply form and make changes or Return to page 9 6 6 13 Reason for Transport The Reason for Transport form 8 8 is a series of checkboxes defined by the service administrator used to document the reasons which led to the transport Figure 88 185 186 Setup Configuration gt Service gt Supplies gt Setup Configure supplies Setup Configuration gt Service gt Chart gt Reason for Transport Configure reason for transport form 9 30 2009 Page 70 emsCharts com User Manual home Chart Status Initial Entry 50 Add OA Flag goutmann 10 2502 Patient Charts Pagel Mispa Ln a E m Code 81 Weather road or trafic conditions cause a delay Page 2 l FPTCGHPN Code 82 Time needed to transport poses a threat gt Page 3 r Neuro Airway Code 83 o beds available at referring hospital er ae
89. a check in the box to the right of each label activates the control for that time which can then be adjusted to the actual time of each event The times can be typed in or the time interval minute hour day month or year can be highlighted and the up and down arrows to the right of the time can be used to increase or decrease that value 2 Text Boxes When this option is selected the user will see a box marked Edit Times below the times Clicking this button brings up the Edit Times window Figure 39 Configuration gt Service gt Chart gt Referring gt Include RFT comment box on page 1 Enables Disables RFT comment box display ia Setup a Setup a Setup i Setup ia Setup Setup Setup Setup display ee Setup ee Setup Setup e Setup Configuration gt Service gt Chart gt Defaults gt Default receiving Choose default receiving Configuration gt Service gt Code Tables gt Default Receiving Hospitals Define default receiving hospitals Configuration gt Service gt Code Tables gt Default Receiving EMS Agencies Define default receiving EMS agencies Configuration gt Command Fac gt Chart Fields gt Receiving MD Enables Disables Receiving MD display Configuration gt Service gt Chart gt Referring gt Track ref rec RN on Page 1 Enables Disables Rec RN display Configuration gt Command Fac gt Code Tables gt Destination Basis Define destination basis
90. ad Setup Configuration gt Service gt Code Tables gt Reason For Transport Define reasons for transport a Setup Configuration gt Command Fac gt Code Tables gt Reason For Transport Define reasons for transport 9 30 2009 Page 71 emsCharts com User Manual emsCnarts c 189 190 home gt Patient Charts 2 Page 1 Dispatch Page 2 gt Page 3 euro Airway Page 4 Rezp Cardia Page S gt Page amp babs Rats nce Page f Meds IVS PTA Page amp Se ee ee gt Page g Misc Fonms 2 Entire Chart gt Print Preview 2 Special Report gt Chart Toolbox 6 6 14 Chart Status Peer Review 51 Add OA Flag g ouimann Reason For Transport to DELETE Code 95 Situation Transfer requiring stretcher for patients unable to travel by another means for DELETE medical senices Finished Return to Page 9 Reason For Transport to ADD ADD Code 81 Weather road or traffic conditions cause a delay ADD Code 82 Time needed to transport poses a threat ADD Code 63 Mo beds available at referring hospital ADD Code 85 Referring hospital unable to provide required treatment ADD Code 86 Nearest hospital unable to provide required treatment m Code 95 Situation Transfer requiring stretcher for patients unable to travel by another means for medical services ADD Code 84 No beds available at nearest hospital Code 90 Situation Accident
91. age 4 pacemaker Settings Mic Eo x Pacemaker Settings Figure 66 co Setup Configuration gt Command Fac gt Chart Fields gt Edema Enables Disables edema display 9 30 2009 Page 52 emsCharts com User Manual 132 into the c Defaults Button Inserts the default values defined by the Command Facility Breath Sounds text box Once the above sections have been completed the user can click on the Next Page button to proceed to Page 5 Se Setup Configuration gt Command Fac gt Chart Defaults gt Breath Sounds Define defaults for the breath sounds text box 9 30 2009 Page 53 emsCharts com User Manual 6 6 6 Page 5 Secondary Survey If the Command Facility option Anatomical Exam is set to No Page 5 of the PCR will appear similar to Figure 67 emscCharts cors gt home Level Initial Entry SO Add QA Flag Pt Young Patient diwebb 01 20 06 logout Patient Charts Head Neck Page 1 Findings I Dispatch Assessment B lt as Trachea Not Appreciated v assessment A Assessment All i O etuer B i l ie BIE Right Upper fsa Secondary Surve We eet E bumbar Page 6 Labs Fluids Meds I s PTA Activity Log Mise Forms Entire Chart i Rotowr E id xtremities 5 assesment B i e Lu o e Additional Information Print Previews Special Report Chart Toolbox Import Data emsCharts
92. age ransport Number none gt Neuro Airway Patient Test Patient Consent Signed Page 4 Patients in Unit 1 CMN Obtained Resp Cardio ___ Injury Lv Patient CMS Cond Code None given Page S Dispatch Lv Ref ICD9 PMHX Secondary Survey EnRoute At Rec ge eae Secondary Survey _ PAn TxCare ICD9 Injury None Page 6 At Ref Available ICD9 Diagnosis None given a i ar At Patient Pt Moved Via None given aia PTA Crew Crew 1 Webb EMT Pt Moved From Wone given places eal Crew 2 ion Page 8 C 3 Impression None _ ActivityLog ALS Provider Other EMS Page 9 Referring Med Consults Mise Forms Test chart for user manual Procedure Details West Mifflin PA 15122 BLS emergency Entire Chart Ground Mileage 0 miles Print Preview Zip Code 15122 Special Report r i e Receiving Patient pt id 100 Patient Test 8 S rt scsi 123 Anywhere Lane West Mifflin PA 15122 123 456 7890 123 45 6789 Sex M J Race White Non Hispanic DOB 01 01 1956 Tx Age 50y Subscriber No Outcome Care Transfered Insurance Company Group ID Test payor 1561515 a336236 Relative Guarantor SSN DOB 3 Man Inhan SSSSS S555 aa nv i1nw7a Figure 96 6 6 20 Research Please refer to the Research Manual for more details 6 6 21 Quality Assurance Levels When all required forms are completed the PCR can be advanced to the next Quality Assurance Level If additional PCRs must be completed
93. ams Airway Select airway status Sys BP Select BP CNS Select central nervous system status Skeletal Injury Select if there is any skeletal injury Open Wounds Select if there are any open wounds Total This is the score automatically calculated from the previous selections The pediatric trauma score will be automatically calculated Broselow Color The Broselow Color of the patient Only displays for pediatric patients Airway The sections are 1 Status Used to document the status of the patient s airway Patent Compromised etc 2 Secured Via If needed documents how the airway was secured Endotracheal Nasotracheal etc ampappy Configuration gt Command Fac gt Chart Fields gt Pupil React Picklist Enables Disables pupil reaction picklist display Configuration gt Command Fac gt Chart Fields gt Pupil React Comments Enables Disables pupil react comments Configuration gt Command Fac gt Chart Fields gt Motor Picklist Enables Disables motor picklist display Configuration gt Command Fac gt Chart Fields gt Sensory Picklist Enables Disables sensory picklist display Configuration gt Command Fac gt Chart Fields gt Stroke Scale Enables Disables stroke scale display 9 30 2009 Page 48 emsCharts com User Manual 3 Tube Size and Depth These two areas are free text areas used to document the size and depth of penetration of a tube if used during the transport
94. an define more than one calendar 2 Month The month to be displayed 3 Year The year to be displayed c Key A color coded key to distinguish between different types of events One of two events can occur when a user clicks on an event in the calendar If the user has sufficient privileges the Event Details page Figure 215 will appear allowing the user to view and or edit the event If the user does not have sufficient privileges then a read only version of the page will be displayed Also clicking on the number in the upper left corner of a day will bring up a view of that day displayed in 15 minute increments Figure 214 A Setup Configuration gt Service gt Code Tables gt Calendars Configure calendars 9 30 2009 Page 152 emsCharts com User Manual Wednesday October 9 2002 Figure 214 18 1 Adding Events If the user has sufficient privileges he or she can add events to the calendar by clicking on Add Event in the menu system This brings up the Event Details page Figure 215 Event Details Te ong ile Shor From OAT ame l To oaan Recurring Ever days ccurences oo 0 or blank for unlimited Calendar Demo Calendar watin g Category none wt Show on home page No Comments Figure 215 It is composed of the following sections a Title Long This is the text that will be displayed on the user s home page if that option i
95. ana eaaa 72 6 6 15 Utilization Review s sssssssssssssrsrerrsrrere 74 6 6 16 Followup Letter sssssssssnssnsrnsrrsrrssrssnns 74 6 6 17 Hospital Pt Notes sssesssssessssssrssresressen 75 6 6 18 Special REPOrts cceeeseeeeseeeeeeeseeeaeeees 76 6 6 19 Chart Summary ccccseesseeseeeseeeeeeeees 77 6 60 20 Resear cera nann A 78 6 6 21 Quality Assurance Levels c cccseeseeeees 78 6 7 Other entries on Menu System 78 6 8 Additional Entries on the Header Bar 79 7 Patient Record Search ssssssssnsnnnnnn 81 Be LOGS csin aaa 83 8 1 Procedure LOGS sscscsscseeecseenseeenseeass 83 8 1 1 Searching Drilling DOWN ccseceeee 83 8 1 2 Procedure Report by CreW 84 8 1 3 Adding a non chart Procedure 4 85 8 2 RESPONSE TIMES ccccieicceveecseeseevevecnes 85 8 3 QA Flag Search ssissicssevvicacitraes ven 86 9 Other Patient Record Options 88 9 1 Slate EPO aiaa 88 9 2 F U Letter Queue ccceceeeeeeueesanevavanas 88 9 3 Patient Management cccccseseeeeeeees 89 9 3 1 Patient Search ccsccsscsseeseesseeeesseeeees 89 9 3 2 Duplicate Search cccccseceseeesseessneees 91 93 3 Merge TWO icirem cerasina 92 9 4 Patient Record Archiving ccsceceeeees 93 9 4 1 Archive Download ccceceeeeeeeeeeeseeeaees 93 9 4 2 Database Download cccsecceceeeeseeeeees 94 10 Special Reports csccsssss
96. ange to search b Group By Choose how the results are displayed Display each transport Group by unit etc 9 30 2009 Page 85 emsCharts com User Manual 2 ampa DPP F BF 1st Time Choose the event to use as the start time Defaults to Time Dispatched 2nd Time Choose the event to use as the end time Defaults to Time Enroute Base s Select one or more bases to search Defaults to all bases Unit s Select one or more units to search Defaults to all units Only show charts where times exist Checking this option will only display charts where the selected times exist Ignore time differences of 0 Checking this option will ignore charts where the same time is entered for both 1 and 2 time Ignore time differences greater than x mins Entering a number in this box will cause any charts where the time difference is greater than the entered number to be ignored Ignore time differences less than x mins Entering a number in this box will cause any charts where the time difference is less than the entered number to be ignored Include custom continuous discrete percentile Entering a number in this box will cause the chosen percentile to appear on the report output Scene IH Select type of transport Options are Scene Interhospital and All Team If the service takes teams on trips choose team status for trips Medical Category Select the medical category Defaults to All Res
97. anual Group By report for user manual Criteria Grouping Group By Criteria to group results by Page Page 1 Dispatch Information w Column Medical Category wt Figure 188 The next step is to click on the Output tab and select PRID There will also be an option for Grouping Function Figure 189 Group By report for user manual Report Output Category Column Display Title Order Page 1 Dispatch Information Medical Category GROUP BY Medical Category New Criteria Category Page 1 Dispatch Information w Column PRD M common Display Title PRIC Add Grouping Function ee Align Order Continuous Percentile interpolated Discrete Percentile non interpolated standard Deviation SUM Figure 189 Because the number of charts is desired the Count option should be selected This output criteria can now be saved by clicking the Add button Figure 190 Group By report for user manual Report Output Category Column Display Title Order Page 1 Dispatch Information Medical Category GROUP BY Medical Category Page 1 Dispatch Information COUNT PRID PRID Only ane orouoing statement is alowed Figure 190 Clicking on the Test tab will display the desired results Figure 191 9 30 2009 Page 139 emsCharts com User Manual Group By report for user manual Medical Category PRID a gt ee Figure 191 Although the second column is labeled PRID a more accurate label would be
98. ated due to events during a transport but they can also be created in response to other events Special reports can fall into one or more categories or perhaps none This is important because individuals can be assigned to review transports with special reports of certain categories For example a clinical manager could be assigned to review all transports where a defibrillation occurred For each special report category each facility type Service Command Facility and Region can choose View Modify and Use rights for each facility type For example a Service could configure a category with the service having full rights but the Command Facility and Region would not be able to view special reports with that flag If the special report has another category that the Command Facility can view then they will still be able to view the report Another use of this would be for a Command Facility to define clinical categories that all services can use If a service does not want its employees to use categories that were defined by the Command Facility or Region they can be excluded through the Special Report Exclusions code table The categories in the special report can be displayed in normal or italic text If it is normal text only people in that facility can view that report If italic anyone at or above that facility can view the report 4 3 Data Validation Data Validation lets service command facility and region administrators define c
99. ators to store all data in one file Only 4 Access files and 10 archives can be stored online at once Files should be deleted from the web once no longer needed 9 4 1 Archive Download The PCR Archive is a ZIP file which contains HTML web files of the printed chart as it appears in the print preview window minus the service s logo These files are zipped along with a web based menu and navigation system Archive creation is scheduled from the Archive Download page Figure 119 Schedule PCR Archive PCR Archives From 12 01 2005 l Date From Date To Charts Filesize Created To 12431 2005 S No Archives Created Scheduled 018 2006 S Date From Date To Scheduled Date Basis Date Dispatched Mo Archives Scheduled Include charts with addendums created within this date range C Include attachments Service DON Test Service Schedule Archive Services can only have 10 archives saved online at any given time If you already have 10 archives created the oldest by creation date will be deleted when the next one is created Figure 119 It is composed of the following sections From The starting date To The ending date Scheduled The date to create the archive Date Basis The date to use to determine which charts are included in the archive Include charts with addendums created within this date range Choose if charts with addendums created in this date range are included in the archive f Include attachments Choos
100. ay Enables Disables turn around factors display Configuration gt Command Fac gt Chart Fields gt Extended Impression Enables Disables system symptoms and impression display 9 30 2009 Page 46 emsCharts com User Manual 6 6 4 Page 3 Neurological Exam Airway All documentation on Page 3 Figure 62 should be representative of the crew member s initial assessment findings CIS Aldi ts gt home Level Initial Entry SO Add QA Flag Pt Test Patient diwebb 01 20 06 logout _ Patient Charts Page 1 ef Dispatch Level of Consciousness Alert v ST Nene Normal Patient 3 p j React Reactive Ww Reactive ee eee ee eee Orientation v Page 2 React IPTCCHPN i Page 3 l sensory E L Normal Neuro Airway q ea s Page es ee Motor o Ra Normal vi Normal Resp Cardio Neuro Exam LL Normal _ i Normal Page 5 Neurologic Deficit RL Normal Y Normal Secondary gp Beat ees re Th OO v Page 6 _ Labs Fluids ___ r Stroke Scale v Page 7 Patient chemically paralyzed No w Loss of Consciousness No w _ Meds I sPTA Was Pt Immobilized Yes w Page 8 Immobilization _fActivitylLog Page 9 Collar CID LBB Mise Forms ___ KED Mast Entire Chart Initial Glasgow Coma Score Print Preview lt lt aua rire Eye Opening Spontaneou
101. b Type NIA Defib By Ma ALS Initiated CPR Discontinued Reason Terminated Circulation Returned Ventilation Returned Dest aen I Figure 57 Once all the data has been entered it can be saved by clicking the Save button The entered data can also be removed by clicking the Delete button t k Motor Vehicle Incident Click this button to bring up the Motor Vehicle Incident Registry window Figure 58 i Setup Configuration gt Command Fac gt Chart Fields gt Complaint Durations Enables Disables complaint duration display Setup Configuration gt Command Fac gt Chart Fields gt Motor Vehicle Incident Enables Disables motor vehicle incident display 9 30 2009 Page 43 emsCharts com User Manual amp Motor Vehicle Incident Details Microsoft Internet See MYI Details Impact Risk Factors Z Sterna Wheel Dermis vehicle Impact Site 5 errn Law Enforcement Number fF Position of PT of Vehicles Involved Seat Row of Patient Use 50 for Cargo Ares Figure 58 It is composed of the following sections 1 Impact Risk Factors Select what the risk factors were surrounding the impact 2 Vehicle Impact Site Select the site s of impact 3 Law Enforcement Number Enter the law enforcement record number for this MVI 4 Position of PT Select what position the patient occupied in the vehicle Driver Right Front Left Rear etc 5 of Vehicles Involved
102. bout the transports being performed by the service 16 1 Std Reports Standard reports are generated from the Report Criteria page Figure 154 by selecting a date range and a report type The Standard Reports that can be generated are listed in Figure 155 Report Criteria ALL by Base Station From 10012001 S To 10 31 2002 l Report ALL by Rec Hospital ALL by Medical Category ALL by Rec EMS Figure 154 ALL by Rec Hospital ALL by Rec Other ALL by Rec Type ALL by Ret EMS ALL by Ret Hospital ALL by Response Code ALL by Statting Level Qualty Assurance Levels Specialty Exams by Unit As an example of standard reports this guide will generate a report of all transports sorted by Receiving Hospital Using the data listed in Figure 154 the following screen is generated Criteria Date From 1070172001 Date To 10 31 2002 ALL by Rec Hospital B UPME Presbyterian Mercy Hospital of Pittsburgh Mot Entered Clarion Hospital UPME Bedford Memorial Total Figure 156 This screen displays the search criteria the receiving hospitals the number of transports that went to each hospital and the percentage of total transports that number represents If we then click on UPMC Presbyterian a page containing details for transports to that hospital will be displayed Figure 157 ale Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Reporting Module A
103. ched As dropdown box Dispatched As The category of medical need that the call was dispatched as Burn Obstetrical etc Outcome What happened to the patient Transported DOA etc Mass Casualty Select if the transport was due to a mass casualty incident Vehc Grid Grid location of responding vehicle starting location Vehc Loc Location of responding vehicle starting location Vehc GPS GPS coordinates of responding vehicle starting location Crew Members The crew members who performed the transport If the names are not correct the crew member can click thie icon and enter the correct name by searching for the individuals name and then clicking on that name Up to four crew members can be added from the database The initial names listed on a blank chart come from the crew listed on the home page Other options include 1 Crew Role Select the crew role Driver Primary etc 2 Crew Level Select the crew level 3 P S Select if the crew member was a preceptor or a student t Other Crew A free text box for a crew member not in the database u Specialty Team Information If the transport is a specialty team transport Figure 38 the crew member can 1 Select the team being transported 2 Identify who the primary care provider was and whether care was only provided by the team 3 Select any specialty equipment utilized 3 nnapop Configuration gt Service gt Code Tables gt Resp
104. ciated with that letter will open For each chart the search results will display the PRID Date Created Template Name Created By and Status 9 3 Patient Management The Patient Management section allows users to perform maintenance on their patient database This maintenance includes updating information consolidating patients and managing subscriptions This option will only appear if the user has Patient Management privileges 9 3 1 Patient Search The Patient Search page lets users search for patients to manage Patient Search Form Last Mame 000 First Names poe o A Address 2 Anonymous Current Subscriber Figure 111 After entering search criteria click on the Search button to bring up the search results page Figure 112 or Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Patient Management Consolidate Patients Delete Patients Configure if role can consolidate delete patients 9 30 2009 Page 89 emsCharts com User Manual Chart Address Phone Count Sub C Patient Mew 0 patient new cean Bly C tient J 461 0 Blvd 304 867 5309 10 Claptonville PA 19669 C patient new midi 6666 66 6666 03 03 1933 cons addrl 555 555 5555 1 cons addr West Mifflin PA 15122 Records Returned 3 Consolidate Patients Add nev Patient Relative Figure 112 In addition to standard patient information this page also displays the number of charts t
105. cted from a dropdown list of common places for Other For Hospital and EMS the user can select from a dropdown list or search for names 2 Location For EMS this can be entered as free text and for Other this can be selected from common locations defined by the service administrator or entered as free text Not used for Hospital 3 Zip This field contains the zip code of the referring location If the referring is Hospital or Other the Zip field can not be edited manually It uses the zip code entered for the Hospital or the zip code entered for the location in Other For EMS referring this field will be filled with the zip code for the EMS agency or a zip code can be entered manually When a zip code is entered the County box will be automatically complete 4 County This field contains the county of the referring location When a zip code is entered the County box will be automatically complete 5 Unit Only used for Hospital to designate the specialty unit the patient was referred from 6 Ref MD Only used for Hospital to designate the name of the MD who referred the patient for transport Can be configured as a text box or a lookup box 7 Ref RN Only used for Hospital to designate the name of the RN who referred the patient for transport 8 Requester Only used for Other name of person requesting transport entered here 9 Scene Grid gt Grid location of scene 10 Scene GPS GPS location of scen
106. de Tables gt Units Define units Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Menu System gt View Statistics on Home Page Configure if users with this role can view quick statistics on home page 9 30 2009 Page 11 emsCharts com User Manual PCRs by Base Station Figure 16 Quick Statistics allow the user to quickly view call statistics by Unit Medical Category Base Station and Outcome for various time frames To configure please see section 5 4 3 2 1 3 Performing a Search When changing crew names on the roster you will have to execute a search Searches are used to look up hospital names public safety agencies EMS Fire Police Communications Centers users services and command facilities The reason for these searches is so that the database can store the ID number associated with an object rather than the name This will eliminate incorrect spellings poor data entry and provide the ability to search efficiently For example when a user changes their last name only the displayed name will change The number behind the name will remain the same thus allowing searches across the time span when the name changed Fields in which searches are required are indicated by having the same color as the background immediately surrounding them The text boxes will be read only and will have an icon to their right Clicking on this icon will display the search box
107. dow Opens a new window and loads the summaries They can then be printed using the print function of the browser c Export Summaries To 7 7 Export summaries to the chosen billing software This button will only appear if the user has the Export Summaries privilege d Mark All Summaries As Change the summary status of the displayed summaries For a more in depth discussion of the export process please refer to the Export to Billing Manual a Setup Configuration gt Service gt Code Tables gt Chart Summary Setup gt Chart Summary Search Check by Default Choose which of the forms are checked by default on Setup Configuration gt Service gt Code Tables gt Chart Summary Setup gt Export to Billing Package Select an electronic billing package to export to a Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Chart Summary gt Export Summaries Define if role can export summaries 9 30 2009 Page 115 emsCharts com User Manual 14 2 Payors The Payors page Figure 145 is where you enter details for payors gt Code Tables Service sPA 12345 foo Administer Code Tables 1 Insurance Mountain State Blue Cross Bhi iD S7 state Farm Auto Insurance Mame State Farm Auto Insurance Payor Type E oo Address 2 DO E ciy o OoOO O state zme O Use Policy Num Rename Use Group Num Rename OoOo Phoned Fat Phone 2
108. ds When you login and Unit select patient records the information is Unit 1 Crew retained from the login and carried over A 8 Webb David L to be entered in the new patient care record Figure 14 Note that once the Base and Unit information is entered into the form the scheduled crew for that Unit is listed under the Unit Crew This information is retrieved from the Base Unit list that has been entered at the start of the shift providing the crew members entered the data upon their initial login at the start of their shift This Duty Roster Figure 15 is viewed by clicking the Sr button at the far left of this box A Duty Roster Microsoft Internet Explorer Ses DLW Test Service Base 1 412 125 4567 Figure 15 If the service administrator has defined extra info for that unit it will be displayed in red Clicking the 3 button next to the crew names will display the entry box for the crew names of the Unit specified during the individual s login Each crew member should login select the Service Base and Unit and then check that they are listed as crew If they are not listed the scheduled crew should be modified by clicking 5 1 2 5 Quick Statistics Users with the necessary privilege can view Quick Statistics on the home page Figure 16 Setup Configuration gt Service gt Chart gt Unit extra info label Enables Disables extra info display Setup Configuration gt Service gt Co
109. e 11 Mode Notification mode used while transporting patient Lights Sirens No Lights Sirens etc Not used for air units 12 Moved Via Select how the patient was moved 13 Position Select the position of the patient when moved 14 RFT Text box to enter any RFT comments Configuration gt Service gt Chart gt Defaults gt Default referring Choose default referring Configuration gt Service gt Code Tables gt Default Referring Hospitals Define default referring hospitals Configuration gt Service gt Code Tables gt Default Referring EMS Agencies Define default referring EMS agencies Configuration gt Service gt Code Tables gt Common Addresses Define common addresses Configuration gt Command Fac gt Chart Fields gt Referring MD Enables Disables Referring MD display Configuration gt Command Fac gt Chart Fields gt Use lookup table for ref rec MD Enables Disables ref rec MD lookup Configuration gt Service gt Chart gt Referring gt Track ref rec RN on Page 1 Enables Disables Ref RN display Configuration gt Service gt Chart gt Dispatch gt Track grid locations on Page 1 Enables Disables grid location display Configuration gt Service gt Code Tables gt Geographic Zones Define geographic zones Configuration gt Service gt Chart gt Dispatch gt Track GPS Locations on Page 1 Enables Disables GPS Location Configuration gt Com
110. e Other options are a Charted procedures only Only show procedures that were performed on a chart This will exclude procedures entered with the Submit New Log functionality b Service name charts only Only include charts entered under the current service c Show Medication logs Include medications in the report Afterwards press the Create Report button to display the search results Figure 103 9 30 2009 Page 83 emsCharts com User Manual From 11 01 01 To 11 01 02 As of 11 01 02 Procedure Success Attempts Airway NG Tube Nasopharyngeal Airway Oral Pharyngeal Airway Suction Cardiac Cardioversion Defibrillation External Pacing Internal Pacing Immobilization MAST MASTI Initiate I Central Iw Intubation Combitube Cricothyroidoatomy Cricothyrotamy Nasotracheal Orotracheal Figure 103 The search results page displays the name of the user the date range searched and the date the search was performed The procedure categories are also listed and the individual procedures under each category Only procedures that have been performed by the user will appear on the screen To the right of each procedure the number of successful attempts is listed along with the total number of attempts If Show Medication Logs was checked on the previous screen medications will appear under the procedures in the same format Clicking on a procedure line will bring up a list with more details abou
111. e Unbillable button The Print button prints the summary and if the summary is correct and complete it can be approved by clicking the Accept button A QA Flag can be added to the chart by clicking on the Add QA Flag button If there are problems and or missing information and the user has the needed privileges the summary can be edited by clicking on the individual sections For i Setup Configuration gt Service gt Code Tables gt Chart Summary Setup Enables Disables display of various items on the summary 9 30 2009 Page 112 emsCharts com User Manual example if you move the mouse pointer anywhere within the box to the right of the word Patient the outline of that box will turn red and clicking on the box will open the Patient Data window Figure 142 E Patient Web Page Dialog Patient Data Last Name Farmer First Name Joe Ll Unknown Middle Name lesa Address 1 The farmhouse Address 2 City Nowhere State PA zip 23462 Phone 399 999 9999 SSN 9399 99 5999 DOB 1004 1947 Age 54 vyr Sex h weight 120 kg Find Existing Patient Edit Insurance Information Update Figure 142 Any of the data on this page can be edited and then saved by clicking on the Update button Under the Details section not all of the categories are di
112. e 133 emsCharts com User Manual Test report for user manual Not Validated Report Output Category Column Display Title Order Page 1 Dispatch Information Date Dispatched Date Dispatched Page 1 Dispatch Information Medical Category Medical Category Page 1 Dispatch Information Unit Unit New Criteria Category Select a category wt Figure 180 There are already three columns defined for output This is because whenever a column is added to the Criteria it is automatically added to the Output Each line has the Edit and Delete icons that were also seen on the Criteria tab Additionally each line has one or two arrows used to change the order in which the output columns will be displayed when the report is run To demonstrate the functionality of this page the Edit icon of the Date Dispatched line will be clicked on to bring up Figure 181 Test report for user manual Not Validated Report Output Category Column Display Title Order Page 1 Dispatch Information Date Dispatched Date Dispatched Page 1 Dispatch Information Medical Category Medical Category Page 1 Dispatch Information Unit Edit Criteria Category Page 1 Dispatch Information Figure 181 This page has the following entries a b Category This dropdown box is the same as on the Criteria tab Column This dropdown box is the same as on the Criteria tab There is also a Common link that functions the same as the one o
113. e Minimum Levels page Figure 137 lets the user define minimum acceptable levels for each supply and medication at each location Minimum Supply Levels Minimum Inventory for HQ Location uantity Current Airway i Bulb Syringe ao 5 Medications cetaminophen 2o 1 Activated Charcoal 3B 4 Adenosine Albuterol spirin Atropine Benzocaine Bretyliurm Arniiodarane Calcium Chloride Figure 137 If the current supply level is less than the minimum quantity the current number will be displayed in red Once all the information has been entered it can be saved by pressing the Save button 13 2 Supply Requests The Supply Requests page Figure 138 lets the user request supplies eee Setup Configuration gt Service gt Code Tables gt Supplies Define supplies Setup Configuration gt Command Fac gt Code Tables gt Medications in use Define medications in use 9 30 2009 Page 108 emsCharts com User Manual Inventory Add new request Supply Bulb Syringe wt Location HO Quantity 1 case 20 units per case Submit Reguest Current Requests Date Supply Quantity Location 11 19 02 Bulb Syringe 1 Ho Figure 138 It is composed of the following sections a Supply The name of the supply medication b Location The location the supply medication is being requested for c Quantit
114. e action passes If the dispatch id is blank then the action can be set up to require the user to fix the problem before the chart can be locked or simply warn the user of the problem but still allow the chart to be locked Actions can be associated with multiple rules If any conditions for a rule are false then the On Fail response for that rule will be performed 9 30 2009 Page 18 emsCharts com User Manual 5 Configuration This option allows for the configuration of various aspects of emsCharts com It has the following sections 5 1 Region Refer to the Administration manual 5 2 Command Fac Refer to the Administration manual 5 3 Service Refer to the Administration manual 5 4 User 5 4 1 General The General tab allows the user to enter demographic and contact information Figure 21 Last Name Guest 2000 Username guest Address tie OOS O Phone Numbers Click to delete Address Line2 220002 Home 123 456 7890 City state zip TT Work 098 765 4321 addi ow i SSN 111 272 3333 DOB l Email quast emscharts com Driver s License Number State E Expiration l Mote SSA and emai address can oniy be updated from Securit Settings located on the homne page Save Changes Figure 21 The Phone Numbers section lets the user enter the following types of numbers Fax Home Mobile Pager and Work Information for the user s Driver s License can also be entered Once all the informa
115. e fee schedule is entered For each procedure a Charge and Alternate Code can be entered If a billing export has been selected a field allowing the user to enter an export name will be displayed Once all the information has been entered it can be saved by pressing the Save button n Setup Configuration gt Service gt Code Tables gt Chart Summary Setup gt Chart Summary Generation Method Configure the summary generation method an Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Chart Summary gt Modify Fee Schedules Define if role can modify fee schedules 9 30 2009 Page 118 emsCharts com User Manual 15 Phone Messages This section allows phone messages to be taken in an electronic format instead of on slips of paper 15 1 New Message The New Message page Figure 148 allows the user to enter a new message New Phone Message Caller Caller Phones Action Requested Action Taken m Message Figure 148 It is composed of the following sections a Date Time The date and time of the message b Type The type of message Phoned or Visited c For If User is selected the t icon will appear allowing the user to search for the name of the user the message is for If Other is selected the name title the message is for can be entered in a free text box d Caller The name of the person who left the message e Caller Phone The
116. e whether or not attachments are included in the archive Once all the options have been entered click Schedule Archive to schedule the archive creation The archive details will be added to the PCR Archives box on the right along with a link to remove the archive schedule After an archive has been created it will appear in the PCR Archives box Figure 120 oa20 59 219 220 Setup Configuration gt Service gt Account gt PCR Archiving Database Export Enable PCR Archiving Database Export Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Patient Record Archiving gt Download Patient Record Archives Configure if role can download Patient Record Archives 9 30 2009 Page 93 emsCharts com User Manual Date From 06 01 2005 O5 01 2005 04 01 2005 03 01 2005 O2 01 2005 01 01 2005 09 01 2004 Date To 06 30 2005 O5 31 2005 04 30 2005 0373172005 027202005 01 31 2005 09 30 2004 PCR Archives Charts 1165 1024 aod a 663 665 912 Filesize Created 01 10 7006 10 38 O1 10 2006 09 25 01 10 2006 08 52 01 10 2006 09 45 01 10 2006 11 36 01 10 7006 10 56 01 10 2006 15 10 Delete Delete Delete Delete Delete Delete Delete After cteking an a month there wil be a delay before downoad begins Date From Date To Scheduled Mo Archives Scheduled Figure 120 This box shows the date range covered by the archive the number of charts in the archi
117. ed in QA Level in the date range specified ane Setup Configuration gt Service gt Code Tables gt emsCharts com Modules gt Chart Summary Enables Disables the chart summary module 9 30 2009 Page 110 emsCharts com User Manual b Record IDs Search by PRID Dispatch ID or Local ID Service Search by base s and or unit s d Miscellaneous Data These are other options that can be used to search for Summaries They are 1 Subscriber If the service employs a subscription service this option can be used to search by subscriber status Options are Yes No and Either 2 Anonymous Designate if patient data is known Options are Yes No and Either 3 Billable Designate if summary is marked as billable Options are Yes No and Either 4 Blank referring zip Medicare requires at least a zip code for the referring agency This option lets the user designate if the referring zip is blank Options are Yes No and Either 5 Exported If the service is using a billing export this option can be used to search by exported status Options are Yes No and Either 6 Ambulance Service Level Designate an Ambulance Service Level Options are All ALS1 ALS1 emergency ALS 2 BLS BLS emergency SCT and any custom summary charges defined by the service 7 Minimum QA Level If a service
118. els for the service 9 30 2009 Page 81 emsCharts com User Manual 2 Receiving Status Designate the status of the chart as it relates to the receiving facility Default is Select All Charts 3 Medical Categories Designate the Medical Category of the chart Default is All Medical Categories 4 Procedure Criteria Designate any Procedures performed during the transport Default is None All Procedures 5 Export Criteria Designate if an export has has not been performed for each state that a service exports to e Patient Criteria Search by patient demographic data Includes name address date of birth and Social Security number f Referring Receiving Search by referring or receiving type Default is All If Other is selected another dropdown box with a list of the services Common Addresses7 will appear g Custom Criteria Search by a custom criteria Options include almost all data points in emsCharts h Search Results Layout Configure the layout of the search results i Activity Audit Criteria Clicking this link will bring up a window where one or more Activity Audit Criteria can be selected to be used in the search Once all the criteria has been entered press the Search button to bring up the search results page Figure 101 PRID Date Time Location Base Receiving 04 50000 O4 07 05 25 57 DLW Test HO Base 1 UPME Presbyterian So 000z 04 06 03 00 05 STAT MedEvac Base 1 Children s Hospital Pittsburgh Ci oO4
119. entered it can be saved by pressing the Save Details button 13 1 7 Inventory By Supply The Inventory By Supply page Figure 135 lets the user select a supply and define the quantity of that supply at each location Administer Medication Supplies Inventory for Bulb Syringe Location Quantity Medications Acetaminophen Figure 135 The available supplies and medications are listed on the left side of the page For each defined location a quantity box will appear allowing the user to enter the quantity of that supply medication at that location Once all the information has been entered it can be saved by pressing the Save button 13 1 8 Inventory By Location The Inventory By Location page Figure 136 lets the user select a location and define the quantity of each supply2 and medication at that location a Setup Configuration gt Service gt Code Tables gt Supplies Define supplies a Setup Configuration gt Command Fac gt Code Tables gt Medications in use Define medications in use 9 30 2009 Page 107 emsCharts com User Manual Inventory Inventory for HO Location Airway Bulb Syringe Medications Acetaminophen Activated Charcoal Adenosine Albuterol Amiodarone Aspirin Atropine Benzocaine Bretylium Calcium Chloride Figure 136 Once all the information has been entered it can be saved by pressing the Save button 13 1 9 Minimum Levels Th
120. eriod Summary Displays a summary of the number of hours worked by all employees during that pay period sorted by pay type 17 2 Calloff New Calloffs can be made by clicking on Calloff New under the Human Resources section of the menu system 2 This brings up the Create Calloff Matrix screen Figure 208 an Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Edit all employees Allows user to edit the paysheets of all employees 272 user to create new calloffs 9 30 2009 Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Human Resources gt Create Calloffs Allows Page 148 emsCharts com User Manual emsCharts com home guest 10 30 02 Payroll Create Calloff Matrix Date 10 30 02 Time 17 50 User Fake Guest Calloff Taken By Guest Fake W Calloff Made na rme 1750 Shift Date 10 30 02_ Time 17 50 Length of Shift e hours CalloffMadeBy 000 w Base Basel v Calloff New Calloff Search Calloff Method v Comments Initial Restrictions Emp Type v Division Type Clinical Type v emsCharts com is a service of the Center for Emergency Medicine 230 McKee Place Pittsburgh PA 15213 Figure 208 It is composed of the following sections a Date Time User The date and time the entry is being made as well as the name of the user enter
121. eseees 19 Dads ROGION i ocatedesc tins noms nated E 19 5 2 command Farrer a 19 5 3 SERVI CC rrna ar 19 5 4 LI SOF na N A 19 Sals Generalin aaan aa aan 19 I2 COCUMCALONS vuanin a 19 5 4 3 User Preferences ccsccscssscsetsseeceesaseees 20 5 5 ACUIVILY AUi ereeieroii 23 6 Patient Care Record ssssssssssss1 25 6 1 Incomplete Charts scscscsesseseeeeenees 25 6 2 Charts Flagged for QA cccsceceeeeeeeeees 25 6 3 Charts for R VIQW cccsseseeserseeseeeenens 27 6 4 Charts Missing Followup Letters 27 6 5 Create Chart ccccssessssscssersensesearennens 27 6 6 Creating a New PCR cceceeeeeeeeee eens 27 6 6 1 Page 1 Dispatch Information 27 6 6 2 Patient Information cccccseceseeseeeeees 34 6 6 3 Page 2 CC HPI Page ccsccsssesseesees 42 6 6 4 Page 3 Neurological Exam Airway 47 6 6 5 Page 4 Respiratory Cardiovascular 50 6 6 6 Page 5 Secondary Survey ssec 54 6 6 7 Page 6 Labs amp Fluids Intake Output 58 6 6 8 Page 7 PTA IVs amp Medications 60 6 6 9 Page 8 Activity LOG ceceseeeeeeseeeeeenes 62 6 6 10 Page 9 Miscellaneous Forms 0008 65 6 6 11 gt State Export issxiviiverlninsvendvawivendasnivindaanann 69 6 6212 SUID DIY FOLI misanan Gun bein cate in cde een 69 6 6 13 Reason for Transport cccccceeeeeeeeeeeees 70 6 6 14 AVY AUGIE aiie it
122. ew Dropdown on New Chart Possible crew members are listed in a box on new charts Configuration gt Service gt Chart gt Crew gt Crew Roles Enables Disables crew role display Configuration gt User gt Certifications gt state gt Certification Type Select certification for the user for that state Configuration gt Service gt Chart gt Crew gt Crew Preceptor Student Enables Disables preceptor student display Configuration gt Service gt Chart gt Track Team transports Enables Disables Specialty Team information display Configuration gt Service gt Code Tables gt Specialty Teams Define specialty teams 9 30 2009 Page 29 emsCharts com User Manual i Setup i Setup Setup is Setup a Setup ap Setup box i Setup 2 Setup Setup a Setup display Setup a Setup 2 Setup Specialty Information Team MONE Ww Team care ONLY Equipment ECMO F IABF ISOLETTE j Figure 38 For specialty teams the service administrator may choose to have the crew bypass pages 2 8 of the PCR If your service does not transport specialty teams the service administrator may disable this section v Referring Box This box identifies the agency which requested the transport or where the patient was located There are three types Hospital EMS and Other Depending on the type selected different information can be entered This information includes 1 Name Sele
123. f the following options listed in the Actions section d 265 periods 266 periods 267 hours worked Lock Period This is the first step in closing a pay period When the period is locked only those users with the Lock Pay Period or Close Pay Period permissions can modify the data entered for that pay period When a period is locked the Unlock Period option will appear so that a period can be unlocked if necessary Close Period This is the second step in closing a pay period When a period is closed only those users with the Close Pay Period permissions can modify the data entered for that pay period When a period is locked the Re Open Period option will appear so that a period can be re opened if necessary Approve Pay This will cause the hours in the paysheet to display in green instead of black This can be used in conjunction with the Reports section to view for example which employees have had their hours approved by their supervisors Verify Pay Marks the pay period as verified Reports Clicking this link brings up the Reports page Figure 203 Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Lock Pay Periods Allows user to lock pay Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Close Pay Periods Allows user to close pay Setup Configuration gt Service gt Code Tables gt Security Roles gt
124. f this box is checked a warning will appear on the patient page of the chart that this information has been verified and should not be changed The Subscription Information section is where subscriptions for that patient are managed A new subscription can be added by entering a start and end date and clicking the Add New Subscription button If the patient is currently a subscriber the subscription can be renewed for one year by clicking the Renew 1 yr button A subscription history is listed on the right side of this section Currently subscription information must be entered for every patient even if a family plan has been purchased from the service 9 30 2009 Page 90 emsCharts com User Manual If the current patient information has been obtained by consolidating patient information a log of these consolidations will appear in the bottom section The View Charts button allows users to view a summary of all the charts the patient is listed on Figure 114 The total number of these charts is the number in parentheses on the button d Patient Charts Microsoft Internet Explorer Sel Charts for new2 midi patient ID Date Time Unit Location TAMING ITS 192722 01 05 04 16 53 Uniti Care Transtered Figure 114 A new patient or relative can be entered by clicking on the Add new Patient Relative button If the user has permission to consolidate patients two patients can be consolidated into one from the search results page This is do
125. gical 0 2 D L 0 3 Trauma 0 E E a E a Unknown Problems 1 D D 3 4 8 Total 1 4 1 a 4 16 Views Cross Tabular view wt Figure 162 This screen displays the search criteria the medical categories and the receiving hospitals The data view can be changed by selecting a new option in the View dropdown box Options include bar line and pie graphs as well as Compressed Tabular wrap tables on to multiple lines to fit on one page wide The intersection of each medical category and hospital name displays the number of patients in that category transported to that hospital Clicking on a category name will display a Standard Report for that medical category sorted by receiving hospitals Figure 163 Criteria Date Fram 10 01 2001 Date Ta 10 31 2002 Surgical by Receiving Hospital a bhd Mercy Hospital Pittsburgh UPME Presbyterian Total Figure 163 9 30 2009 Page 125 emsCharts com User Manual Clicking on a hospital name will display a Standard Report for that hospital sorted by medical category Figure 164 Criteria Date From 10 01 2001 Date Ta 10 31 2002 Mercy Hospital Pittsburgh by Medical Category bd Obstetrical Surgical Figure 164 Finally clicking on a number at an intersection displays a details page for those transports Figure 165 Criteria Date From 10 701 2001 Date Tao 10 51 7002 Medical Category Trauma Receiving Haspital UPME Presbyterian Time Unit Location Outc
126. go back to the main window You should either fill out the data needed by the window or you can close the window if you don t need it or want to come back to it later As a final note emsCharts com does not employ any type of popup advertising If ads are appearing while using this program you have what is called Adware installed on your computer Typically this software monitors your surfing habits and then displays ads designed to appeal to your interests There are many programs designed to eliminate this type of software including Ad aware http www lavasoftusa com and SpyBot http security kolla de Note emsCharts com offers these programs as two examples of software to deal with adware This is not a recommendation for these programs and emsCharts com takes no responsibility for any damage which might occur due to the use of these programs Virus protection and the prevention of adware is the responsibility of the user and emsCharts com is not responsible for and does not provide help dealing with it 1 1 7 Use of the Tab Key The most common way of moving around a web page is with the mouse However there is an alternate method in the Tab key This key located in the upper left hand section of your keyboard lets you move from one page element to the next Also if you go past the element you were trying to reach you can hold the Shift key and press Tab to move backwards through the page elements 1 1 8 Text Boxes
127. gure 102 Itis composed of the following sections d Type The type of procedure performed This selection will determine what fields are displayed in the bottom half of this section Date Time The date and time the procedure was performed Location The location the procedure was performed Details This section displays additional fields specific to the procedure performed h Submit New Log This button saves the procedure amo 8 2 Response Times The times between any two standard events listed under Times on page 1 can be determined from this page It is accessed by clicking on Patient Records in the menu system on the home page then clicking on Response Times This brings up the Response Time Report page Figure 105 Select Report Criteria From 124012005 S To 121 2005 l Group By Display each transport 1st Time Time Dispatched 2nd Time Time Enroute Bases Units Only show charts where times exist Ignore time differences of 0 Ignore time differences greater than iz mins Ignore time differences less than iz mins Include custam percentile Scene IH 4 Team o Team Transports Medical Category A Response Code Display Options Count Average k Minimum k Maximum Standard Deviation Cl Median Continuous Values interpolated Median Discrete Values non interpolated Figure 105 It is composed of the following sections a From To Select the date or date r
128. hart Summary Generation Method Configure the summary generation method eae Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Chart Summary gt Modify Payors Define if role can modify payors 9 30 2009 Page 116 emsCharts com User Manual Name 1 Insurance test State Farm 4uto Insurance Test company 1 Mountain State Blue Cross Blue Shield Figure 146 If a priority is entered that already exists that existing priority will be decreased to make room for the new payor priority Comments Comments about the payor m Export If a billing export has been selected a field allowing the user to enter an export name will be displayed Once all the information has been entered it can be saved by pressing the Save button 9 30 2009 Page 117 emsCharts com User Manual 14 3 Fee Schedules The Fee Schedules page Figure 147 is where you enter charges that can be used for specific insurance companies 4 Code Tables Service PA 12345 iii Fee Schedules Ww Administer Code Tables Blue Cross Blue Shield Schedule Name Test Fee Schedule Test Fee Schedule l Procedure Charge Sweet Charge ID Alternate Code ALS Defibrillation ALSIT 200 4L51 emergency f ALS BLS Defibrillation BLS emergency f Central I v f Cervical Collar f External Jugular o Fv Ambulance Service FV Mileage 0 o O Figure 147 Schedule Name is where the name of th
129. hat each patient is listed on as well as whether or not the patient is a current subscriber A new patient or relative can be entered by clicking on the Add new Patient Relative button Clicking on a line brings up the details page for that patient Figure 113 new2 midi patient Current Subscriber No Patient Information Last patient First new Middle midt Unknown Address cone aa phono eee _ menna City St Zip West Mifflin hwest mitin PA 151220 County ey Weight roa a e Citizen of united States w pop joamsi933 Age 72 vr SSN 666 66 6668 Barriers ta Care None DL siatek B E olnub e Save Cancel Insurance Information Relationships Guarantors Billing Information Test Relative Parent No billing information present Die Ir Patient Great Grandparent fakeS patient Other Family 1 patient Other Family Subscription Information i I Subscription Start is j T Subscription History Fer SubseriptionEnd 01 01 2003 12 31 2003 HASRAT EN I 01 01 2004 12 31 2004 Add Mew Subscription Renew 1 yy Click row to delete Consolidated from hey Be Consolidated patient 4y Fake Guest on 05 26 2004 at 10 19 newe mide patient by Fake Guest on 05 25 2004 at 15 25 Add new Patient Relative Figure 113 The top two sections are the same as on the patient page on the chart with the exception of the Verified checkbox I
130. he name of the charge Quantity The quantity of the charge Unit Charge The charge in dollars for each unit of the procedure Total Charge Automatically calculated by multiplying the quantity by the Unit Charge f Comment A comment box to explain why the charge was edited oo0T0 9 Items which have been manually added edited will appear with an asterisk to the left of the item name to indicate the change An audit of all item changes for a summary can be viewed by clicking on the View Item Audit button Figure 144 T Items Audit Webpage Dialog 5 2005 16 17 David L Webb Procedure Quantity Unit Charge Suttix Created IV 1 10 Comments st 12 21 2005 18 12 David L Webb Procedure Quantity Unit Charge Suffix BLS emergency 1 200 BLS emergency 1 300 Comments Charge has not been updated in code tables K Setup Configuration gt Service gt Code Tables gt Chart Summary Setup gt Require comment when editing item Require the user to enter a comment when editing an item 9 30 2009 Page 114 emsCharts com User Manual Figure 144 Beneath the search results are various buttons These include a Print All Print data for all listed summaries Options include Chart Summary Utilization Review Supplies Activity Audit Chart and Supplies w Prices When pressed a status bar will appear to let the user view the progress of the generation of the print job b Print All In New Win
131. he ticket under Contact Method How the user should be contacted in response to the ticket Options are Phone and E mail Module The emsCharts module where the problem is occurring Operating System The operating system the computer is running Multiple PC Problem Enter if the problem is occurring on more than one computer Multiple User Problem Enter if more than one user is experiencing the problem Question Enter a detailed description of the problem IE Version Enter the version of Internet Explorer the computer is running PRID Enter the PRID of the chart where the problem is occurring Recurring Enter if it is a recurrent problem Any fields marked with a are required Once all the data has been entered it can be saved by clicking the Submit button The user is then returned to the Open Tickets page 20 1 3 View Closed Tickets Clicking on the View Closed Tickets link brings up the Closed Tickets page Figure 221 9 30 2009 Page 158 emsCharts com User Manual View All Fake Guest s CLOSED Support Tickets Ticket Number Question Date Requested ia ER eT is a second test ticket o6 o9 2004 This is a test ticket 06 09 2004 01 26 2004 This 15 4 test ticket created for emsCharts cam 12 12 2003 documentation View All Figure 221 This screen allows the user to view any closed tech support tickets Clicking on a ticket will bring up the activity log for that ticket 20 1 4 Feature Request C
132. hecks to be run on chart data before allowing the chart to be locked These checks are run when a chart is in initial entry and the user clicks the Complete Lock Chart button on page 9 Simple Data Validation lets administrators select fields which the crew are not allowed to leave blank for any transport 7 Setup Configuration gt Service gt Code Tables gt QA Levels Define Service Quality Assurance Levels 3 Setup Configuration gt Service gt Code Tables gt QA Levels gt Enable Auto Advance Enables Disables auto advance Setup Configuration gt Service gt Code Tables gt Special Report Exclusions Exclude use of Special Report Categories defined by the Command Facility and or Region 9 30 2009 Page 17 emsCharts com User Manual In order to use complex Data Validation rules must first be defined These rules are a set of one or more criteria to check for on the chart If all of the conditions of the rule are true then any actions associated with that rule will be run For example if certain data points should be checked for all Trauma transports then a rule would be defined to check if the medical category was Trauma If all conditions for a rule are true then all actions associated with that rule will be run Actions are where the chart data is compared against the desired value s For example an action could be created that checks to see if the dispatch id is blank If the dispatch id is not blank then th
133. ice a Setup Configuration gt User gt User Preferences gt Patient Charts Configure default display of chart search results cc Setup Configuration gt Service Command Fac Region gt Code Tables gt Activity Audit Configure Activity Audit questions on Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Bulk Advance Charts Allows role to bulk advance charts a Setup Configuration gt Service gt Code Tables gt QA Levels gt Allow Bulk Advancing Enables disables bulk advancing of charts at the selected QA level 9 30 2009 Page 82 emsCharts com User Manual 8 Logs 8 1 Procedure Logs The procedure logs document each procedure performed by a crew member and how many times that procedure was performed They are accessed by clicking on Patient Records in the menu system on the home page then clicking on Procedure Logs This brings up the Procedure Logs page Figure 102 Crews Webb David Type w From hz012005 amp Date naes l Time ro ammes enar sd nasi vers C Charted procedures only OLY Test Service charts only C Show Medication Logs Create Report Comments Please make sure the Crew above is correct Leave crew blank to include ALL crew members in report Figure 102 8 1 1 Searching Drilling Down A search is performed by choosing a crew member s name in Crew and a date or date rang
134. ies and exclusions ee Setup Configuration gt Command Fac gt Code Tables gt Special Report Categories and Sub Categories Define special report categories and sub categories 9 30 2009 Page 97 emsCharts com User Manual k Narrative This is where the circumstances events of the special report are documented Comments Any comments replies to the special report will appear in this section Report Reviewed By Lists the names of the users who have reviewed this report If the user s name appears in red the report is flagged for that user If the user has sufficient privileges they can also flag a report for another user by clicking on their name in this list Flags are discussed in greater detail below Actions This is where the user can leave comments on the special report These comments can be spellchecked by clicking on the ABC icon near the top right of the box Save Comments This button saves the comments to the special report and marks it as reviewed The user is then returned to the list where he or she selected the special report Mark as reviewed only no comments This button marks that a user has reviewed the special report and has no comments to add The user is then returned to the list where he or she selected the special report 10 2 1 Flags Flags are used to draw greater attention to a special report and as a way for a user to make sure they read any replies to that report For example
135. iguration gt Command Fac gt Chart Fields gt Breath Comments Enables Disables breath comments display Setup Configuration gt Command Fac gt Chart Fields gt Vent Info Enables Disables ventilator button display 9 30 2009 Page 50 emsCharts com User Manual Setup Ventilator Settings Microsoft Inte Sees Yentilator Settings Ventilator Mode Rate FOZ Figure 64 Once completed the crew member can click the SAVE button to save the information and return to page 4 Cardiovascular 1 Pulses Select the quality of pulse taken from the left and right for each of the Carotid Radial Femoral and Dorsalis 12 gt arteries Strong Absent etc 2 Art Linet If enabled select Art Line Brachial Left Femoral Right etc 3 PA Linet If enabled select PA Line Interior Jugular Left Subclavian Right etc 4 Tempt Enter the patient s temperature scale and method obtained 5 IABP Settings If enabled this button brings up the IABP window Figure 65 Once completed the crew member can click the SAVE button to save the information and return to page 4 Configuration gt Command Fac Configuration gt Command Fac Configuration gt Command Fac Configuration gt Command Fac Configuration gt Command Fac Configuration gt Command Fac Configure IABP properties 9 30 2009 gt Chart Fields gt Dorsalis Pulse Enab
136. ill close automatically and the chart will continue to close After the data validation check is performed the End of Record Verification window will appear Figure 84 This page checks data in the chart to make sure that it exists is correct The data that is checked is T End of Record Verification Webpage Dialog Processing Chart Event Result Verifying Advancing Privileges Passed Verifying Date Time Sequence _ Passed Verifying Electronic Signatures Passed Checking for Patient Passed Generating NFIRS Export Complete Processing Summary Information Complete Advancing Chart Advanced to 5S2 Errors Figure 84 9 30 2009 Page 68 emsCharts com User Manual 1 Advancing Privileges Verifies user has sufficient privileges to advance the chart 2 Date Time Sequence Verifies the dates and times on page 1 are in sequence i e the On Scene time is not later than the Dispatch time 3 Electronic Signatures Verifies that the required electronic signatures are on the chart 4 Patient If required checks that a patient is listed on the chart or unknown is checked 5 Export If required exports will be generated 6 Summary Information If a summary should be automatically created this is where it occurs 7 Advancing Chart If a chart passes all of the above checks it is advanced to the next QA level If a chart fails one or more of these tests Failed will be displayed in red u
137. ing the calloff is automatically displayed on the screen b Calloff Taken By The name of the user who receives the calloff This entry defaults to the name of the user who is entering the data but can be changed by clicking on the 3 icon Calloff Made The date and time the calloff was made Shift The date and time shift of the called off user starts Length of Shift The length of the shift Calloff Made By The name of the employee who called off Base The employee s base Calloff Method The calloff method Phone Live Person etc Comments Any comments Emp Type Division Type Clinical Type The employee division and clinical types Once the data has been entered it can be saved by pressing the Save button 17 3 Calloff Search Fa mH ao Calloffs can be searched by clicking on Calloff Search under the Human Resources section of the menu system This brings up the Search Calloffs screen Figure 209 This allows searching by a date or date range date type base and employee name oe Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Human Resources gt Search Calloffs Allows user to search calloffs 9 30 2009 Page 149 emsCharts com User Manual Search Calloffs Enter the Dates From 01782006 S To 017872006 l Date Type Date when callofftaken Caledof S R Figure 209 After the Search button has been pressed the Calloff Details page
138. ings 10 05 07 Attention New emsCharts Customers Sign up for Online Classroom Training Sessions emsCharts 600 Mifflin Road Suite 102 Pittsburgh PA 15207 866 647 8282 Figure 11 If this is the first time logging in to emsCharts com you will be presented with a modified version of Figure 11 The Service Login box will contain all of the services to which you belong Selecting one will transform your home page to one similar to Figure 11 The various elements of the login page are 1 2 1 Header Bar With few exceptions every page you see in emsCharts com will display the header bar This bar is located just under the emsCharts com logo This bar contains the following elements a gt gt home This link allows the user to return to the login page at any time b Username The name the user is logged into the system under c Login The name of the service command facility or region the user is logged into the system under d Date The current date e Logout Log out of emsCharts Depending on the location of the user within the system other data may appear in this bar 1 2 2 Menu System With few exceptions every page you see in emsCharts com will display the menu system The menu system is located on the left side of the screen and allows the user to navigate between the different sections of the Intranet The options presented at any given time will depend upon your location within the system the security
139. ions Page 7 of the PCR Figure 74 is comprised of the following sections emscCnaris com gt home Level Initial Entry SO Add QA Flag Pt Test Patient dlwebb 01 20 06 logout Patient Charts I s Initiated Prior to Assessment Page 1 I v Gauge Site Solution Rate ml hr Performed By Outcome Dispatch il a i v 7 a v Add Medications Infusions Prior to Assessment Time Medication Concentration Dose Rate I Other Route Performed By Outcome Drip C z 7 Q J 2 0 G Mise Forms Entire Chart Print Previews Special Report Chart Toolbox Import Data emsCharts 10 Allegheny County Airport West Mifflin PA 15122 866 647 6262 www1 emscharts com Figure 74 a IVs Initiated prior to Assessment This section is for the documentation of all IVs and solutions initiated prior to the crew s initial assessment It includes a Gauge The gauge of the IV b Site The site of the IV c Solution The solution of the IV d Rate The rate of the IV e Performed By Select who performed the IV f Outcome Select the outcome of the IV Once the information is entered into the appropriate boxes click the Add button to save This sequence must be completed for each individual IV b Medications Infusions prior to Assessment This section is for the documentation of all medications and or medication infusions administered prior to the crew
140. ions performed by the crew 4 Airway Other for the documentation of all airway adjuncts and maneuvers performed by the crew These include Abdominal Thrust Back Blow Bag Valve Mask Demand Valve Needle Thoracotomy Oxygen and Suction Initiate IV for the documentation of all IV insertions performed by the crew Cardiac for the documentation of the following actions Cardioversion Defibrillation Internal Pacing External Pacing and CPR Can also document Energy Setting and Heart Rate if appropriate to selected action 5 6 Setup Configuration gt Command Fac gt Code Tables gt Protocols Define protocols mae Setup Configuration gt Service gt Users gt user name gt Allowed to Perform ALS Define if user can perform ALS k Setup Configuration gt Command Fac gt Chart Fields gt Page 8 Assessed By Enables Disables assessed by display 9 30 2009 Page 63 emsCharts com User Manual 7 Immobilization for the documentation of all immobilization devices applied by crew 8 Medical Consult for the documentation of all medical command consultations 9 Labs for the documentation of all labs 10 Drains for the documentation of all drains 11 Ventilator for the documentation of ventilator settings 12 Hosp Notify for the documentation of hospital notifications There is NOT a massive narrative section in this software There are two comment boxes one on the activity page and one in
141. kly drop your name into the textbox Clicking the Select none link will clear the textbox and leave it blank After you have entered the search criteria press the Search button or merely press the Enter key A list of results will be displayed in the bottom portion of the search box Click on one of the choices to use it in the textbox you are searching from Your administrator will have procedures to follow if the desired object is not returned in the search results 1 4 Logging Out To log out of emsCharts com the user simply needs to click the logout link in the upper right corner If the system is automatically logging on a user it is most likely due to a configuration setting in IE To check this on the menu bar click on Tools and then Internet Options and then click on the Security tab in the window which appears Click on the Internet icon just under the tabs and then the Custom Level button Scroll down to the User Authentication section in the Security Settings window which appears Under this will be an option marked Logon The options Anonymous logon and Automatic logon with current username and password can not be used For greatest security Prompt for user name and password should be selected but Automatic logon only in Intranet zone can also be chosen 9 30 2009 Page 13 emsCharts com User Manual 2 Login Process Once the IE Browser is directed to www emscharts com the user will see the foll
142. ld must be greater than or equal to criteria Less Than Field must be less than criteria LT or Equal to Field must be less than or equal to criteria Like Field must be like criteria Wildcards are accepted Blank Field must be blank Not Blank Field must not be blank Does Not Exist This operator allows the user to find charts where a specified record type does not exist For example to find all charts where oxygen was not given go to the Criteria tab and enter the following selections Category Page 8 Column Action Operator Does Not Exist Criteria Oxygen and click the Add button to save This can also be used in conjunction with other criteria such as Medical Category in order to create QA reports k Is One Of This operator allows the user to select more than one Criteria for a given column For example to do a report on more than 1 Basesite go to the Criteria tab and enter the following selections Category Page 1 Column Basesite Operator Is One Of Criteria Click on the magnifying glass to bring up a list of all your basesites Place a check next to the basesites you want to run the report on and click Save and click the Add button to save This helps to cut down on the use of the Criteria Grouping tab in order to write complicated criteria requirements va Ta moan The Criteria section will also change depending on the column selected For fields where data is searched for or selected from a dropdown box you will be able t
143. les Disables dorsalis pulse display gt Chart Fields gt Art Line Enables Disables art line display gt Chart Fields gt PA Line Enables Disables PA line display gt Chart Fields gt Temperature Enables Disables temperature display gt Chart Fields gt IABP Settings Enables Disables IABP Settings button gt Code Tables gt IABP Triggers IABP Frequencies and IABP Insertion Appearance Page 51 emsCharts com User Manual Trigger Utilized IABP Frequency IABF ugmentation Slow Gas Leak Alarm Inflation Point Deflation Point 4ugmentatian Alarm S Assessment Left Brachial Pulse Yes w Distal pulse present in Affected Extremity ves Insertion Site Extremity Restrained Diastolic Augmentation Unaugmented Diastole is Diastolic Dip Figure 65 6 Jugular Vein Distension JVD Select Not Appreciated Not Checked or Present 7 Cap Refill Select Brisk or Delayed 8 Edema Select Not appreciated Pitted etc 9 Comments This is a free text section It is used to document additional information 10 Pacemaker If the patient is on a Pacemaker upon the crew s arrival the crew member can click on the Pacemaker button The Pacemaker box will be displayed Figure 66 and the crew member can complete the information regarding the pacemaker settings for the patient Once completed the crew member can click the SAVE button to save the information and return to p
144. licking Feature Request will take the user to the Enhancement Requests forum Figure 222 emscCharts com 3 no new message s Navigation Enhancement Requests l v customize profile search chat today help faq home FORUMS gt ENHANCEMENT REQUESTS Posting in Category Enhancement Requests Message Title Message Text http https S ftp S mail hr highlight LI Quote i Select Emotion v Figure 222 20 2 Download Documentation Clicking on the Download link brings up the Download Documentation page Figure 223 9 30 2009 Page 159 emsCharts com User Manual Manuals Name Last Updated emsCharts Administration Manual 01 24 2006 emscCharts Chart Summary Export Manual Download 07 11 2008 emsCharts Data Interchange Manual formerly State Export Download 08 08 2008 emsCharts Mobile Installation Manual 07 11 2008 emsCharts NEMSIS Quick Start Guide Download 12 12 2007 emsCharts Outreach Addendum Download 10 16 2006 emsCharts Outreach Manual Download 05 04 2006 emscCharts Pocket PDA User Guide Download 06 13 2005 emsCharts Research Manual 07 11 2008 emsCharts Seminar Manual Download 03 10 2004 emscCharts User Manual 01 24 2006 TechNotes Name Last Updated Siielisilsilaiis g es 3 5 3 f TARBRIKIE qi emsCharts NEMSIS Update II 01 24 2005 TechNote ActiveSync Pass Through Connection 01 24 2005 TechNote Activex Time Control 11 05 2008 TechNote Certification
145. licking on multiple items Also a range of selections can be made by clicking on the first item in the range then holding down the SHIFT key while clicking on the last item in the range i 16ga Angiocath I Toga Angiocath Figure 10 1 2 Home Page Once you log in to emsCharts com your Home Page Figure 11 will appear with various selections in the menu system down the left side of the page and two boxes in the active portion of the screen titled At a Glance and Service Login 9 30 2009 Page 8 emsCharts com User Manual emsCharts home DLW Test Service jackbauer 12 08 08 logout Configuration At a Glance Service Login Incomplete Charts 3 Service 285 Current Login Service QA Charts Flagged 0 Change Login DLW Test Service New Special Reports 84 Base Base 1 v Calendar 12 08 2008 01 05 2009 Unit Unti w Bii lr Found Shift Da stem Messages y J Unit 1 Crew emsCharts com Status Patient Records Special Reports Forums Continuing Ed Supplies Chart Summary Phone Messages Reports 09 30 08 emsCharts AMTC User Training Event October 23 Webb id 2008 Minneapolis MN 3 ebb David L Register Online Human Resources Calendar Links 07 08 08 ALL USERS Please see the linked forum post for information on a recent Assessment charting change Support Security Sett
146. llows user to access the reporting module 9 30 2009 Page 122 emsCharts com User Manual Criteria Date Fram 10 01 2001 Date To 10 51 2002 ALL by Rec Hospital Hospital UPME Presbyterian Time Unit Location Outcome O5 22 02 Medic 1 Transported 077 19 02 Medic 2 Residence Transported 08 02 02 Medic 1 Allentown Hospital Transported 08 19 02 Medic 2 Industrial Transported 10 07 02 Medic 2 Transported 10 07 02 Medic 2 Transported 10 28 02 Medic 2 Clarian Hospital EMS Transported Medic 2 Clarion Hospital EMS Transported Figure 157 This page again displays the search criteria along with details about each transport The chart for that patient can be viewed by clicking on that entry If a patient was the second patient on a transport the parent PRID of the transport will be listed in parentheses beside the PRID of the secondary patient From the main results page the data can also be viewed as a pie graph by clicking on the icon This will display a screen similar to Figure 158 Criteria Date From 10 01 2001 Date To 10 31 2002 4 LL by Rec Hospital itd ALL by Rec Hospital UPMC Pidubytanan B Maroy Hesapta ogi Pitetargh Caron Hespkai UPME Badon Mamcrtal i Figure 158 Alternately the data can be viewed as a bar graph by clicking on the lil icon This will display a screen similar to Figure 159 9 30 2009 Page 123 emsCharts com User Manual Criteria Date From
147. lowing appearances a Normal text The chart is at your review level b Italic text The chart is below your review level c Bold red text The chart has outstanding flags This can also be used with the normal or italic text The actual display of the charts listed here is dependent on the QA level of the user and is configured by the service and command facility administrators 6 4 Charts Missing Followup Letters These are PCRs that do not have a followup letter completed This section will only appear if followup letters are required by the service administrator 6 5 Create Chart This is where you create a new PCR Full instructions are listed below 6 6 Creating a New PCR 6 6 1 Page 1 Dispatch Information 1 Page 1 of the PCR will displays general dispatch information that will include a number of default entries see Figure 37 If any of the information is incorrect the crew member can correct the information Setup Configuration gt Service gt Code Tables gt QA Levels Define and configure QA Levels for the service k Setup Configuration gt Command Fac gt Code Tables gt QA Levels Define and configure QA Levels for the command facility 9 30 2009 Page 27 emsCharts com User Manual Patient Charts _ A Page 1 Dispatoh n a Patient EEN Bas site Base 1 ix xi Type OHosp emS Other Notified Fr ie Pase Sane Unit Unit1
148. ly calculated The payroll division also configured by the service administrator is then selected A comment can also be added if desired The time entered in the hours box is assumed to be regular time but the category can be changed in the lower line listing all the pay categories If the number of hours in the lower boxes does not equal the number of hours in the hours box the text in the hours box and under Total in the lower line will be displayed in red When the page initially loads the page displays in summary view where only the total hours of each type for each day is shown the 10 28 02 entry in Figure 202 The individual entries can be viewed by clicking on the sign to the left of the date which displays each individual entry for that day The 10 31 02 entry in Figure 202 The individual lines may be edited by clicking on them aoe Setup Configuration gt Service gt Code Tables gt Payroll Categories Configure payroll categories a Setup Configuration gt Service gt Code Tables gt Payroll Divisions Configure payroll devisions 9 30 2009 Page 145 emsCharts com User Manual Payroll Entries DWR 10 27 02 10 76 02 10 29 02 10 30 02 10 31 02 Time In Qut E E E E E E E E E 0 00 12 00 13 00 18 00 11 01 02 11 02 02 11 03 02 11 04 02 11 05 02 11 06 02 11 07 02 11 08 02 11 09 02 Figure 202 Depending on their security permissions users may have one or more o
149. mand Fac gt Chart Fields gt Rec Ref Modes Enables Disables rec ref mode display Configuration gt Service gt Chart gt Referring gt Patient Movement Enables Disables Moved Via display Configuration gt Service gt Chart gt Referring gt Patient Movement Enables Disables Position display 9 30 2009 Page 30 emsCharts com User Manual ae Setup w Receiving Box Similar to the referring box but refers to the agency who patient care is transferred to The differences between this and referring are 1 Referring Name is now Receiving Name 2 Ref MD and Ref RN are now Rec MD and Rec RN 3 Destination Basis How the receiving agency was determined 4 Dest Grid Grid location of destination 5 Dest GPS GPS location of destination 6 Moved Via is now Moved From 7 Condition The condition of the patient at receiving 8 Comment A short comment can be entered here x Times Time configuration falls into the following categories 1 Required by System Dispatch Available 2 Service Configurable Received Standby Cancelled and Disp Notify 3 Command Facility Configurable Onset formerly Injury At bed Lv bed Xfer Care First Resp and In Qtrs Times can be entered via an ActiveX Control or Text Boxes 1 ActiveX Control Note If you have selected this option but do not see the ActiveX controls on page 1 please refer to the ActiveX time control TechNote Placing
150. n the Criteria tab Display Title The column title in the report output Default is the Column name Date Time Format Allows users to format dates and times for date fields Click on each title for a list of available fields as well as usage examples Align Choose where in the column the data should be displayed Options are Left Center and Right Default is Left No Wrap Forces data in column to be displayed on one line regardless of length This can cause reports to become wider than the screen and or page Default is off 9 30 2009 Page 134 emsCharts com User Manual g Order Choose how the results in this column will be ordered Options are blank Ascending and Descending Default is b ank If an order is chosen for more than one column the column higher in the summary list will be processed first Once the data has been entered it can be saved by clicking the Modify button The Output page will then reload Figure 182 Test report for user manual Not Validated Report Output Category Column Display Title Order Page 1 Dispatch Information Date Dispatched Date Disp Ascending Page 1 Dispatch Information Medical Category Medical Category Page 1 Dispatch Information Unit Unit New Criteria Category Select a category yt Cancel Figure 182 Notice that the display title for Date Dispatched has been changed to Date Disp and that it will be displayed in ascending
151. n will only show reports which have not been reviewed by the user currently logged in c IDs Allws the user to specify a PRID and or Report ID to search These fields override the date fields d Report Categories Dropdown boxes which allow users to select the category and or sub categories of the special report e Users Allows the user to specify the author of the special report a crew member listed on the chart and or a supervisor Also if a user has the View Personnel Field security privilege they can search by Personnel Issue f Search Clicking this button will bring up a page similar to the special reports home page containing the special reports which matched the parameters of the search From this page a special report can be clicked to show it on the screen Alternatively if the CTRL key is held while the special report is clicked the report will appear in a new window 224 225 oo Setup Configuration gt Service gt Code Tables gt Special Report Categories Define special report categories an Setup Configuration gt Command Fac gt Code Tables gt Special Report Categories Define special report categories m Setup Configuration gt Service gt Code Tables gt Special Report Sub Categories Define special report sub categories aoe Setup Configuration gt Command Fac gt Code Tables gt Special Report Sub Categories Define special report sub categories ai Setup Configuration
152. nd the Total mileage figures will be automatically calculated aa Max Altitude If applicable the crew member can enter the maximum cabin pressure in the aircraft Figure 40 Not used for ground units May Altitude 2500 Figure 40 bb Flight Plan If applicable the crew member can enter the type of flight plan filed VFR or IFR Figure 41 Not used for ground units Flight Plan Figure 41 i Setup Configuration gt Command Fac gt Chart Fields gt Response Urgency Enables Disables Urgency display A Setup Configuration gt Service gt Chart gt Specialty gt Show Odometer Readings Configure odometer display hi Setup Configuration gt Service gt Chart gt Specialty gt Show Calculated Miles Configure calculated miles display Me Setup Configuration gt Command Fac gt Chart Fields gt Max Altitude Enables Disables max altitude display G Setup Configuration gt Command Fac gt Chart Fields gt Flight Plan Enables Disables flight plan display 9 30 2009 Page 32 emsCharts com User Manual Once the above information has been entered the crew member can click the Add Patient button at the bottom of Page 1 to continue to the Patient Page If the user creating the PCR is not listed in the Crew Members section he or she will be prompted if they want to add themselves to the chart Figure 42 Microsoft Internet Explorer You are not listed as a crew member and therefore
153. nd then your Email address This email address will be used by the system to notify you of various information including security events error reports and quality assurance flags The last item on this screen is the Lost Password Procedure This is the procedure that will be used in the event that you forget your password Once you complete all of these sections you must click on the Save Security Information button at the bottom Note Any time you change your password you will be asked to login again using your new password 9 30 2009 Page 15 emsCharts com User Manual 3 How to use this manual This manual is intended to explain how to use the various features of emsCharts com This was a complete manual at the time of writing but new features are constantly being added For questions not covered in this manual please contact technical support Additionally there are footnotes throughout this manual explaining where in the configuration those features can be enabled disabled defined or configured These allow for easy configuration changes by facility administrators without having to search through the entire Administration Manual for the desired setting 9 30 2009 Page 16 emsCharts com User Manual 4 System Concepts 4 1 Quality Assurance Levels Quality assurance levels are used to clarify documentation errors improve future clinical issues and to provide an easy way to follow up on unusual events during a transport
154. nder Result and a more detailed explanation of the problem will appear in the Errors section If there is a problem the chart will not be advanced and the user will have to fix the problem and again try to advance the chart by pressing the Complete Lock Chart button f Addendums This section is for the documentation of any necessary addendums Once the PCR has been forwarded to the Quality Assurance QA process it can not be edited by the crew members Therefore any clarifications and or additions must be added utilizing the addendums function To create an addendum the crew member simply clicks the Addendums button and the comment box for adding addendums appears Figure 85 The crew member can then add the appropriate information and click on the Add Addendum button to save emscCharts com gt home Chart Status Initial Entry SO Add QA Flag guest 10 29 02 Patient Charts Date Time 10 29 2002 11 02 User Guest Fake Page 1 Dispatch Comments Page 2 PT CC HPI Neuro Airway Page 4 Resp Cardio Page 5 Secondary Survey Add Addendum ge 6 Labs Fluids Figure 85 6 6 11 State Export This form provides all the remaining data elements that must be completed in order to comply with state EMS legislation Please refer to the Data Interchange Manual for more details 6 6 12 Supply Form The Supply Form allows the user to document what supplies were used d
155. ne by checking the checkboxes for two patients and then clicking on the Consolidate Patient button This will bring up the Patient Consolidation window Figure 115 A Patient Consolidation Microsoft Internet Explorer EEk Ah Name Gy newz midi patient new 9 patient Address ey cons addri m 461 Ocean Blvd cons addrz 1 Claptonville PA 19669 West Mifflin PA 15122 Phone 888 688 8888 304 867 5309 Date of Birth fe 0370371933 EJ Blank Age O lank 67 y Social Security Number 5666 66 6666 O Blank Sex OM F Weight E 25 eC Blank Race American Indian Slaska Native O Blank Driver s License FA DNR Blank Blane Communication Barrier es None Not Recorded 0 PA 3472 Figure 115 For each data category the user can select which piece of data to use for the new patient After all the selections have been made the patients can be consolidated by clicking the Save button 9 3 2 Duplicate Search The Duplicate Search page allows the user to search for duplicate patients using various criteria Figure 116 9 30 2009 Page 91 emsCharts com User Manual Search For Duplicate Patients Search by Last Name Only Last Name First Initial Last Name First 2 Letters Last Name First Name O SSN Date of Birth Figure 116 After selecting a criteria and clicking Search the Duplicate Patients Search Results page is displayed Figure
156. ne form letter templates 9 30 2009 Page 74 emsCharts com User Manual emsCharts com gt home Chart Status Initial Entry 0 Add QA Flag guest 10 29 02 Patient Charts Create New Form Letter Page 1 Template fe rare oop Delivery Method Referring 7 Receiving SS Name STAT Medevac H pama HEMO Creator Address 1 0 Allegheny County Airport Address Desoto At O hara Streets City West Miffin City Pittsburgh ST ZIP PA 15120 ST ZIP PA 1523 Unit Trauma Unit Crews ee Paramedic Fake Guest Paramedic David L Webb Misc Forms L i Entire Chart Patient Doe John Print Preview Sie iai Special Report Transport Time U Minutes Chart Toolbox Letter not required emsCharts com is a service of the Center for Emergency Medicine 230 McKee Place Pittsburgh PA 15213 p Figure 93 Depending on the delivery method a second screen may appear which will allow the user to preview the letter The user can then make changes spell check the letter with the Check Spelling button view the chart with the View Chart button and when satisfied save the letter with the Save Letter button Followup letters can also be created by pressing Chart Toolbox from the menu on the left side of the screen and pressing Create Form Letter from the window which appears the chart toolbox is covered in more detail in section 6 7 The service administrator can als
157. ns have been completed the user can click on the Next Page button to proceed to page 6 Pa Setup Configuration gt Command Fac gt Chart Defaults gt Head Findings Chest Findings Neck Findings Abdomen Appearance Abdomen Palpation Bowel Sounds Pelvis Findings Back Findings Extremities Findings and Skin Findings Define defaults for these text boxes 9 30 2009 Page 57 emsCharts com User Manual 6 6 7 Page 6 Labs amp Fluids Intake Output Page 6 of the PCR Figure 72 is comprised of the following sections emscCharts coms gt home Level Initial Entry SO Add QA Flag Pt Test Patient diwebb 01 20 06 logout Patient Charts Lab Results Page 1 Add Labs Labs Dispatch Add Labs Intake Output Before amp During Transport INTAKE OUTPUT Before During Before During CRYS mi ml EBL l In COLL lm mi uo ml mi OTHER mi ml OTHER mi ml Cancel Changes Next Page gt Page 6 Labs Fluids Page 7 Meds lvs PTA Activity Log Mise Forms Entire Chart Print Previews Special Report Chart Toolbox Import Data emsCharts 10 Allegheny County Airport West Mifflin PA 15122 866 647 6262 www1 emscharts com Figure 72 a Lab Results If there are lab results to be added to the chart pressing the Add Labs button will display the Lab Values window Figure 73 A Add Lab Microsoft Internet Explorer Date 179 2
158. o configure different templates to appear depending on whether the user selected the chart toolbox from the menu or followup letter from page 9 Once completed the crew member will click on the Enter button The screen will refresh and Page 9 will reappear to allow the crew to complete any remaining required forms 6 6 17 Hospital Pt Notes The hospital patient notes form Figure 94 allows users to enter post transport information 9 30 2009 Page 75 emsCharts com User Manual Emergency Dept Dispositions Hospital Disposition Trauma Registry ID Medical Record Patient Band Id kal o P Hospital Unit pate l l Figure 94 6 6 18 Special Reports The special reports formt allows users to add additional documentation to a transport record Figure 95 A Special Report Microsoft Internet Explorer Special Report DATE 12 1703 S Time hss YOUR NAME Webb David L RECORD NUMBER 36254 CREW 1 Guest Fake BASE Base 1 UNIT Medic 1 CREW 2 vebb David SUPERVISOR ET cRew3 gt K Personnel Issue Jh CREW oo dh SUBJECT TYPE Mark as Urgent Flag Report F Airwap Problem C General LU infectious Exposure F Injury C Personnel Frotocol Deviation Narrative Auto Email Extra Email Separate above email addresses bye semicolon Enter Incident Report Clear Form Figure 95 A Setup Configuration gt Service gt Chart gt Incident
159. o run 4nd process 1 month of charts starting on Delivery Method Email 9 Email error notifications to dhvebbi emscharts com Separate abore email addresses with semicolons C Delivery Method Details Email report to dhvebb emscharts com Separate above emal addresses with semicolons i Figure 196 The following options are available a Schedule task to run A report can be scheduled to run Never Once Daily Weekly or Monthly b On At Depending on the option chosen in Schedule task to run various options will appear for when the report should be scheduled to run c process Charts Depending on the option chosen in Schedule task to run various options will appear for the date range to be included in the report A report run weekly will always process one week of charts a monthly report will always process one month of charts d Report output The format of the report output file to be emailed Available options are HTML Comma Separated and PDF Tab Delimited and XML e Email error notification to If an error occurs when running the report an email will be sent to this address The Delivery Method Details section will change depending on the Report output chosen The options are a E mail Delivery Method Details Email report to diwebb emscharts com Separate above emal addresses with semicolons i Figure 197 1 Email report to A list of email addresses separated by semicolons that the report o
160. o search for those values For fields where data is typed in you will be able to type in data to search on As an alternative to selecting an operator and criteria the Prompt box can be checked When this box is checked the user will be prompted to enter an operator and criteria when the report is run When the criteria have been selected it can be added to the report by clicking the Add button The criteria page will now reload showing a summary of the criteria selected for the report Figure 176 Test report for user manual Not Validated Criteria Criteria Grouping Group By Report Criteria Category Column Criteria Page 1 Dispatch Information Date Dispatched gt 01 01 2004 fz x New Criteria Category Select a category wt Final Criteria Statement Date Dispatched 01 01 7004 Figure 176 9 30 2009 Page 131 emsCharts com User Manual As you can see from the summary the first criteria selected for this report is charts where the Dispatch Date is greater than January 1 2004 Just to the right of this summary is the Edit icon for this criterion followed by the Delete Icon Also a Final Criteria Statement is listed at the bottom of the page A few more criteria can now be entered in the same way as above to give a criteria page similar to Figure 177 Test report for user manual Not Validated Criteria Criteria Grouping Group Ey Report Criteria Category Column Criteria Page 1 Dispatch Information Date
161. o the calendar page eit Setup Configuration gt Service gt Code Tables gt Calendars Configure calendars 278 9 30 2009 Setup Configuration gt Service gt Code Tables gt Calendar Locations Configure calendar locations Page 154 emsCharts com User Manual 19 Links The Links page can be accessed by clicking on Links in the menu system This brings up the External Links page Figure 216 emsCnarts com home guest 10 31 02 Links for Demo Service STAT MedEvac Home Page The home page of STAT MedEvac Figure 216 This page displays links outside of emsCharts com and a description of the link The links are defined by the service administrator ae Setup Configuration gt Service gt Code Tables gt External Links Configure external links 9 30 2009 Page 155 emsCharts com User Manual 20 Support The Support page can be accessed by clicking on Support in the menu system This brings up the Support and Training page Figure 217 emscCharts com home Demo Service guest 12 12 03 Support Home 7 Support l Utilize the links on the left to Log a Ticket Within the Questions amp Problems you will be able to Questions A Problems view your current tickets Download Manuals Technical Support Contact Information 866 647 8282 412 647 4895 For Support Press 2 For System Failure Press 1 For Mobile Products Press 2 For Reporting Application
162. ome O8 o2 02 09 40 Medic 1 Allentown Hospital Transported 10 28 02 12 23 Medic 2 Clarion Hospital EMIS Transported 12 23 Medic 2 Clarion Hospital EMS Transported Figure 165 16 3 Hour of Day Hour of Day reports Figure 166 allow the user to generate reports sorted by time of day The criteria that can be used to generate Cross Tabular Reports are listed in Figure 167 Report Criteria Base Station Chemically Paralyzed PTA From 1070172001 S Se eco To 1073172002 S Rows Level of Conciousness ka Level of Conciousness Loss of Conciousness Generate Report Figure 166 As an example of Hour of Day reports this guide will generate a report of Level of Consciousness Using the data listed in Figure 166 Figure 168 is generated 9 30 2009 Page 126 emsCharts com User Manual a Alert Unresponsive NO Oats Total Criteria Date From 10 701 27001 Date Tao 10 51 7002 Hour of Day by Level of Conciousness Figure 168 Clicking on the No Data category generates Figure 169 Criteria Date Fram Date To 10 01 2001 1o 31 2002 Hour of Day by Level of Conciousness _ Hour of Day by Level of Conciousness _ Figure 169 Alternately clicking on a number at an intersection displays a details page for those transports Date Fro Date To ID Criteria mMm Date 260055 08 19 02 15 21 26058 08 19 02 15 343 16 4 Custom Reports
163. onse Codes Define response codes Configuration gt Service gt Chart gt Dispatch gt Extra Dispatch Fields Enables Disables EMD display Configuration gt Service gt Chart gt Defaults gt Default type Choose default ref type Configuration gt Service gt Chart gt Defaults gt Default mode Choose default mode Configuration gt Command Fac gt Code Tables gt Patient Categories Define patient categories Configuration gt Service gt Chart gt Dispatch gt Extra Dispatch Fields Enables Disables Dispatched As display Configuration gt Command Fac gt Code Tables gt Transport Outcomes Define transport outcomes Configuration gt Service gt Chart gt Defaults gt Default outcome Choose default outcome Configuration gt Command Fac gt Chart Fields gt Mass Casualty Enables Disables mass casualty display Configuration gt Service gt Chart gt Track grid locations on Page 1 Enables Disables grid location display Configuration gt Service gt Code Tables gt Geographic Zones Define geographic zones Configuration gt Service gt Chart gt Dispatch gt Track Dispatch Location Enables Disables Vehc Loc display Configuration gt Service gt Chart gt Dispatch gt Track GPS Locations on Page 1 Enables Disables GPS Location Configuration gt Service gt Users Add users to the service Configuration gt Service gt Chart gt Crew gt Cr
164. order The next step is to test the report This is done by clicking on the Test tab If the report is set up to prompt the user for data the prompt screen will appear Figure 183 Ente r C riteria a Figure 183 The report is set up to prompt for a value for Medical Category If more prompts were set up they would also appear on this page For this example Medical Category Not Equal To Weakness has been chosen Once values have been entered click the Continue button to move on to the results page At this point only the first 10 results are shown Below this report the words Report Validated are displayed Since the report has been run successfully it has been validated and can now be scheduled if desired Below this is a link marked Click here to see full results Clicking this link will run the report again but this time all results will be shown Figure 184 9 30 2009 Page 135 emsCharts com User Manual Test report for user manual Date Disp Medical Category Unit Figure 184 You can see that the output is ordered by Date Disp with no trips that list a Medical Category of Weakness and both Unit 1 and WhlChr1 are represented For this example we would now like to center the unit name in that column and also see the receiving facility for each of these trips To do this click on the Output tab and follow the steps listed above to add Receiving Facility At the same time the alignment of the
165. ounty Airport West Mifflin PA 15122 866 647 6262 wwyw2 emscharts com Figure 75 This page is the activity log used for the documentation of the patient care provided by the crew The crew should enter each activity and information utilizing the Date and Time of each occurrence Many fields are self explanatory but some require more information These include a BP Method Select how blood pressure was obtained b MAP Mean Arterial Pressure Calculated automatically but can be edited c EKG Rhythm User can select from the dropdown box or click the pencil icon to manually enter a rhythm Regular or Irregular rhythm can also be selected d Custom Vital Signs Enter a Label IABP VAD etc and then a Value Custom vital signs will only be added to the chart if both a label and value are entered e Repeat Vital Signs Duplicates the last set of data entered One use would be if all the vital signs were the same with the exception of a change in blood pressure then all that would be required of the user is to press this button change the blood pressure readings and then save No Change Enters No change in patient status in Comments section GCS 8 Enter the GCS of the patient at the time of the recorded activity Pain Select the amount of pain the patient was feeling Protocol Select the protocol that was followed m Two m A Setup a Setup e Setup nd Setup ae Setup pe Setu
166. owing Login Screen requesting a Login and Password Figure 19 Login i Password ay Remember me Login Figure 19 Your Login also known as your user name will be assigned by your System Administrator The Password to be used for a first time user during your initial login is also assigned by your System Administrator If you would like the system to remember your login name for future login attempts click the Remember me checkbox Only your user name will be saved not your password This is to prevent other people from logging on under your user name The first time that you log in to use the system the system will require you to change your password and answer a few questions about you personally Figure 20 You will be required to enter a new password case sensitive and then to confirm the new password by entering it a second time You will not be able to see the new password as it is typed for security reasons only eeeeee will appear in the boxes Select a password that is easy to remember emsCharts con home guest 10 28 02 Security Update User guest Passwords can not be blank Minimum length is 5 maximum length is 15 and may contain any letter or number PASSWORDS ARE CASE SENSITIVE Password eecceses Confirm Password foo Your Social Security Number is required It will be the key to encrypting your password and answer below in the database This information can not be viewed via the web
167. p Configuration gt Command Fac gt Chart Fields gt BP Method Enables Disables BP method display Configuration gt Command Fac gt Chart Fields gt Page 8 M A P Enables Disables M A P display Configuration gt Command Fac gt Code Tables gt EKG Rhythms Define EKG Rhythms Configuration gt Command Fac gt Chart Fields gt Page 8 Custom Vitals Enables Disables custom vitals display Configuration gt Command Fac gt Chart Fields gt Page 8 GCS Enables Disables page 8 GCS display Configuration gt Command Fac gt Chart Fields gt Page 8 Pain Enables Disables pain display 9 30 2009 Page 62 emsCharts com User Manual j Assessed By 72 Select which crew member performed the assessment k Graph Displays a graph of the patient s vital signs over time Once the Information is entered into the appropriate sections the crew member will click the Add Line button The screen will refresh and the activity will be displayed in chronological order in the upper part of the screen Figure 76 This sequence must be completed for each activity to be entered emscCnaris com gt home Level Initial Entry 50 Add QA Flag Pt Test Patient diwebb 01 20 06 logout Patient Charts Page 1 Dispatch Patient First Resp 12 04 AtRef 12 04 AtPT 12 04 tv PT 12 04 tv Ref 12 04 AtRec 12 04 Tx Care 12 04 Time H R B P Method MAP Sa02 Bco2 RESP RHY VAD Comments
168. p Letter section 4 Delete Chart Only shown if the user has sufficient permissions Deletes the chart from the database 5 Delete Patient 1 This is used if there is more than one patient associated with a transport and it is necessary to delete the first patient listed Deleting any other patient is covered under Patient Information When a chart is created most of the transport information is associated with the first patient In order to delete this patient the information must first be associated with the next patient listed in the chart Pressing this button moves the associated information to the second patient and then deletes the first 6 Chart Links Allows the user to enter Medical Record Numbers for the referring and receiving facilities 6 8 Additional Entries on the Header Bar While in a chart some addition header bar entries will appear in addition to the standard entries listed in section 1 2 1 Figure 98 emscCharts c home Chart Status Test Level 51 Add QA Flag Y iew Flags 1 Figure 98 These include a Chart Status The chart status consists of the name of the status level followed by the shorthand representation in parentheses b Add QA Flag Clicking this link allows the user to add a QA flag to the chart Figure 99 a Setup Configuration gt Service gt Code Tables gt QA Levels Configure the QA levels for the service 9 30 2009 Page 79 emsCharts com User Manual
169. ple who should receive a copy of the special report with the addresses separated by semicolons Enter Incident Report Saves the special report m Clear Form Clears any entries made in the form When creating a special report clicking a category which is displayed in italics will result in a special report which can be viewed by parties outside your organization the command facility or region depending on who created the category Categories not in italics will only be seen by your organization Administrators should ensure that they only create categories pertaining to their function i e services should specify operational categories command facilities specify clinical categories and regions state agencies specify regulatory categories If one or more special reports have been filed for a chart the number of reports will appear on the Special Reports line on page 9 and you will be able to review them by clicking that line There is an important legal distinction between Addendums and Special Reports By law addendums are part of the official PCR and are legally discoverable Special Reports are part of the QA process and are not legally discoverable 6 6 19 Chart Summary 200 The Chart Summary line is only available if the service is using the Chart Summary Module and has been configured to appear by the service administrator When shown the user has Setup Configuration gt Service gt Code Tables
170. ponse Code Select the response code Default to All Display Options Select the fields to display on the search results page Generate Report Press this button to display the search results page Figure 106 PRID Dispatch ID Date Time Unit Time 36036 11 01 02 09 21 Medic 2 7 55 36039 11 01 07 09 25 Medic 2 24 36041 11 01 02 09 25 Medicz2 oO 4yverage 10 52 Average without zero timess 15 78 Average 0 15 times 3 78 Figure 106 The response times search results page displays the PRID dispatch ID if applicable the date and time the unit and the time between the two events Below the listing is the average response time and the average response time of the records which have a response time between 0 and 15 minutes Any other options chosen for display will also appear Clicking on a line will open a new page containing the associated chart 8 3 QA Flag Search Quality Assurance flags can be searched by clicking on Patient Records in the menu system on the home page then clicking on QA Flag Search This brings up the QA Flag Report page Figure 107 9 30 2009 Page 86 emsCharts com User Manual Select Date Range and Criteria Enter the Dates From 11 01 2002 S To mma Crew dh Flag Author ge Include Response Figure 107 It is composed of the following sections homan ow g From To Select the date or date range to search Crew Search for flags on charts which list a specific c
171. r was created on Seminar Title The title and a brief summary of the contents of the seminar Speaker The name of the person presenting the seminar Length The length of the seminar Assessment Shows whether or not a skill assessment is required View Allows a user to view the seminar If the user has sufficient privileges he or she can also modify the seminar MaN ow oe Setup Configuration gt Service gt Code Tables gt emsCharts com Modules gt Seminars Enables Disables the seminars module 9 30 2009 Page 101 emsCharts com User Manual 13 Supplies The supplies section allows administrators and other users with appropriate permissions to manage supplies for the service The following options are available 13 1 Setup Setup is performed via a series of code tables Figure 128 Code Table Pt Sort Supply Categories Inventory By Supply Inventor By Location Minimum Lewels Figure 128 These tables include 13 1 1 Supply Categories The Supply Categories page allows the user to define supply categories for the service Figure 129 Setup Configuration gt Service gt Code Tables gt emsCharts com Modules gt Supplies Enables Disables the supplies module 9 30 2009 Page 102 emsCharts com User Manual UUM lias Supply Categories Supply Categories Supply Categories ID 69 Name Hidden category nn T Default Category Office Supplies Use On Chart Other Parent
172. rew member Flag Author Search for flags set by a specific user Type Select the type of flag Options are Clinical Documentation and Either Status Select whether the flags are complete or incomplete Include Response Checking this box will include responses to the flag on the results page Search Press this button to display the search results page The search results page lists the transport id the flag author the crew members on the transport how a response was made and any comments Clicking on a line will open a new page containing the associated chart 9 30 2009 Page 87 emsCharts com User Manual 9 Other Patient Record Options 9 1 State Export The State Export page the current month Figure 108 allows you to review data about chart exports to states for Charts to export From To Rejects oo 11 01 02 11 19 02 2 ao 11 01 02 11 19 02 J 11 01 02 11 09 02 Download Export File Generate and download the ASCII file for the region or state Upload FA Reject File Upload and process a reject file from EMSCAN Review PA Rejected Charts Review charts which have been rejected Figure 108 It is composed of the following sections State The state charts are exported to Charts to export The number of charts that need to be exported From To The date range for the charts Rejects For Pennsylvania only the number of charts rejected Download Export File Generates and do
173. rked as New 20 4 FAQ FAQ is short for Frequently Asked Questions If you are having problems please check here for answers before contacting technical support 9 30 2009 Page 161
174. rred over to the receiving facility These comments can be spellchecked by clicking on the ABC icon near the top right of the box Forms Received Delivered If configured by the system administrator the checkboxes are used to document if the listed documents were received from the referring agency and or delivered to the receiving agency Factors Depending on the Command Facility configuration there can be either one general entry for factors or three specific categories for factors Response Factors Scene Factors and Transportation Factors Dispatch Factors Select any factors related to the dispatch of the call Turn Around Factors Select any factors related to the turn around of the call System Symptoms Impression Select any systems symptoms or impressions Once the above sections have been completed the user can click on the Next Page button to proceed to Page 3 Configuration gt Command Fac gt Chart Fields gt Belongings Enables Disables belongings display Configuration gt Service gt Code Tables gt Paperwork Received Delivered Define paperwork received delivered Configuration gt Command Fac gt Chart Fields gt Factors Affecting Care Configures factors affecting care display Configuration gt Service gt Chart gt Other Pages gt Dispatch Delay Enables Disables dispatch factors display Configuration gt Service gt Chart gt Other Pages gt Turn Around Del
175. rsersensaraes 124 16 3 Hour OF Dayar 126 16 4 CUSTOM Reports cceceeeeeeeee sence eens 127 16 4 1 Create New Report ccccecsseeseeseeeeees 128 16 4 2 Group By Tab cceccssccsseeeseenseeseenaes 138 16 4 3 Cross tabular Reports cccceccseeeseeeeees 140 16 4 4 Run Report sssssssssssnensrnssnnnsnnnnsnrennnnne 141 16 4 5 Schedule Report sssssssssssssnssnssnsnnennnsne 142 16 4 6 Edit Report ssssssssnnnnsnsrnssnnnnnnnnnnnnnnnnn 143 16 4 7 Copy Repott sssssssssssnsnsnnnnnnnnnnnnnnnnnnnnn 143 16 4 8 Delete REPOrt ccccccseesseesseeeseeseeeeeees 143 17 Human ReESOUTFCeS sssssssnsnnnnnnnnnnnnn 144 Aele Pavol o a 144 17 2 Calloff NEW ccceseesesseesereeneesearens 148 17 3 Calloff Search cccesscesereeneeseerens 149 17 4 Document Warehouse ccceseceeees 151 18 CalenGal cccivcieciiiticticiscviestaetias 152 18 1 Adding Event ccccscecseeeeeeeeeeeeaes 153 19 LINKS oiia 155 20 SUPDOME wessicssisccstccis ciactciaaueaverneesaees 156 20 1 Questions amp Problems cccccceeeeees 156 20 1 1 My Questions amp Problems c0ce 156 20 1 2 Log a TICKEL ccc eeeceeeeeceeeseeeeeeeeeeaeees 157 20 1 3 View Closed Tickets ccccsseeeeeseeeeeees 158 20 1 4 Feature REQUESC cccccceceeceeeeeeaeeaeeaes 159 20 2 Download Documentation ccc008 159 20 3 Download Software cccscscscseseeeees 160 DOA WAG
176. rt View Activity Audit Optional emn Number of Signatures 0 Utilization Review Optional Print Chart F Followup Lette dptional Pt Followup Log None Quality Assurance Special Reports None Blank Page Current Initial Entry 50 g Next Test Level 51 Chart Summary Completed Addendums Current Number of Addendums 0 Figure 77 a Miscellaneous Forms This section is for the documentation of all required post trip information Each form that the service administrator has configured as required will appear as Required Required forms must be completed before the chart can be advanced Forms can also be configured as Optional which means that the forms may be completed but this is not required To complete the forms the crew member will click on the form name and the form will appear Figure 86 Figure 92 Once the form is completed the crew member will click the Save button and the screen will refresh and Page 9 will reappear to continue with other forms You will note that the Required in red text now has changed to Completed in green text Each form will be covered in more detail below b Attached Files This section displays the number of attachments on the current chart as well as the Attached Files button Clicking this button brings up the Attach File page Figure 78 Files Currently Attatched Hone Attach File Filename Broce Rename file Category e MXIT size for each Me
177. rt in order to handle the QA flag h Handle via Email Discussion Allows user to send an email in order to handle the QA flag Once a QA flag has been handled the user will be returned to the list of QA Flags where the handled QA flag will now appear in green to signify that it has been handled If the QA Flag is now clicked on the QA information page will again appear but the three Handle via buttons will be replaced with the users response to the QA flag Figure 36 Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Patient Record gt QA Flag Assign if not on chart Allows user to assign QA flags to an individual crew member 9 30 2009 Page 26 emsCharts com User Manual QA Flag Information Microsoft Internet Explorer QA Flag Details Date Time 02 05 2004 15 14 Flag Type Documentation Confidential PRID 210339 Created By diwebb Referenced Page Summary Page Comments you didn t fill anything out lt Back to list Go To Page Response Addendum O27 05 04 Guest Fake Addencun to clear fag Figure 36 6 3 Charts for Review This section lists PCRs that have been completed and require review for Quality Assurance The user will see any chart at their assigned QA level or below If the service administrator has filtered the user s QA level by base then only PCRs which are assigned to the base listed on the home page will appear The text can have the fol
178. s Yi Motor Obeys Command Verbal Oriented v TOTAL fis Qual v CAR RE SS Touma Soora gt Chart Toolbox Revised Trauma Score Import Data Sys BP vi Resp Rate TOTAL Status Patent vi Secured Via I hdl Tube Size mm Depth iem Performed By v Outcome Comments 222 Cancel Changes Next Page gt v Figure 62 This page is comprised of the following sections a Neuro 1 Level of Consciousness Select the level of consciousness of the patient Alert Restless etc 2 Orientation Select the orientation of the patient Oriented Disoriented etc 3 Sensory This is a free text section Itis used for any comments about neurological deficits the patient may be experiencing 4 Motor This is a free text section It is used for any comments about the motor skills of the patient 5 Neuro Exam Select or enter the findings of the Neuro Exam of the patient 6 Neurologic Deficit Select or enter the Neurologic Deficit of the patient 7 Thrombolytic Select thrombolytic data A Setup Configuration gt Command Fac gt Chart Fields gt Sensory Comments Enables Disables sensory comments display Setup Configuration gt Command Fac gt Chart Fields gt Motor Comments Enables Disables motor comments display Setup Configuration gt Command Fac gt Chart Fields gt Neuro Exam Enables Disables neuro exam assessment display mae Setup Configuration gt
179. s gt QA Levels Define QA levels 9 30 2009 Page 67 emsCharts com User Manual will remain open behind the other windows so that the user can refer back to this window and correct multiple errors before trying to lock the chart again If the Data Validation window is open when the user returns to page 9 then it will be brought to the front and automatically refreshed Once all the required fields are corrected the Continue button will appear in the Data Validation window Figure 83 The following fields are required by the Service Test Condition Value Page 1 Dispatch Information Dispatch ID adfa Page l Dispatch Information Dispatched As Obstetrical Page l Dispatch Information Mileage Loaded 234 Page l Dispatch Information Odometer At Referring 37 Page l Dispatch Information Outcome Care Transfered Page 1 Dispatch Information Patient Moved Via Page 1 Dispatch Information FEesponse Code The following fields are reqmred by the CmdFac Test Condition Value Passed Fage 1 Dispatch Information Dispatch I Hot Blank adfa true Page 1 Dispatch Information Medical Category Hot Blank Obstetrical true The following fields are recommended by the CmdFac Test Condition Value Passed Page l Dispatch Information RFT Comment Not Blank false ro To Page Figure 83 When the Continue button is clicked the chart will continue to close normally If there are no fields to be checked then the Data Validation window w
180. s gt Special Reports Enables Disables the special reports module 9 30 2009 Page 96 emsCharts com User Manual emsCharts com home Demo Service dlwebb 12 13 03 Special Reports Special Report lah Date Reported 09 06 02 10 33 Date Occurred 09 06 02 10 41 Filed By Goutmann Pete Create None Crew 1 Search Base Base 1 Unit Medic 1 Crew 2 Supervisor Crew 3 Personnel Issue f w Crew 4 Type Flag Report Airway Problem General Infectious Exposure Fj Injury C Personnel Protocol Deviation Subject test Narrative test Comments No comments found Report Reviewed By Red names have flagged report Pete Goutmann Actions JA k Mark as reviewed only no comments 1 0 0 emsCharts com is a service of the Center for Emergency Medicine 230 McKee Place Pittsburgh PA 15213 Figure 124 It is composed of the following sections a Date Reported Occurred The date and time the incident leading to the special report form occurred and when it was reported b Related Record If the special report deals with a transport the record number of that transport will appear Clicking on the related record line will open a new window displaying the entire chart related to that transport If the special report does not deal with a transport the word None will appear c Base Unit The base and unit recorded in the chart d Supervisor If applicable the supervisor of the crew member
181. s Press 3 For Medical Command Press 4 For emsCharts Com Billing Functionality Press 5 For all other emsCharts Com Issues Press 6 For Vendor Support Press 7 Figure 217 This screen contains the phone numbers and extensions for contacting different areas of emsCharts com technical support You can enter a technical support problem by clicking the Log a Ticket link on the page A ticket can also be logged under Questions amp Problems in the menu system Logging a ticket will be explained in the Questions amp Problems section below 20 1 Questions amp Problems 20 1 1 My Questions amp Problems Clicking on the Questions amp Problems link brings up the Open Tickets page Figure 218 Waiting on Customer Response Fake Guest s Support Tickets Ticket Number E Question Date Reguested 1287 This is 4 test ticket created for emsCharts cam 01 17 2006 documentation Figure 218 If a ticket is marked with it means that emsCharts technical support is waiting for more information from the user Clicking on a ticket will bring up the details and activity log for that ticket Figure 219 9 30 2009 Page 156 emsCharts com User Manual emsCnarts com home Demo Service quest 01 17 06 logout Ticket Details Ticket Number 1287 Open Date 01 17 2006 Requesters Name Fake Guest Service Demo Service Type Service Contact Method Phone Contact 123 456 7890 Currently Assigned To Pete Goutmann Support
182. s acute injuries trauma e g fractures crushing injuries obvious multiple injuries burns near drowning poisoning ADD eh aa ADD Code 91 Situation Overdose Figure 89 Activity Audit The Activity Audit is a list of questions to be answered about the current trip Figure 90 Setup Configuration gt Service gt Chart gt Activity Audit Configure activity audit form Setup Configuration gt Service gt Code Tables gt Activity Audit Define activity audit questions Pe Setup Configuration gt Command Fac gt Code Tables gt Activity Audit Define activity audit questions 9 30 2009 Page 72 me 1029028 emsCharts com User Manual emsCharts com gt home Chart Status Initial Entry SO Add QA Flag guest 10 28 02 Patient Charts Page 1 Clinical Issues Pare Were more than 2 intubation attempts made No Was a protocol deviation made intentionally No Operational Issues Was there damage to any service owned equipment No wv Was an employee injured No v Save Clear Form Misc Forms E Entire Chart Print Preview Special Report Chart Toolbox emsCharts com is a service of the Center for Emergency Medicine 230 McKee Place Pittsburgh PA 15213 Figure 90 lt The questions are answered by the crew member clicking on the appropriate answer for each question The Yes No fields are defaulted to
183. s chosen 9 30 2009 Page 153 emsCharts com User Manual b C h Title Short This is the text that will be displayed on the calendar From To Select the date or date range and times for the event The user can also choose whether the event occurs at the Same time each day or if the Time is continuous Recurring If this box is checked the following options appear 1 Time Span The span of time between recurrences The options are Every x Days Every x Weeks Every x Months date and Every x Months day 2 Interval For the first three time span option the user simply enters a number into this text box For the Every x Months day option a dropdown box will appear with the options First Second Third Fourth and Last 3 Occurrences The number of times this event should repeat i e a daily event every day for one week would require an entry of 7 Calendar The name of the calendar this event should be saved to Location The location of the event A location defined by the service administrator can be chosen from the dropdown box or a location can be entered by clicking the icon to the right of the box Category The category of the event Show on home page Choose whether or not the event is displayed on the user s home page Comments Further comments about the event Save Press this button to save the event The user will be returned t
184. s transported and the displayed patient is not the first one listed the patient can be deleted by clicking on the Remove Patient button Deleting the first patient will be covered later in the discussion about the Chart Toolbox Once completed the crew member can click the Next button to move on to Page 2 of the PCR Setup Configuration gt Service gt Chart gt Patient gt Pt Medication Layout Select patient medication layout 9 30 2009 Page 41 emsCharts com User Manual 6 6 3 Page 2 CC HPI Page Page 2 of the PCR Figure 56 allows the crew to document the details which led to the trip Patient Charts Page 1 Dispatch Resp Cardio Page 5 Secondary Survey Activity Log Page 9 Misc Forms Entire Chart Print Preview Special Report Chart Toolbox Import Data It includes a moanp Chief Complaint Scene Description Other EMS Other Agencies B Disaster El Exposure Patient Belongings Duration of Complaint Air Modifier CMS Condition Anatomic Location E ALS Assessment v Forms Received Delivered From Ref Document Name To Rec C x Ray CT Scans F Secondary Complaint Response Factors Scene Factors Duration of Complaint Transportation Factors History of Present Illness Gisunbch Factors f Turn Around Factors i i
185. splayed by default All of the categories can be displayed by pressing the Show All button which will expand the display to show all the categories similar to Figure 141 The extra categories can then be hidden be pressing the Hide Extra button The individual procedures are listed under the Details section A user with the appropriate permissions can also add edit and delete the items on the summary To add an item click the Add new item link To edit or delete an item click on the item line These actions will pull up the edit item window Figure 143 ia Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Chart Summary gt Modify Chart Summary Define if role can modify summary details ae Setup Configuration gt Service gt Code Tables gt Security Roles gt role name gt Chart Summary gt Modify Summary Charges Define if role can modify summary charges 9 30 2009 Page 113 emsCharts com User Manual sy Update ltem Webpage Dialog Update Item Procedure BLS emergency v Quantity fi Unit Charge 200 Total Charge s 300 Comment Last Modified by David L Webb on 12 21 2005 Figure 143 This window has the following options Procedure The name of the procedure Suffix The suffix to add to t
186. sssseeeseseseees 96 10 1 Home Page cccccceeeseeeeceseneeeeees 96 10 2 Viewing a Special Report c000 96 10 2 Nin Flags cata tcgestcanaua ean tavestuaiineieneteaee tenes 98 10 3 Creating a Special Report 0008 98 10 4 Searching vnavieesssiscatuceaniintriae 98 11 FOrUMS sosiaa 100 12 Continuing Ed sssssssssnnnnnnnnnnnnnnnnnn 101 13 SUPDNCS ririn akaa aiaa 102 TSM SQUID reisis 102 13 1 1 Supply Categories cccceeeseeeeeeeeeees 102 13 1 2 Supply Sub Categories ccccceeeeeeeees 103 P3053 UPPIIES Ge ats 104 MS LA Vendo Se a a a aa 105 T35 EOCAUOMS anin inin innana ANA 105 13 16 MECICAUONS vidasiaca Catidas et itas Gatcaa eaten 106 13 1 7 Inventory By Supply ceeceeeeeeeeeeeeeees 107 13 1 8 Inventory By Location ccceceseeeeeeeees 107 13 1 9 Minimum Levels cccccecseeseeseeseeeeeeees 108 13 2 Supply Requests cccccecceeeeeeeeeeeeees 108 14 Chart SUMMAry sssssssssnnnnnnnnnnnnnnnnnn 110 14 1 Chart Summary Search 0eeee 110 A2 sRAVOVS wexteecakee set a Geter becratiun 116 14 3 Fee Schedules ccecsesseseerseneeseerens 118 15 Phone Messages scscseseseseseseseeees 119 15 1 New Message vis iscsvtivescocteerresrtariieees 119 15 2 Viewing MeSSAGES cccseeeeeeeeeeeeees 119 ES Sed CN a E AAR 120 16 REportS siise 122 lOde Std REPOS kiin Ea 122 16 2 CrosSsS Tabular csscsscsscsesvs
187. stomization of Patient ID label 76 Setup Configuration gt Service gt Chart gt Pt Run ID Enables Disables Pt Run ID display Also customization of Pt Run ID label a Setup Configuration gt Command Fac gt Code Tables gt DNR Types Define DNR types 9 30 2009 Page 35 emsCharts com User Manual emscCharts conm gt home Level Initial Entry SO Add QA Flag diwebb 01 20 06 logout Patient Charts Patient Information iii PTID 616635 Patient ID 100 Pt Run ID a Paiet Last Patient First Test t Cunknown SSN Ainaa Address 123 Ar Anywhere Lane Sex Ca Blood Type AB Y Neuro Airway City St Zip West Mifflin PA 15122 A County Q Weight 100 kg M Resp Cardio Phone 123 456 7890 Citizen of United States Barriers to Care Not Recorded ai Secondary Survey DOB on M956 Age 50 so vr m Race White non Hispanic l DL State Pa_ 4 DL Number 123456 Employer Billing Information Labs Fluids Page 7 History C Consent Form Signed C Medical Necessity Signed Meds I s PTA sm s NPP Form Given None Activity Log Relationships Guarantors Eat Billing Information Page 9 John Doe TErEDeyEr AT een Test Relative Entire Chart Print Previews Special Report Chart Toolbox Import Data Myocardial Infarction Pacemaker Insertion
188. t each procedure attempt Figure 104 ID From 11 01 01 To 11 01 02 As Of 11 01 02 Type Intubation Grotracheal Date PRID Success Attempts Other Info 07 25 2002 22791 1 1 Orotracheal Intubation by David L Webb with 7 0 24cm at lips Attempts 1 successful Placement verified by Chest Rise 08 02 2002 23628 5 Orotracheal Intubation by David L Webb with 7 0 24cm at lips Attempts 3 successful Placement verified by Chest Rise Figure 104 These details include date PRID success attempts and other info Clicking on an entry on this page will take the user to page 8 of the associated chart 8 1 2 Procedure Report by Crew A second option is to list procedure logs by user To run this report click on the Crew Selection icon and in the popup window that appears click Select None This will clear the Crew box and activate a dropdown list where you can select Aggregate Totals or By User If you select By User you can then refine the results to only include specific procedures in the Filter field If you leave the Filter field blank then the main categories will be used Intubation IV Cardiac etc rather than specific procedures Orotracheal Intubation Defib Cardiovert etc 9 30 2009 Page 84 emsCharts com User Manual 8 1 3 Adding a non chart Procedure If an employee performs a procedure in a setting other than their service it can be documented on the right side of the Procedure Logs page Fi
189. te Physician information Figure 50 Additional Patient Medical History Microsoft Internet Explorer ARa Patient Physicians Mo physicians listed Add Physician Last Mame O Type __ M Figure 50 If a service has defined at least one Notice of Privacy Practices form the NPP Form Given dropdown box will display along with a link to see the history of NPPs given to that patient If signatures on Consent and or Medical Necessity forms were obtained the appropriate box Consent Form Signed or Medical Necessity Signed should be checked Directly under the consent area is the relationships and billing information area The Relationships Guarantors section is intended for patients whose insurance is in the name of another person To add edit information click on the Edit button to bring up the Edit Relationships window Figure 51 z Setup Configuration gt Service gt Code Tables gt Notice of Privacy Practices Forms Define NPP forms i Setup Configuration gt Service gt Chart gt Patient gt Display Patient Billing Information Enables Disables patient billing information display 9 30 2009 Page 38 emsCharts com User Manual Edit Relationships Web Page Dialog Relations for Test Patient PETIT SSN DOB Relationship John Doe BSS5 55 5555 11 02 1974 Test Relative Add Relationship Save Relationship Remove Relationship Delete Record Relationship Details Relationship None vi Ne
190. that button the PCR will not be created Once the Add Patient button is pressed the chart will need to be deleted if it was entered unintentionally Page 1 is composed of the following sections a Patient Record ID PRID The number in this field is assigned by emsCharts com to uniquely identify every transport entered b Dispatch ID Intended for services which receive assignments from dispatch centers this field is used to identify the transport The name of this field can be changed to one specific to the service i e Flight Number or Communications Number This feature can be disabled by the system administrator c Local ID This field is an ID services use internally to track transports As with Dispatch ID the name can be customized and may be disabled by the system administrator d Basesite The basesite will be selected from the login information e Unit The unit identification will be selected from the login information f Staff Level The staff level is selected in this next box ALS BLS etc g Tail Reg The tail registration number of the aircraft Setup Configuration gt Service gt Chart gt Dispatch ID Enables Disables Dispatch ID display Also customization of Dispatch ID label Setup Configuration gt Service gt Chart gt Force Unique Dispatch ID Force a unique Dispatch ID to be entered for every chart i Setup Configuration gt Service gt Chart gt
191. the desired period which brings up a screen similar to Figure 201 oe Setup Configuration gt Service gt Code Tables gt emsCharts com Modules gt Human Resources Enables Disables the human resources module Setup Configuration gt Service gt Code Tables gt Payroll Settings Configure payroll settings 9 30 2009 Page 144 emsCharts com User Manual Sri IO wWeUUITE J z home guest 10 30 02 Payroll Employee Fake Guest Acti Calloff New i ining nO 2 Period Begining 10 27 2002 Year 2002 chanae Ponad Calloff Search Period Ending 11 09 2002 Period 22 Payroll Entries OVR SCK 10 27 02 10 28 02 10 29 02 10 30 02 10 31 02 11 01 02 11 02 02 11 03 02 11 04 02 11 05 02 11 06 02 11 07 02 11 08 02 11 09 02 0 00 No entries 0 00 0 00 Add New Row Date In Time Out Division Comment 10 30 2002 Lh Iel S o REG VAC STDBY Add Row vw Figure 201 The pay period can be changed by clicking on the Change Period link under Actions in the upper right of the screen The payroll categories displayed on this screen are configured by the service administrator This sample includes entries for Regular Overtime Sick Vacation and Standby Time is entered on the bottom part of the screen You first select the date work was started defaults to current day and then enter the time work was started and the number of hours worked From this the date and time out are automatical
192. the procedure log Comments can be listed in both or neither of these boxes A new line will be added if the comment box on the activity page is used The final comment that appears on screen will be built by first listing the activity log comment then the procedure itself then the procedure log comment To edit a set of vitals click on a log entry anywhere except the Action column To edit a procedure click on the Action column of a log entry Either action will open up a new window containing the details of that entry From this window the user can edit the details of the log entry or delete the entry by clicking the Delete button Deleting an entry from the activity log also deletes the associated procedure Once the above sections have been completed the user can click on the Next Page button to proceed to Page 9 a Setup Configuration gt Service gt Code Tables gt Command Facilities Define command facilities for medical consultations ae Setup Configuration gt Command Fac gt Code Tables gt Command Physicians Define command physicians for medical consultations 9 30 2009 Page 64 emsCharts com User Manual 6 6 10 Page 9 Miscellaneous Forms Page 9 of the PCR Figure 77 is comprised of the following sections Miscellaneous Forms Attached Files State Export Optional Supplies Used Optional Number of Attached Files 0 Signatures Reason for Tra nsport Optional Signatures sign Cha
193. ti PO 02 04 2004 13 39 Unknown Problems Uniti Oo 02 05 2004 15 07 Unknown Problems Uniti oo 02 16 2004 17 14 Unknown Problems Uniti Oo 02 18 2004 10 40 Surgical ita o 04 13 2004 17 31 Unknown Problems Uniti Po 04 13 2004 17 44 Unknown Problems Uniti Po 05 28 2004 13 31 Unknown Problems Uniti 05 28 2004 13 32 Unknown Problems Uniti PO 05 28 2004 13 36 Unknown Problems Uniti 05 28 2004 13 37 Unknown Problems Uniti 06 03 2004 10 42 Unknown Problems Uniti 06 03 2004 10 42 Unknown Problems Uniti To 06 03 2004 10 54 Unknown Problems Uniti Oo 06 03 2004 14 11 Unknown Problems Uniti 06 04 2004 11 23 Diabetes hichrt PO Figure 186 The output of the report can be saved to a variety of formats To save choose a format in the Save output as dropdown box then click Save The user will then be prompted for a location to save the output 16 4 2 Group By Tab The Group By tab is used when the use of a grouping function is desired An example would be the number of charts for each Medical Category After creating a new report and choosing any desired Criteria click on the Group By tab Figure 187 Group By report for user manual Criteria Grouping Group Ey Criteria to group results by Page Select a category Figure 187 Choose Page 1 Dispatch Information and then for column choose Medical Category Then click Save Figure 188 9 30 2009 Page 138 emsCharts com User M
194. tion gt Command Fac gt Chart Fields gt Extremity Assess Configure extremity assessment display re Setup Configuration gt Command Fac gt Code Tables gt Extremity Assessment Configure extremity assessment options re Setup Configuration gt Command Fac gt Chart Fields gt Skin Assess Configure skin assessment display oe Setup Configuration gt Command Fac gt Code Tables gt Skin Assessment Configure skin assessment options 9 30 2009 Page 56 emsCharts com User Manual Burn Information Burn Type TESA J Degree Singed Nasal Hair No Carbon in mouth Poor ventilation TCO Level Figure 70 Once completed the crew member can click the SAVE button to save the information and return to page 5 c Drains amp Tubes Click to display the Drains amp Tubes window Figure 71 S Tubes and Drains Microsoft Internet Explorer aH Tubes and Drains HG Tube fr Suction M OG Tube 0o F Suction Chest tube Li F Figure 71 Once completed the crew member can click the SAVE button to save the information and return to page 5 155 into the k Defaults Button Inserts the default values defined by the Command Facility following text boxes 1 Head Findings 2 Neck Findings 3 Chest Findings 4 Pelvis Findings 5 Abdomen Appearance 6 Abdomen Palpation 7 Bowel Sounds 8 Back Findings 9 Extremities Findings 10 Skin Findings Once the above sectio
195. tion has been entered it can be saved by pressing the Save Changes button 5 4 2 Certifications The Certifications tab allows the user to enter general and state specific certification information as well as other data to be reported when exported to the state Figure 22 9 30 2009 Page 19 emsCharts com User Manual Certifications State Export No Certifications Listed Maryland Add Certification Certification Type lt d Always make driver Pennsylvania Certification o State ID Home Region m Home couny i Always make driver Ohio Certification Type The above information wil be a to the state When submitting charts efectranica t Save Search for User Figure 22 The left side of the page allows the user to enter general Certifications from the list in Figure 23 After a selection is made press the Add button to save First Responder First Responder H Pre Hospital AM EMT Basic F EMT Paramedic CRT EMT Intermediate E EMT EMT Faramedic F First Responder Nurse A Attendant Physician 0 Other Observer The right side of the page lists certification and export data for the states the service is set up to export to All states have a dropdown list for Certification Type and the options for Maryland Pennsylvania and Ohio are listed in Figure 24 Figure 25 and Figure 26 respectively Once all the information has been entered it can be saved by pressing the Save button 5
196. ty ve Setup Configuration gt Service gt Chart gt Page 9 gt Electronic Signatures Configure electronic signatures sl Setup Configuration gt Service Command Fac gt Code Tables gt QA Levels gt QA level gt Electronically Sign Charts Sign chart at and Print Page Label Define if when and how that QA level can electronically sign charts 9 30 2009 Page 66 emsCharts com User Manual Electronic Signature Web Page Dialog Eg E Signatures Web Page Dialog User David L Webb Signatures for PRID 36254 Sign Chart As Mame Date IP Password I Guest Fake 10 29 02 11 37 a oo Figure 80 Figure 81 d Print Chart There are three buttons in the Print Chart section 1 Chart Pressing this button generates a print preview of only the chart 2 Forms Pressing this button generates a print preview of only the forms that have a check to the left of them Figure 77 3 Chart amp Forms Pressing this button generates a print preview of the chart and the forms that have a check to the left of them After one of the above buttons have been pressed the output may be printed by clicking on the Print Chart button or by clicking the File drop down menu and selecting Print e Quality Assurance After the user has completed all required steps and is satisfied that the chart is complete he or she will advance the PCR to the next review level This is accomplished by clicking the Complete Lock
197. up the Patient Records home page Figure 33 emsCharis com Dae home guest Patient Charts Incomplete Charts Create Chart Search Date Location Unit Create blank chart Procedure Logs 21905 07 19 02 Medic 2 Response Tes 33858 10 12 02 STAT MedEvac Medic 2 Charts Flagged for Quality Assurance You have no charts flagged Charts for Review Date Location Unit 21709 07 17 02 Bayview John Hopkins Trauma Center Medic 1 emsCharts com is a service of the Center for Emergency Medicine 230 McKee Place Pittsburgh PA 15213 Figure 33 10 28 02 lt The Patient Records home page displays information about PCRs requiring attention There are five possible sections on this page 6 1 Incomplete Charts This section lists charts that have not been completed Incomplete charts are PCRs which have not yet been advanced to the first Quality Assurance level Clicking on one of these charts will bring up the PCR for further additions and edits so that the chart can be completed 6 2 Charts Flagged for QA This section lists charts that have been completed but are flagged for quality assurance review Only charts on which the current user is listed as a crew will appear Clicking on an entry will open the chart In the header bar will be a link marked View Flags Clicking on this link will open a window with a list of the QA flags attached to the chart Figure 34 ai Setup Configuration gt Service
198. ure 133 lets the user define locations where inventory can be stored Setup Configuration gt Service gt Code Tables gt Vendors Define vendors 9 30 2009 Page 105 emsCharts com User Manual Administer Code Tables Inventory Locations ID 34 Base Site Figure 133 The location name is entered in Location and the base site of that location is picked from the Base Site drop down list Once all the information has been entered it can be saved by pressing the Save button 13 1 6 Medications The Medications page Figure 134 lets the user define medications used by the service Administer Medication Supplies Vendor we Price na ioo Price to Charge no Calcium Chloride Diazepam Diphenkydrarnine Figure 134 Only medications approved for use by the command facility will be accessible on the left side all others will be grayed out The rest of the page is composed of the following sections a Vendor The vendor that provides this medication The list of vendors is defined in the Vendors section b Part Number The part number of the medication c Price The service s cost for each unit of the medication a Setup Configuration gt Command Fac gt Code Tables gt Medications in use Define medications in use 9 30 2009 Page 106 emsCharts com User Manual d Price to Charge The price the service charges for each unit of the medication Once all the information has been
199. uring the transport Figure 86 rn Setup Configuration gt Service gt Chart gt Electronic Signatures Configure if and how many electronic signatures are required a Setup Configuration gt Service gt Code Tables gt Transport Outcome Options Configure if a patient is required for the outcome listed on the chart oe Setup Configuration gt Service gt Chart gt Supply Usage Configure supply form 9 30 2009 Page 69 emsCharts com User Manual emsCharts com gt home Level Initial Entry SO Add QA Flag diwebb 01 20 06 logout Patient Charts Page 1 Medications Dispatch Restocked Name QTY Sees Parent Categor estocke Bulb Syringe F Pane ahha at Receiving Parent supply 1 F Child Categor Name QTY Restocked at Receiving oO Child Supply 1 Save Supplies Mise Forms Entire Chart Print Previews Special Report Chart Toolbox Import Data emsCharts 10 Allegheny County Airport West Mifflin PA 15122 666 647 6262 wywyyw2 emscharts com Figure 86 The available supplies are generated from the configuration of the service Clicking on the category names with show hide the options in that category The user can enter the quantity of each supply used and if it was restocked at the receiving facility When the mouse is moved over the various supplies that line will highlight in yellow Clicking on a highlighted supply will place
200. utput will be emailed to b FTP Delivery Method Details Server Name Port 21 is used for FTP 80 is used for HTTPES Username alepa OOO O O OOOO O Figure 198 1 Server Name The domain name or IP address where the FTP server is located 9 30 2009 Page 142 emsCharts com User Manual Username The username to use to log into the FTP server Password The password to use to log into the FTP server File Path The file path relative to the default directory where the file should be stored Test Connection After the information has been entered this button can be used to make sure the file can be sent to the FTP server c HTTP S Post aes Delivery Method Details Server Name Port 21 is used for FTP 80 is used for HTTPIS Username Flepath SSSS S S d Use Secure Connection HTTPS C Figure 199 Server Name The domain name or IP address where the server is located Username The username to use to log into the server Password The password to use to log into the server File Path The path and name of a file under the web root that will process the incoming data i e reports grabReport asp The following data is submitted i ReportName A Form Field containing the name of the report ii ReportOutput A Form Field containing the report 5 Use Secure Connection HTTPS Use this checkbox to connect via HTTPS instead of HTTP ANDE 16 4 6 Edit Report When the name of a report is clicked on
201. ve the filesize and the date it was created The user can click on either date link to download the archive or click the Delete link to delete the archive 9 4 2 Database Download The Database Download creates a Microsoft Access database containing the de normalized field code numbers have been translated data and associated code tables This is meant for offline querying on the raw data Database exports are scheduled from the Database Download page Figure 123 Database Exports Date From Date To Charts Filesize Schedule Database Export From lt I To lt I Scheduled S Date Basis DeteCrested M Include addendums created within this date range DLV Test Service El Schedule Export Created No Exports Created Date From Date To Scheduled Ao Exports Scheduled Service Services can only have 4 exports saved online at any given time If you already have 4 exports created the oldest by creation date will be deleted when the next one is created Figure 121 It is composed of the following sections From The starting date To The ending date Scheduled The date to create the archive Date Basis The date to use to determine which charts are included in the archive Include charts with addendums created within this date range Choose if charts with addendums created in this date range are included in the archive Once all the options have been entered click Schedule Export to schedule the database
202. wnloads an ASCII file containing the chart data for the region or state Upload PA Reject File For Pennsylvania only uploads and processes a rejected file g Review PA Rejected Charts For Pennsylvania only review charts which have been rejected 9 2 F U Letter Queue The Followup Letter Queue Figure 109 lets you search for followup letters which are still queued to be dealt with pangy h Followup Letter Queue Enter the Dates From 11 12 2002 l To l Base AlBaes m Exported No Author Figure 109 It is composed of the following sections a From To The date range to search b Base Select the base name to search or All Bases for all bases in the service ore Setup Configuration gt Service gt Chart Configure state export 9 30 2009 Page 88 emsCharts com User Manual c Exported Choose to search charts that have been exported have not been exported or either d Author Search for letters with a specific author Once all the information has been entered click Search to display the search results page Figure 110 On Click Download Letter Existing Form Letters PRID Date Created Template Name Created 6 Status Hola CTRL kep down to open chart Figure 110 The dropdown box lets you choose what action is performed when the user clicks on a letter The letter can either be downloaded or edited If the CTRL key is held while clicking on a letter the chart asso
203. xt of Kin Same Residence Last Doe First ohn Middle o Address 000 Fake Street Gey Male City St Zip Pittsburgh PA 15202 Phone DOB 11021974 l Age 31 Yr SOON 555 55 5555 Close Window Figure 51 Clicking on a name in the upper section or the Add Relationship button will display the Relationship Details section where you can enter the demographic data and Relationship Parent Spouse etc You can also choose if they are Next of Kin for the patient and if they live in the Same Residence When all the data has been entered it can be saved by clicking the Save Relationship button The relationship can be removed by clicking the Remove Relationship button When done click the Close Window button to return to the Patient Information page The Billing Information section is where the actual insurance information is entered To add edit information click on the Edit button to bring up the Edit Billing Information window Figure 52 Edit Billing Information Web Page Dialog Add Payor Remove Payor Billing Details Insurance Carrier Group Actie ves Policy Insured Patient Close Window Figure 52 9 30 2009 Page 39 emsCharts com User Manual Clicking on a name in the upper section or the Add Payor button will display the Billing Details section where you can enter the Insurance Carrier
204. y The quantity being requested d Unit s This is a combination of the Packaging and Units in Package fields on the Supplies page Once all the information has been entered the request can be submitted by pressing the Submit Request button 9 30 2009 Page 109 emsCharts com User Manual 14 Chart Summary 14 1 Chart Summary Search If a service is using the chart summary module of emsCharts com summaries generated by emsCharts com can be reviewed This is accomplished by clicking on Chart Summary in the menu system on the home page This brings up the Chart Summary Search page Figure 139 Search Chart Summary Information Search Form Service Dates QA Dates Record IDs From l PRID oO sis 7 A pispatchiD SSS Transport Number Service Patient Data O a E E Outcome s JIB DOB Oooo 5l Miscellaneous Data sSN sd Subscriber Per Sener O OY Anonymous Either Billable Blank referring zip Exported Ambulance Service Level Minimum QA Level 50 Initial Entry All Transport Date Default ID Patient Status Outcome Attachments Custom Forma Current QA Lewel Ex Figure 139 It is composed of the following sections a Dates Select the date or date range to search All dates can be searched by checking the All Dates box 1 Service Dates Search for summaries with a service date in the date range specified 2 QA Dates Search for summaries that were advanced to the QA level specifi

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