HomeMy WebLinkAboutEMS Program Change RequestDepartment of Health
EMS GRANT PROGRAM CHANGE REQUEST
Name of Grantee: Grant ID Code:
BUDGET LINE ITEM
CHANGE FROM
CHANGE TO
TOTAL
$
$
Justification For Change:
Signature of Authorized Official
Date
For department use only
Approved Yes ❑ No E3 Change No:
Department's Authorized Representative
DH Form 1684C, Rev. June 2002
12
Date
M5092 Miami Fire -Rescue, City of $180,000.00 Implement a wireless data collection system
with 34 mobile computers and related.
Suggested outcome measures.
After the new system is operational, for involved staff provide the time per month per each staff
member uses for:
1. Data entry, forms, and data retrieval including billing,
2. Completing reports in the field,
3. QA reports, and
4. Average time out of service for data tasks after delivering patient to hospital in comparison to
previous run reporting mechanism.
Analysis: provide a comparison using actual figures to demonstrate the changes provided by the grant
funded items.