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