massachusetts patient care report ems

Unless cancelled prior to arrival on scene, responding ambulance crews are required to complete a Patient Care Report (PCR) for each response. The PCR should include all applicable information about the EMS response it documents. In cases where there are multiple patients involved in the same incident, a PCR must be completed for each patient.

Full Answer

What is the mission of the Massachusetts Department of EMS?

Our mission is to promote a statewide, community-based emergency medical services (EMS) system. We coordinate local and regional EMS resources to help residents and visitors to the Commonwealth who suffer acute illness or injury and need EMS assistance and transport to hospitals.

What is the Massachusetts ambulance data collection program?

The collection of reliable, comprehensive, valid data from Massachusetts ambulance services allows the Department of Public Health (DPH), ambulance services, and EMS Medical Directors to work collectively to assess the quality of care delivered to patients with the fundamental objective of quality improvement.

What are the statewide treatment protocols in Massachusetts?

The Statewide Treatment Protocols are the standard of EMS patient care in Massachusetts.

Who can write reports in healthcare?

A lot of people believe that only nurses or health care workers can write reports. Most specifically patient care reports or anything that may be related to an incident report that often happens in hospitals or in some health care facilities.

Overview

The primary purpose of EMS data collection is for the improvement and support of EMS systems, research, and delivery of quality patient care.

Request data from MATRIS

To request MATRIS data from the Department of Public Health, please complete the MATRIS Data Request Form and email to matrissupport@state.ma.us.

MATRIS how-to guides

Documents with guidance on data submission and other instructions are available when you login to the MATRIS site. Links are posted on the landing page for submitting data, reviewing validation scores, proposed data element additions, and other information. Below is a subset of these documents:

Contact

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Guidelines for Collection, Analysis and Reporting of Performance Data

In an effort to assess the strength of PCA systems at your facility, the Quality and Patient Safety (QPS) Division sometimes asks for de-identified information about the individual credentialed health care providers involved in events reported in Safety and Quality Reviews.

Patient Care Assessment Plan for Hospitals

The below document summarizes the provisions that must be a hospital's PCA plan, as specified in the Quality and Patient Safety (QPS) regulations, set forth at Chapter 243 of the Code of Massachusetts Regulations, sections 3.01-3.14

Semi Annual Reports, Annual Reports & Reporting Schedule

The PCA Semi-Annual Report is essentially a progress report on quality assurance data and activities. It is required by the PCA regulations at 243 CMR 3.07 (3) (g). It is prepared for the health care facility's governing body with a copy submitted to the Quality and Patient Safety Division (QPSD).

What is a PCR in Boston EMS?

PCRs create a legal record of an ambulance call. It is the responsibility of all personnel to ensure that their PCRs accurately reflect patient information, care given and the medical condition of the patient. To that end, Supervisory personnel or management of Boston EMS may request that staff members modify, amend or fully complete PCRs for a given call when PCR reviews suggest that the information documented may be incorrect or incomplete. Information for each patient call must be complete, accurate, honest and wholly based on the patient's condition. It is legally permissible for staff members to amend PCRs for reasons of completeness, correction, and clarity, and in compliance with the procedures outlined below. Boston EMS does not endorse nor will it tolerate any staff member who embellishes or falsifies medical necessity, mileage, services rendered, supplies used or any other information for the purpose of obtaining or enhancing reimbursement.

What should be included in a PCR?

Pertinent negatives should be documented on all assessment questions asked. The completed PCR should include a description of all procedures, interventions, or medications provided as well as the time they were performed, by whom, and any resulting changes in the patient’s status.

Do ambulances have to complete PCR?

Unless cancelled prior to arrival on scene, responding ambulance crews are required to complete a Patient Care Report (PCR) for each response . The PCR should include all applicable information about the EMS response it documents. In cases where there are multiple patients involved in the same incident, a PCR must be completed for each patient.

What Is a Patient Care Report?

We often hear of care reports based on by medical teams or by medical authorities. Yet, we are not sure how this differs from the kind of report that is given to us by the same people. So this is the time to make it as clear as possible.

How to Write a Patient Care Report?

Where do you even begin when you write a patient care report? A lot of EMS or EMTs do know how to write one since they are trained to do so.

What is a patient care report?

A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.

What should not be written in a patient care report?

What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very careful and very meticulous when writing these kinds of reports. Every detail counts.

Who is in charge of reading the patient care report?

The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make sure that you have all the information correctly. One wrong information can cause a lot of issues and problems.

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Paper Patient Care Report (PCR)

Here is an example of two versions of print out, paper PCR you can download and use in your service.

Electronic Patient Care Report (ePCR)

The state of Alaska provids a free ePCR (Electronic Patient Care Report) system allowing communities to customize their run report forms to match their specific community needs.