virginia patient care report

Whenever an EMS agency is requested (scheduled, unscheduled, emergent or non- emergent) to provide patient care for a real or potential patient, a patient care report shall be completed and the data shall be submitted to OEMS as per the Code of Virginia§32.1116.1 (http://law.lis.virginia.gov/vacode/32.1-116.1/).

Full Answer

Is a patient care report a medical record?

The patient care report is both a medical record and a legal document. This form becomes the documentation by which the prehospital care provider can substantiate the situation encountered, the care provided for the patient and that they acted within the scope of their certification and training.

Who is the vendor for the patient care reporting system?

ImageTrend is the sole source contracted vendor for the Patient Care Reporting System. The initial contract period was for three years and ended on June 30, 2018. The contract included three one-year renewal options and OEMS has renewed the contract again for the third one-year period beginning July 1, 2020.

What is the pre-hospital patient data report?

The Pre-hospital Patient Data Report (PPDR) is a supplemental sheet to the PPCR form and is one of the available mechanisms for reporting the minimum data set to the Office of EMS. Agencies who develop their own PPCR form may also use the PPDR as a supplemental sheet to submit the minimum data set to Office of EMS.

How will the data be available to EMS agencies in Virginia?

This data will be collected by the Virginia Department of Health, and once compiled will be available to EMS agencies.

Administrative Code

Table of Contents » Title 12. Health » Agency 5. Department Of Health » Chapter 31. Virginia Emergency Medical Services Regulations » Part II. EMS Agency, EMS Vehicle and EMS Personnel Standards » Article 1. EMS Agency Licensure and Requirements » 12VAC5-31-560. Patient care records.

12VAC5-31-560. Patient care records

A. An original PPCR shall specifically identify by name the personnel who meet the staffing requirements of the EMS vehicle.

What is a prehospital patient care report?

A. In order to collect data on the incidence, severity, and cause of trauma; integrate the information available from other state agencies on trauma ; improve the delivery of prehospital and hospital emergency medical services, the quality of patient care, ...

When do emergency medical services disclose prehospital care?

Each licensed emergency medical services agency shall, upon request, disclose the prehospital care report to law-enforcement officials (i) when the patient is the victim of a crime or (ii) when the patient is in the custody of the law-enforcement officials and has received emergency medical services or has refused emergency medical services.

What is the VA POC portal?

The Virginia Department of Health COVID-19 POC portal allows health care professionals, who are unable to report electronically via HL7 or flat file, the ability to submit rapid COVID-19 test results through this portal to meet the COVID-19 reporting requirements.

How long does it take to report a POC test?

Facilities/Providers should report POC test results within 24 hours of receiving a COVID-19 result through the online portal. You should only report via this portal if you are unable to report it electronically via HL7 or flat file to VDH.

How long does it take to access the POC?

You will receive an email notification that access has been granted to the online portal. Access to the online portal may take 2-3 days. Once access has been granted, the main point of contact will be able to enter additional contacts that will assist in data entry of POC results via the “Add User” functionality.

How long does it take to complete a VA report?

State of Virginia requires reports to validate at 98% or higher in order to be considered valid and complete. Reports must be completed within 12 hours of patient turnover. Perform a sync at least once per shift to download repeat patient data.

Who completes the report for a patient who refuses to transport?

A Report must be completed by: provider acting as ambulance AIC for the incident. Patient Refused Care/Transport. Report must be completed by: AIC (EMS or Fire) who performs the patient assessment (at least the majority of the assessment) and determines the patient wishes to refuse transport.

Can you record patient data on paper?

Always be prepared to record patient data on paper. Electronic reports can always be completed later if necessary but only if you have the right details to enter. Â Shred all notes containing patient data when done.