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HomeMy WebLinkAboutExhibit5All the functional requirements listed below are considered to be the MINIMUM expected performance/requirements for each item. Check each item in the appropriate box to indicate if your product can provide this requirement as either: Out of the box, as a customized option at additional cost, or not available at all. Use the comments area to specify if your product exceeds this requirement or can provide a similar result. Also, use this area to provide estimates for custom options costs. NO. MINIMUM REQUIREMENTS AVAILABLE OUT OF THE BOX AVAILABLE AS CUSTOMIZED OPTION AT AN ADDITIONAL COST NOT AVAILABLE COMMENTS ACCESSIBILITY 1. Backend ePCR Software includes a web -based administrative tool that allows the Agency to add, modify, define sort orders, or deactivate lookups. 2. Agency is able to configure the Backend ePCR Software via a web -based interface to limit the access to open and close reports according to user 'roles'. This authority restriction can be designated down to the individual level. 3. Program allows Agency to assign application security levels by person and/or system defined groups. (Firefighters and/or Lieutenants and/or Captains, and/or Chiefs and/or working groups, etc.) . 4. The ePCR System MUST offer the ability to create custom access 'roles' to the Backend ePCR Software. These roles can be defined whereby the user will only have "no view, read-only, partial, or full" edit access to certain reports based on parameters including units or shifts. Any ePCR accessed MUST be tracked with date/time and username of person viewing or printing an ePCR. This role creation and modification feature MUST be through a web -based interface. 5. Staff access rights for ePCR viewing and ePCR modification can be defined by the agency through a web - based interface. An authorized administrator can define factors effecting who can view or amend an ePCR including by crew, shift, and unit. 6. The ePCR system must allow the agency the ability to configure all 'closed' reports as 'locked -out' and unavailable for data editing. However, the agency can provide an authorized user to 'unlock' a report for an authorized edit entry. 7. Through a web -based tool, Agency has the ability to manage system access information for users/personnel, e.g, username and password without requiring vendor intervention. 8. Through a web -based tool, the Agency's QA Officer and Medical Director must have the ability to audit a PCR. 9. Transparency security is supported, restricting documents and/or reports from users without proper security such that the documents for which the user does not have authority are transparent to the user and also any hypertext links to these documents are automatically disabled. 10. When logging on to the backend system, a screen is available to the user notifying them of all incomplete or open reports for his/her unit and shift. This list also will include reports that have not been received by the backend, yet dispatch by CAD. The system will allow the relevant user to search cases (by date or unit parameters) that they have been assigned to, without exposure to other cases they have not been assigned. 11. The ePCR Mobile Software MUST allow for Agency -definable content to be loaded onto the mobile device, such as PDF and HTML file content. This content should also be easily accessible from within the software by no more than 2 clicks. 12. All interfaces and communications between portable devices and other internal and external sources are available 7 days a week, 24 hours a day. List any exceptions. 13. The system must have a rapidly accessible ePCR listing screen. This screen will expose all ePCRs managed by the system, including open and closed reports as well as a simple mechanism to deliver any of the reports. 14. Product can support multiple Agencies and be able to differentiate which alarm belongs to which Agency; Example: Miami services the Village of Key Biscayne Fire Department and hosts their data. Each agency's access to the ePCR System can be configured to be agency - specific. When querying the data, the product can produce reports for each Agency separately and independently. Vendor should provide separate pricing for this capability. 15. ePCR status changes are maintainable by the ePCR System by authorized users throughout the ePCR life cycle (open, closed, approved, rejected, QM review) 16. Each ePCR is linked directly to the unit and author and not the patient or incident. This allows each Report Writer who needs to contribute data for this incident to open, complete and close their individual reports regardless of the status of any other unit's Incident report. 17. Mobile ePCR Software allows a Report Writer to complete, close, and send a report even while that incident is still active. 18. Remote access is available for both mobile and backend software program. 19. Mobile ePCR Software has agency -definable URL favorites to establish links to web - based sites such as hospital status, etc. 20. Application security is provided through a username/password login process that is synchronized with the Active Directory account and prompts the user to change his/her USERNAME/PASSWOR D every 90 days. 21. Vendor's access to agency server is only through a WebEx with the supervision of agency personnel. 22. Product provides the ability to "quick lock" the application on demand and/or during inactivity. A button or menu -item in the application that would effectively 'lock" the application and the work station, similar to ctrl-alt-delete. ARCHITECTURE 23. Significant portion of ePCR architecture is based on Dot NET technology. List any other development foundation(s) e.g. MS SQL, etc. 24. Software Program is built using an expandable/modular architecture. 25. ePCR system utilizes a minimum of 128 bit encryption. 26. Mobile ePCR software is compatible with Windows XP or most recent Windows version available. List any other operating system that is compatible with Mobile ePCR software. 27. The mobile and backend architecture is available as web based and client/server based. CAD INTERFACE 28. Mobile ePCR Software interfaces with Agency's CAD "REAL-TIME" to receive the following data (28.1-28.29) pushed to the tablets. SHOW — indicates display and storage of the element in the ePCR STORE — indicates capture in the database only 28.1 Incident Type as Dispatched (character length-8, field type -character) SHOW 28.2 Incident Type as Found (character length-8, field type -character) STORE 28.3 RMS primary situation found (character length-8, field type -integer) SHOW - if not provided, the program will try to translate it with the CAD Incident Type as Dispatched in the RMS Interface 28.4 Incident address (character length-40, field type -character) SHOW 28.5 Incident Scene Name (character length-40, field type -character) SHOW (Note: if scene location, business or landmark has a proper or commonly recognized name) 28.6 Incident city (character length-13, field type -character) SHOW 28.7 District (character length-6, field type -integer) SHOW 28.8 Incident Date/Time (character length — 8/6, Field type — date/time) STORE 28.9 Incident receive by Dispatch date / time (character length-8/6, field type-date/time) STORE 28.10 Dispatch Date/Time (character length-8/6, field type-date/time) STORE 28.11 Arrival Date/Time (character length-8/6, field type-date/time) STORE 28.12 End Date/Time (character length-8/6, field type-date/time) STORE 28.13 Control Date/Time (character length-8/6, field type-date/time) STORE 28.14 First Arriving Unit (character length-6, field type -character) SHOW 28.15 Station (character length-6, field type - character) SHOW 28.16 Agency (character length-3, field type -character) SHOW 28.17 UNIT (character length-6, field type -character) SHOW 28.18 Unit dispatch date / time (character length 8/6, field type-date/time) SHOW 28.19 Unit en route date and time (character length 8/6, field type-date/time) SHOW 28.20 Unit at scene date / time (character length 8/6, field type-date/time) SHOW 28.21 Unit at patient date / time (character length 8/6, field type-date/time) SHOW 28.22 Unit departed date / time (character length 8/6, field type-date/time) SHOW 28.23 Unit at destination date / time (character length 8/6, field type-date/time) SHOW 28.24 Unit clear/in service date / time (character length 8/6, field type-date/time) SHOW 28.25 Unit at station date / time (character length 8/6, field type-date/time) SHOW 28.26 Incident number (character length 8) STORE 28.27 Incident number of Mutual Aid Agency (character length 7) STORE 28.28 Unit hospital contact date / time (character length 8/6, field type-date/time) SHOW 28.29 Hospital Name (character length 20, field type — character) SHOW 29. ePCR System MUST not rely on static IP's to send CAD data to Mobile ePCR Software. 30. Non-MFR units that are entered into CAD but are not pre -loaded onto RMS (E.g. American Medical Response, Florida Power & Light, Miami Police Dept. etc) will transfer over to the ePCR system as "aid units" and be viewable within the Patient Report. 31. When CAD dispatches a Unit to an alarm, CAD Interface to the Mobile ePCR Software will automatically transfer the Unit's crew information (badge or employee IDs) per the current roster of that Unit as maintained by City's FRMS (24Seven). 32. With the exception of wireless access issues or `old' dispatches, the CAD interface automatically transfers EACH relevant unit's dispatch information to the mobile unit's ePCR Software, without user request. 33. If an updated CAD message changes the incident type to 611 (cancelled en route), Mobile ePCR Software can extract relevant data from CAD to auto - generate an ePCR pertaining to a 611 directly on the backend based on CAD data and default values. This feature allows the Agency to pre -populate designated fields in the ePCR which include; from CAD (Incident #, Incident Type as Dispatched, address, Unit #, dispatched date/time, en route date/time, cancel date/times); from RMS (Crew members); and predefined default values for (Property Use, Mutual Aid, and "Cancelled en route" as the Actions Taken and final disposition). This feature will eliminate the need of the Report Writer from manually generating an ePCR for cancelled en route alarms. 34. Mobile ePCR software will accept or reconcile all CAD updates into the report for a period of time designated by Agency (approx 30 days), while still maintaining a copy of the originally printed and closed report. 35. The Mobile ePCR Software will provide an audible alert on the device if a new CAD incident is dispatched to the particular unit. 36. Agency can opt to lock CAD data so that Report Writer cannot delete and/or edit the transferred CAD data. These elements include; incident number and type, scene address, units dispatched and unit times — excluding at patient time. 37. ePCR system integrates with third party CAD systems. Give examples of which CAD systems your software integrates with currently. 38. ePCR System MUST integrate with Miami's CAD. 39. Vendor MUST currently have proven experience with custom CAD interface development by providing references to at least 3 Fire -based EMS services, each utilizing a different vendor's CAD product. 40. ePCR Systems' CAD interface is a pull and/or push technology. Specify what user actions are required? 41. Incident Type as Dispatched must be populated in the CAD interface. This list can also be 'filtered' (such as EMS, FIRE) and the sort order can be specified by the Agency. CLINICAL CONFIGURATION 42. Agency can Zink additional agency - definable questions to clinically -relevant data (complaint, cause, symptom, allergy, preexisting conditions, findings, impression, and treatment) to assist the user. e.g., if user selects Chest Pain as a patient symptom, the program automatically exposed additional questions such as "have you taken Viagra in last 24 hrs or how long ago did it start?" etc. 43. Agency can set default values and list contents for all treatments, including drug dosages and routes specific to a treatment, with the ability to edit these via a web - based interface. 44. In order to provide the Agency with significant flexibility, ePCR System must allow clinical entry lists (complaint, symptom, cause, allergy, meds, preexisting condition, findings, impression, and treatment) to be agency definable, along with the agency able to define 'sub' fields or questions for each of the individual list items above. For example, the Agency can include one or more additional questions for a treatment, with each of these questions containing an agency - defined list of answers. This MUST be available for all of the clinical entry lists noted above. • DATABASE 45. ePCR system database is in an operational environment utilizing MS SQL 2005 or newer. 45.1 Future plans to make the ePCR system database operational utilizing MS SQL 2008 when it becomes available. 46. The total number of databases and tables utilized by the ePCR System, including interfaces are made available by vendor. List all that apply. 47. A data dictionary and as built diagram displaying table relationships, i.e. primary and secondary keys will be provided to the client in electronic and paper copies. ePCR REPORT 48. All ePCRs will printout with the agency name and logo, incident # and type, patient last name [except where HIPAA applies] and disposition on every page of the report. 49. A scanned Field Copy Report or any PDF document can be attached as a JPEG or PDF, respectively, to a specific ePCR via the Backend ePCR Software using a web -based interface. This data will be retrievable as an attachment capable of being printed along with the ePCR. 50. MPDS dispatched is a read only field auto populated from CAD. This is followed by an MPDS FOUND field which is also auto populated with same data. To make a correction, Use the stylet or tab to it, and it automatically opens a drop down window listing all the MPDS codes and written translation for easy selection. 51. A "Mutual Aid" field includes a drop down list containing all FDID # and agency name for easy selection. This field would default to `none' through the RMS interface if not containing data. 52. "Actions taken" field contains a list whose sort order can be specified by the Agency. Any Actions Taken will be considered for the entire crew. 53. Mass Casualty field, if selected, the user can choose from an Agency definable list. 54. Selecting from the Mobile ePCR Software's unit list will send an ongoing message to the backend informing it of its current activity status. A new incident involving the unit will result in automatically delivered dispatch details to the relevant unit. These incident details (incident number, type, address, and times) will populate the Mobile ePCR Software. 55. Corrections to key dispatch details (address) will be automatically sent to the Mobile and update the record. 56. Upon selecting the unit from within the Mobile ePCR software a wireless request will be made to the RMS system to obtain a list of crew member badge or employee numbers assigned to that unit (Daily Roster). This list will populate the Mobile ePCR Software's active crew list for that unit. Manual modifications to the list of crew members can be made during any stage of the shift by picking from a list of all personnel of the Agency. This list of crew is broken down by last and first name, badge or employee number, and skill level. The Report Writer must be able to separately define the `role' of each respective crew member for that unit. 57. Delays (to and from the scene) are easily recorded by selecting from an Agency defined list of delays. Delay lists are placed in logical sections (delay to scene in a scene or incident screen, delay from scene in a transport or outcome screen). 58. Searching for a crew member can be performed by entering the first few letters of the name which will update a list of all Agency staff starting with the entered letters. The crew member can then be selected and be added to the active crew list. 59. The patient address field can be populated with the scene address using the copy key and can be easily edited if needed. 60. Gender Field is multiple choices: Male, Female, Unknown. 61. Ethnicity or Race Fields are agency definable. 62. When Social Security # is entered, program automatically places dash in correct place, allowing user to enter just the numbers. 63. Date of Birth field is entered using the MM/DD/YYYY template, the program enters the / in the correct places. 64. Upon entering the DOB, the program automatically converts this information to the patient's actual age and allows for day or month entry for infants. 65. Insurance Company, Policy #, Group #, Medicare #, Medicaid # fields are large enough to hold 25 characters. Major carriers and their data should be pre - populated in the database. 66. Employer information includes fields such as Name, Address, phone, etc. 67. Onset date can include today's date or an agency defined list of date periods. 68. "At patient side" time field can be manually entered, modified via a list with one minute 1 increments, tapping a 'now' button or populated via the CAD interface. 69. Chief Complaint lists can all be displayed in alphabetic order, filtered further by a body area, or entering the first few letters will also narrow the list of matches. 70. User can select a Chief Complaint and specify further details, via a list of additional Agency defined questions and associated answers unique to each complaint. 71. More than one Chief Complaint can be documented. 72. As with Chief Complaint, past history (allergies, meds, pre-existing conditions) lists can be displayed in its entirety or filtered further by entering the first few letters to narrow the list of matches. 73. User can select an allergy or preexisting condition and specify further, via a list of additional Agency defined questions and associated answers unique to each allergy or preexisting condition. 74. Past History elements not found in the Agency defined list can be manually entered as needed. 75. All lists include an "OTHER" selection to manually enter data that are not found in the list. 76. Current Medication field lists all medications in alphabetical order. This list as with the others can narrow down the selection by entering the first few letters in the medication entry field. For example, entering the letter T, will navigate to all medication that starts with the letter T (not medications that have the letter T in their name). Additionally, the program has word memory that will narrow down the selection as more letters are entered. For example, entering NITRO will highlight all data in the list beginning with those letters, (e.g., NITROGLYCERINE). 77. A medication list is provided as part of the Mobile ePCR Software and includes information similar to a PDR such as definitions, indications /contraindications, etc and is updated regularly. User can select the medication by categories or by Trade /Generic filter to conduct search. 78. Medical Dictionary is an integral part of the ePCR System 79. For every symptom selected, the user can identify it as a pertinent negative by selecting a "denies" tab (or similar method) after selecting the symptom. 80. A Cardiac Rhythm list can be displayed in the assessment section as well as relevant treatments (defibrillation, pacing, cardioversion) to minimize excessive navigation efforts. 81. The Mobile ePCR Software must allow for agency definable additional questions (and associated answers) for "current pregnancy" as well as "labor/delivery" 82. Suspected Alcohol/Drug Use Field. (YES/NO) can be placed in relevant clinical sections (such as cause, impression) 83. Any treatment prior to 911 arrival is documented in fields that have drop down lists. These fields can be configured to display treatments normally associated with prior care, such as (AED, CPR etc.). These should include Outcome of Care - (Improved, Unchanged etc.) and Who gave Care -(EMS, Law enforcement etc.). The ePCR System must also allow for the Agency to define additional treatment - specific questions and associated answer. 84. A vitals entry screen must be available throughout the program without more than 2 clicks and can be accessed to quickly enter vitals data at any point during the report. Selecting this tab or button opens a window with fields including BP, Pulse rate and regularity, Respiratory Rate, SpO2 and comments. Upon completing this information, the Report Writer is directed back to the previously visited screen. 85. A treatment entry screen must be available throughout the program without more than 2 clicks and can be accessed to quickly enter treatment data at any point during the report. Selecting this tab or button opens a window for treatment entry and review. Upon completing this information, the Report Writer is directed back to the previously visited screen. 86. Time stamped clinical elements (vitals, treatments, and certain assessment details) must be placed in a clinical event section of the report, thereby ordering time sensitive clinical events into a single section of the ePCR. • 87. A pick -list on top of page shows list of patients (Patient 1, Patient 2, Patient 3, etc.) for the incident. There must also be a quick and simple method to add more patients to the same incident. All information patient - specific data entered will be associated with the actively highlighted patient. A pull -down list or similar must be available to switch `globally' between multiple patients. 88. When a new patient is added, the program updates its `to-do' list immediately and highlights all applicable mandatory fields. 89. At a minimum, the following must be assessment groups which can be time stamped; - Pt position - LOC (AVPU) - Protocol followed - Airway (status) - Breathing (effort, lung sounds) - Circulation (strength, regularity, site) - Eyes (size and reactivity) - Skin (temp, moisture, color) - GCS (computed score, eye, verb, motor) -APGAR - RTS - Blood Sugar (value and 'hi' and `low' entry) - Capnometry, Capnography values 90. ALL treatments must be definable by the Agency, along with ANY additional questions associated with each specific treatment. For example, `Morphine' will expose questions such as dose and route (that must have values specific to morphine), but agency defined questions such as pre - pain and post -pain level, amount of drug discarded, etc, must be definable by the Agency. The treatment entry automatically defaults to the current date/time. 91. The relevant medication dose is automatically calculated by using the patient weight already entered and the standard applicable dose for each particular medication. This will automatically populate the dose field but can be easily edited by highlighting the field to display complete multiple choice list to choose from. 92. Cincinnati Stroke Scale is collected by the system 93. The Mobile ePCR Software also has an optional signature field that can be used to have the ED DR or Nurse who verified the tube placement sign as a witness. 94. Personal Protective Equipment used (mask, goggles, gloves, etc.) is documented by the system. 95. Temperature data can be entered in either the Fahrenheit or Celsius, the program will then convert the data and display both. 96. Signs and symptoms associated with body areas should utilize a body area and body system diagram whereby tapping on the body area or system list will expose agency defined signs or symptoms associated with that respective area or system. 97. When conducting a physical each of the following areas can be broken down into additional agency definable lists of detailed signs: - HEENT (Head, etc) - Neck - Chest - Abdomen - Pelvis - Back - Upper Extremities - Lower Extremities Each of the areas must be broken down further (abdomen must allow for the selection of RUQ, RLQ, LUQ, LLQ), or Upper Extremities into (shoulder, arm, elbow, hand, wrist, finger, etc). Each of the areas can also include further documentation of these areas including; - upper/lower - right/left 98. The treatment entry screen must allow for agency definable categories which allow for quick filtering of treatments. For example, selecting the cardiac arrest filter would display a list of cardiac arrest related treatments. 99. If Report Writer selects a compliant of CHEST PAIN, the agency can specify additional questions to expose associated with this complaint. (99.1 — 99.6) 99.1 Pain started while (at rest, walking, strenuous exercise etc.) 99.2 Pain Quality (Dull, Sharp, Stabbing etc.) 99.3 Pain Radiates to (neck, right arm, left arm, etc.) 99.4 Pain Scale (1-10) 99.5 Pain Duration (1-5 min., 5-15 min., over 15 min. etc.) 99.6 A remarks field is included to add any pertinent notes, example: relieved after patient nitro or no relief after two patient nitros etc.) 100. If the Report Writer selects an impression of CARDIAC ARREST the agency can specify additional questions to expose associated with this impression (100.1 — 100.11) 100.1 Cardiac Arrest - prior to EMS / after EMS arrival 100.2 Bystander CPR/AED? 100.3 Cardiac Arrest Etiology (presumed cardiac, drowning, electrocution, trauma, respiratory, not known, etc.) 100.4 Resuscitation attempted (Attempted Defibrillation, initiated chest compressions, Attempted ventilation, etc.) 100.5 Arrest witnessed by (layperson, healthcare provider, not witnessed etc.) 100.6 First monitored Rhythm - Utstien template (asystole, Vfib, Vtach etc.) 100.7 Any return of spontaneous circulation (yes prior to ED arrival, yes prior to ED arrival and at the ED, no etc.) 100.8 Estimated time of arrest prior to EMS arrival (0-2 min., 2-4 min., 4-6 min., 6-8 min., etc.) 100.9 Date/Time Resuscitation initiated/discontinued (time CPR was stopped or Time of death) 100.1 Reason CPR 0 discontinued (Medical control order, protocol/policy requirements complete, DNRO, etc.) 100.1 Rhythm on Arrival at 1 Destination (NSR, PEA, Vfib etc.) 101. If the Report Writer selects an impression of TRAUMATIC INJURYT the agency can specify additional questions to expose associated with this impression (101.1 — 101.8) 101.1 Cause of injury ( MVA, burn, fall, industrial accident, etc.) The Agency can define unlimited causes AND unlimited questions and associated answers associated with EACH distinct cause. 101.2 Mechanism of injury (blunt, penetrating, superficial, etc.) 101.3 Intent of Injury (assault, self-inflicted etc.) 101.4 Triage criteria (Adult Category 1 - 2 or more long bone fractures, B/P< 90, etc.) 101.5 Fall height (standing, < 8 Ft., > 10 Ft., etc.) 101.6 Surface (asphalt, concrete, grass, etc.) 101.7 Work related injury? (yes/no) If so, what type of industry? (Construction, manufacturing, agricultural, etc.) 101.8 Area of injury is selected using a diagram of the anatomical body. 102. If the Report Writer selects a cause of MVA, the agency can specify additional questions to expose associated with this impression (102.1 — 102.11) , 102.1 Additional MVA questions must include: seat belt use, impact type, patient compartment intrusion. 102.2 Type of vehicle (auto, bus, truck, motorcycle, etc.) 102.3 Area of impact (front center, rear center, right side, left side, etc.) 102.4 Vehicle involved with (auto, bus, truck, motorcycle, etc.) 102.5 Patient ejected (no, partial, yes fully, etc.) 102.6 Safety equipment used (lap belt, shoulder strap, helmet, etc.) 102.7 Extrication tools (Jaws of Life, Pneumatic Cutter, hand tools, etc.) 102.8 Trauma indicator on vehicle (dash deformed, roll-over, DOA same vehicle, etc.) 102.9 Seat row location of patient (1, 2, 3 etc.) 102.1 0 Position of patient in seat (driver, pass, middle, left, right, etc.) 102.1 1 Airbag deployed (no, dash, side, etc.) 103. A disposition -driven and agency -configurable `to- do' list is available in the Mobile ePCR Software allowing the Report Writer to select the item which subsequently navigates to the field or provide a mechanism to directly enter the data element. The agency definable disposition list also will drive the to-do list through a `matrix' of data elements usable in the to-do list. 104. Final disposition must be configurable by the Agency and must allow for dispositions including but not limited to: treated and transported by EMS, treated but refused transport, transported but refused treatment, refused treatment and transport, will find own transportation to ER, DOA, DNRO, etc. 105. Mobile ePCR software must provide a configurable field (with pick list items) to allow for the documentation of "Condition at destination" or "Patient status at ED" (improved, unchanged, worse, etc.) 106. The ePCR System must provide a ePCR faxing feature from the field as well as a web -based mechanism to define a fax number for each receiving facility, eliminating the need of the Report Writer to manually enter a hospital's fax number. 107. Once the hospital is chosen, the Report Writer can opt to wirelessly deliver or activate exposure to a summarized ePCR to the receiving facility, accessible over a secure web -based application. This summary will provide key data about the patient including gender, age, chief complaint, past medical history, present condition/vitals, treatments rendered and any documented results of the treatment. 108. The ePCR System will include a field "Reason for Hosp Chosen" - closest facility, patient choice, family choice, protocol, etc. 109. The ePCR System must allow the Report Writer to capture patient transport destination. The system must provide documentation of the destination via a list of hospitals as well as alternate transport providers (AMR, MPD, etc). These lists must be configurable by the Agency 110. ePCR System must document "Level of Care" (ALS / BLS) via a pick list • 111. ePCR System must document status to and from scene (e.g., lights & siren, upgraded from routine to lights and sirens, downgraded from lights and sirens to routine, etc.) 112. ePCR System must document Patient Movement to Rescue (stretcher, walked, carried, etc.) 113. ePCR System must document Patient Placement in Rescue (stretcher, bench seat, child seat, etc.) 114. ePCR System must document Patient Movement to Hosp (stretcher, walked, carried, etc.) 115. The Mobile ePCR Software must manage patient refusals by allowing the Report Writer to `check' canned refusal acknowledgements and statements. These statements will appear in the ePCR on the same screen requiring the patient's signature. 116. Report date is automatically populated by default to actual date Report Writer is logged on. 117. Mobile ePCR software provides a narrative section that will include English and Medical spell -checking as well as allow for the capture of a minimum of 3,000 characters. 118. The Report Writer for the active ePCR can be selected through an agency definable list of crew `roles', including `Officer in Charge'. 119. A 'report summary screen is available in the Mobile ePCR Software providing a summarized ePCR, normally used when contacting a hospital or medical control. The contents of this summary screen include the patient age and gender, receiving facility, as well as a summary of present history, past history, findings, impression, treatments, and vitals. Time stamped items (such as treatments and vitals) will be displayed and sorted by the time of the event. 120. The ePCR can be easily reviewed in the Mobile ePCR Software by the report Writer prior to closing or printing a ePCR. The Mobile ePCR Software review feature is a print preview of the actual printout and allows for scrolling the report in its entirety. It is strongly preferred that the report is in an industry standard, such as PDF. 121. The ePCR System provides a web -based interface for report writer or an authorized user to create one or more addendums with additional data without modifying the originally 'closed' reports. 122. Each ePCR can be displayed and printed in a 'show' or hide' addendum mode. 123. Each addendum within a report is time/date stamped and includes other pertinent details such as type of addendum, action, and who created the addendum. 124. Trauma Center criteria is automatically generated from data entered in previous pages in reference to the Respiratory rate, Blood Pressure, Pulse rate, Intubation, Long bone fracture, etc. 125. Product uses data entered in the vitals section for Respiratory Rate (10-29, >29, 6-9, 1- 5, none), Systolic B/P (>89, 76-89, 50-75, 1-49, none), and GCS (13-15, 9-12, 6-8, 4-5, 3) to automatically generate a revised trauma score. 126. Employee badge # needs to be 5 characters. 127. Vehicle ID # needs to be 4 characters. 128. Agency can choose which non mandatory data elements and fields to include/exclude in the application as a requirement to complete a report. 129. Agency can opt to turn on or off the auto narratives which will determine if a Report Writer can or cannot use the auto narrative feature. 130. A narrative is required and as such is a mandatory field for every completed Report. When printed, the narrative includes the company ID # and the Report Writer badge # on a banner on the screen/page. 131. Product includes a Broslow tape that can be customized by the Agency for specific protocols and zoomed in for easy reading. 132. Product differentiates between types of alarms (ALS, BLS, pediatric, trauma, etc.) and includes a relevant checklist to document the specific data needed to properly complete that particular type patient report. 133. Addendum reports will be entered under same incident # and viewable under the same Incident #. 134. Mobile ePCR software includes a screen that lists the average pediatric weights and vital signs according to age. 135. Addendum reports will be separated per unit and the program will allow unlimited addendums to be added per incident. FRMS INTERFACE 136. Miami uses 24/SEVEN as its Fire Report Management System (FRMS) to document Fire Incident reports. The ePCR software must be capable to interface and transfer data to and from the 24/SEVEN product in order to generate/complete required reports. Following are four examples (136.1 — 136.4) of the data exchange required between the ePCR Software and 24/SEVEN. These business rules must be provided as part of the final release of the ePCR system. 136.1 Example 1; Units dispatched to a fire incident that turns out to also have a patient will require the ePCR software to allow the applicable unit to manually initiate a report on the ePCR software. Via a FRMS interface, the ePCR System will then deliver the following manually entered data elements to the 24/7 system through a web service to complete a 'Company Report': - Agency ID - Incident Number - Unit ID - Crew badge # or employee #s (including which employee is Officer in Charge) The ePCR System will provide a means by which to verify manually entered information with CAD before delivering this data to 24/SEVEN. Data for this unit and incident already residing in the 24/7 software will not be overwritten, with the exception of crew if differences exist. 136.2 Example 2; Units dispatched to a fire incident that turns out to be strictly an EMS incident will require the ePCR software to receive the Actual Incident Type of EMS from CAD which will trigger a report due from each unit that arrives on the scene. Units that do not arrive on the scene will not have a report created. Arriving units will complete a "Company Report" and the ePCR software will send the report Agency ID, Unit ID, incident #, author, and personnel via a web service to 24/SEVEN to close that unit's corresponding "Company Report" on both the ePCR software and 24/SEVEN. The main unit (transporting unit or unit taking responsibility for the patient) will complete a full ePCR report. The ePCR System will interface with 24/SEVEN to transfer the following NFIRS data needed via a web service: - Actions Taken - Actual Incident Type - Mutual Aid - Property Use - Incident Number - Personnel (including Officer in Charge) - Agency ID - Unit ID These elements sent to 24/SEVEN will close the 24/SEVEN NFIRS report. The ePCR System will provide a means by which to verify manually entered information with CAD before delivering this data to 24/SEVEN. Data for this unit and incident already residing in the 24/7 software will not be overwritten, with the exception of crew if differences exist. 136.3 Example 3; Units that are dispatched to an EMS incident that turns out to be strictly a Fire Incident will require the ePCR software to receive the Incident Type as Dispatched from CAD which will trigger a report due from each unit that arrives on the scene. Units that do not arrive will not have a report created. Arriving units will complete a minimal EMS report (driven by a disposition of `fire -only event' or similar) and the ePCR software will send the report Agency ID, Unit ID, Incident #, Author, and personnel via a web service to 24/SEVEN to close that unit's corresponding "Company Report" on both the ePCR software and 24/SEVEN. The main unit (unit taking responsibility for the incident) will additionally complete the incident report on 24/SEVEN (not directly relevant to ePCR System). 136.4 Example 4; Units dispatched to EMS incidents that remain strictly an EMS incident will require the ePCR software to receive the Incident Type as Dispatched from CAD which will trigger a report due from each unit that arrives on the scene. Units that do not arrive will not have a report created. Arriving units will complete a "Company Report" (driven by disposition) and the ePCR software will send the report Agency ID, Unit ID, incident #, author, and personnel via a web service to 24/SEVEN to close that unit's corresponding "Company Report" on both the ePCR software and 24/SEVEN. The main unit (transporting unit or unit taking responsibility for the patient) will complete a full ePCR report. The ePCR System will interface with 24/SEVEN to transfer the following NFIRS data needed via a web service: - Actions Taken - Actual Incident Type - Mutual Aid - Property Use . - Incident Number - Personnel (including Officer in Charge) - Agency ID - Unit ID These elements sent to 24/SEVEN will close the 24/SEVEN NFIRS report. The ePCR System will provide a means by which to verify manually entered information with CAD before delivering this data to 24/SEVEN. Data for this unit and incident already residing in the 24/7 software will not be overwritten, with the exception of crew if differences exist. 137. The ePCR system will utilize a web service provided by Tiburon to obtain (and submit) the active crew members assigned to a particular unit. This web service will require authentication and pass the following arguments: - Agency ID - Unit ID - Date/Time of the request (if requesting a unit's active staffing) - Incident Number (if requesting a unit's crew for a specific incident). The elements below will not be passed if staff information is requested, only if staff information is submitted: - Employee ID and/or badge number - Last Name - First Name - Role designator — including Office in Charge). 138. The ePCR system will utilize a web service provided by Tiburon to obtain certain data elements from the 24/7 FRMS system as well as submit/enter certain data elements collected by the ePCR System into the 24/7 system. This web service will require authentication and pass the following arguments to request (or populate) data elements in the 24/7 system that are specific to both a unit 'and incident: - Agency ID (required) - Unit ID (required) - Incident Number (required) - Actions Taken - Actual Incident Type - Mutual Aid - Property Use. It is envisioned that the first request will be read- only in nature (provide null values for the latter elements). The second request would subsequently populate any applicable elements collected in the ePCR System and not found in the original FRMS record. 139. Able to upload an individual PCR to the central server without the need for a 'batch" upload. MOBILE DATA ENTRY 140. Mobile ePCR Software data entry requires a digitized pen platform for better accuracy, increased hardware durability and optimal handwriting recognition. 141. Mobile ePCR Software is user friendly to allow the entry or retrieval of any data with minimal pen taps or keystrokes. Most if not all data can be managed throughout every screen of the program with a maximum of two tap/selections. 142. The need to use a keyboard (physical or electronic) to enter data into the Mobile ePCR Software report is kept to a minimum to increase the speed and efficiency of use. 143. All data is automatically saved to the data base server and via solid state media at timed intervals (selected by Agency) and also to the tablet's local hard drive upon last entry to minimize any data loss if server or tablet hardware fails to function. 144. Mobile ePCR software utilizes a tightly integrated handwriting recognition tool. For speed it MUST allow for quick access, entry and correction of handwritten information of fields that would otherwise require the use of the keyboard. It should "recognize" field data types and automatically adjust for these types to heighten recognition accuracy, E.g. time fields MUST only accept HH:MM data and must not accept a time of 25:00. 145. Mobile ePCR software has the ability to store an audio file, recorded via a microphone on the mobile device, and attach it to a particular report. On scene audio data can be easily recorded by the user with an easy access tab available on all screens. This can be used to record a verbal refusal from the patient or to document an unusually violent or threatening scene. 146. Mobile ePCR software screen data is large enough and spaced to ensure easy legibility and rapid entry. 147. Mobile ePCR software can capture electronic signatures for patient reports. 148. Mobile ePCR software screen data input fields are logically sized and grouped so that horizontal scrolling is eliminated and vertical scrolling is minimized. 149. Mobile ePCR software is created using templates with drop -down menus and auto fill capabilities to reduce the need for free -text comments field, but free -text fields are available as an option. 150. Medical and English dictionaries are included in the Mobile ePCR software to automatically spell check any free- form narrative data that is manually entered. 151. Mobile ePCR software is categorized into several commonly used screens including, incident, patient, history (present and past), findings (physical, impression), treatments, fire basic, and result. 152. Mobile ePCR software MUST possess NFIRS basic module entry screens to collect such NFIRS basic module elements as `action taken' and `property use'. These screens cannot be part of a separate program. 153. All drop down windows used throughout the Mobile ePCR Software are wide and large enough to display multiple lines of data that is easily viewed with minimal scrolling. 154. Mobile ePCR Software must allow the Report Writer to `move' between screens without requiring completion of entry at that immediate point in time. This is critical when utilizing the system real-time. 155. Mobile ePCR software has 'one touch' time entry, filling a data field (operational times, vitals, treatments) with the current system time without additional user action. 156. Mobile ePCR software has a scratch pad 'notes' feature allowing for rapid entry of 'post -it' style notes to access later when completing finishing the report. 157. The Mobile ePCR Software utilizes a Handwriting recognition tool that is activated by no more than a single click, is enlarged, and displays near or next to the relevant field, not in a uniform location, in order to speed data entry instead of restricting its use to a small box. 158. The Mobile ePCR software is programmed for single point of data entry (example: If you enter the age for a patient in one screen, you should not have to enter it again on another screen.). 159. All mandatory fields are highlighted in some fashion to alert the end - user (color coding, bold, etc) until respective data is entered. 160. Crew login details (shift, unit, agency and crew) will be retained in the Mobile ePCR Software for each subsequent incident. 161. Mobile ePCR Software provides the ability to display ALS-level or BLS -level treatments based on the documented service level of unit entering the report, thus exposing only the pertinent data elements needed for that particular unit. 162. The authorized user/crew member name or badge number must be collected and displayed as part of the resulting ePCR crew signature 163. If a patient refuses assessment, treatment or transport, the report writer can specify this refusal in the software, which can be configured by the Agency to require the patient's signature to complete the ePCR. The refusal screen defaults to the patient's name as the signer but can be edited by the user if a family member is signing for the patient.. If the patient refuses to sign or is unable to, an unable to sign field or button can be selected. This would result in an "unable to sign" reason to be captured (DOA, Cardiac Arrest, Trauma to hand, etc.). Selecting this field will by-pass the required signature. . 164. Agency can customize a treatment tree to be automatically opened for specific common Chief Complaint entries. It includes additional list of possible questions to ask and areas to consider for adequate evaluation of Patient's complaints to assist with narrowing the provider impression selection. Example: a Chief Complaint of Chest Pain would automatically open up a Cardiac Page which includes all required information to ask, observe, and treat in order to satisfy the chest pain protocol along with NEMSIS data requirements. This will direct the Report Writer to follow the correct procedure and capture the pertinent data. Each Chief Complaint is linked to their respective treatment tree as pre - selected by the Agency. 165. ePCR System allows for patient transport with no charge (for city employees or dignitaries) by using a customizable billing pick list specifying this exception. 166. Lists supporting both keyboard entry and handwritten entry can narrow down or highlight list contents based on data already manually entered (e.g., in the Medications field, hitting C will bring up all medications starting with C) 167. Most of the ePCR is easily completed by using only the tablet computer's pen to select all data without the need to use a keyboard during mobile use at patient side. 168. All treatment administered offer a 'set to defaults' feature whereby all sub - questions associated with each treatment can be entered with an Agency -defined default. 169. Mandatory data fields are displayed on screens under main icons and not hidden under sub -icons that can be accidentally overlooked causing pertinent data to be inadvertently omitted or difficult to find. ALL DATA ENTRY USES NO MORE THAN 2 LAYERS OF SCREENS. 170. In the patient's address screen, the Country field must default to USA. An Agency -definable list of countries must also be available. 171. The Mobile ePCR Software MUST offer a user -transparent and instant saving feature. This eliminates a `save' button and also allows a Report Writer to return to continuation of entry of the ePCR in the event a hardware error occurs on the mobile device. 172. The Report Writer can switch to another incident report without clicking a `save' button (e.g., saving is transparent to the user). 173. The Report Writer can switch between two or more patients managed for the same incident with minimal effort (no more than 2 clicks). 174. Mobile ePCR Software allows for a minimum of six (6) crew members to be entered for each Fire/EMS unit report. These crew members will be retained in the ePCR system for any subsequent incidents. 175. Mobile ePCR Software has an optional signature field to capture the name and signature of who accepted the report or the patient at the ED. 176. ePCR software allows for the capture of up to 4 types of signatures, including the patient, primary and/or secondary care provider, witness, receiver, or `other'. Each signature must also allow for the capture of the signer's name and type of signer. 177. Any field requiring a number entry should offer a numeric -only handwriting recognition tool or large number keypad pop up for entry. 178. Have a field to allow for adding non -crew ride-a- longs/Paramedic students as well as display that entry as part of treatment providers. 179. ePCR System provides some mechanism to document "high alert" data, such as DNRO, HIV, HEP C, SARS, Organ Donor, Tuberculosis etc. 180. Product has an anatomical figure to easily document traumatic injuries. 181. Choice of inputting patient weight in either metric (kilogram) or Imperial (pounds) which is then automatically converted to the other format. 182. Mobile ePCR Software provides the ability to select and add pertinent negatives where necessary. 183. Mobile ePCR Software provides an easy method to edit and record mid -shift crew member and/or vehicle changes. 184. Mobile ePCR Software allows the Report Writer to navigate directly to a particular page within the software using a combination of buttons, lists, or tabs. The software MUST not require a specific order of data entry but instead be optimized for real- time entry. 185. More than one patient can be documented for the same incident by the same unit by the selection of an "add patient" button or tab, which will automatically copy incident -specific information into the new patient's ePCR without redundant entry. 186. Most information is plainly displayed with a minimal need to open and search through many categories, sub- categories. The use of drop down lists under main headings is preferred. The focus is to make the data available with minimal effort and maximum efficiency. 187. On specific fields, the ePCR Mobile Software allows for positive and negative documentation of a clinical element. For example, a symptom can be documented or the patient can deny the symptom exists (pertinent negative). 188. On the "Patient Medication", screen, selecting a medication and clicking a reference button will expose an online PDR with expanded information for that medication. 189. A copy feature must exist in the Mobile ePCR Software allowing applicable data already entered to be reused without reentry. For example, a scene address entered in one screen can be copied to the patient's address on a different screen by applying this copy feature. 190. Data entered in most fields is automatically accepted and saved upon the entry of data without the need to press an additional enter or save key for time efficiency. 191. If a data search field is used in the Mobile ePCR Software to find information and then the information needs transferring to another field, then the search field is simultaneously cleared with the transferring of the data. This will leave the search field ready to query the next data with just one pen tap instead of having to clear the previously queried data before entering new request. 192. The Mobile ePCR Software must allow the Report Writer to manually initiate an ePCR as well as merge subsequently delivered dispatch information into the originally initiated ePCR 193. All the date/times (Dispatched, En Route, Unit Arrival, Patient Side Arrival, Transport, Arrival at ED, Unit back in Service, Unit back in Quarters, etc.) pertaining to an incident are automatically transferred over from CAD. If not sent via CAD these times can be manually entered through handwriting, a keyboard, or can be manually entered by using a "now" button. 194. A Mandatory field can be linked / tied to a second mandatory sub field. E.g. if the procedure of EKG is chosen, program then mandates that an entry be made in the rhythm field or if the procedure of Pacer is chosen, then program mandates an entry in the rate field. 195. Data entered into the "Provider Impression" field, prompts the Report Writer to enter further data in specific correlating fields that are pre -selected by the Agency. This can be accomplished by several means: a) highlighting the fields throughout the program b) listing the fields in a separate list c) Linking the specific fields required as sub mandatory fields. These will be in addition to all those fields already highlighted as mandatory ones to comply with NEMSIS/EMSTARS elements. This will eliminate the possibility of omitting pertinent patient evaluation and treatment for a specific patient illness or injury. For Example, if Chest Pain is entered as the Provider Impression, the program automatically highlights all pre - selected fields in the Treatment Page to include 02, 12 lead, Nitro, Aspirin. 196. Using the Chief Complaint as the basis for the required treatment, the program compares the treatment entered against the required treatments in that particular protocol and alerts the Report Writer if there are any inconsistencies or omissions. If Report Writer does not correct the data entered, the program automatically sends an alert to QA for review of this report. 197. All treatment administered automatically defaults to "PROTOCOL" as the authority or reason for the treatment. This saves repetitive entry for treatments, especially in a cardiac arrest where the treatment list can be very long. On those rare occasions when the Radio MD gives an order that supersedes the protocol, the program allows for the user to edit the authority from a drop down list to select from (Medical Director, Radio MD, Patient's MD, On Scene MD, etc.). 198. Report Writer can manually save an incomplete report at any point during the data entry. 199. Anytime the software enters the sleep mode whether its due to programmed time limits or manually selected by the user, it will re -boot to the screen/field that was actively being used last. 200. Program is configured to be efficient and eliminate any duplication of effort to complete reports. E.g. when a Report Writer closes out a report, the program automatically uses the badge # of the Report Writer who is logged on to the PC, instead of having to enter his badge # after each report. This is also more secure than being able to enter a separate badge # or password at the end of each report. 201. Has a field to document any valuables or personal items taken to and left at the hospital. 202. Mass Casualty field, if selected, the user can choose between Suspected Terrorist Act and Non Terrorist Act. The selection of either one of these prompts the user to contact proper supervisors/support selected by Agency and automatically highlights fields throughout the application requiring additional data entry. 203. All Confirmation, Response, Complication must be multiple choice fields per NEMSIS. 204. HIPAA brochure/information given to the patient must be documented in appropriate field. 205. Report Author/Officer in Charge automatically defaults to the Report Writer logged on but can be easily edited by using the stylet to highlight field and type either the badge number or name of the Report Author. Program will search for information from database to complete missing badge # and/or name. MOBILE INTERFACE 206. Mobile ePCR software has the potential capability to interface with optional card swipe hardware to read magnetic strip and automatically transfer the data into the appropriate fields in the report. 207. Mobile ePCR software has the ability to view and attach one or more digital images to the ePCR from an attached camera without requiring the user to utilize a third party software. 208. Mobile ePCR software must have a seamless interface to Agency's current LifePak 12 product (also specify interfaces to other medical devices). 209. ePCR system integrates and interfaces with other remote devices and technical products wirelessly. E.g..bar code reader, driver license scanner, camera, GPS, voice recognition, etc. 210. The ePCR System (Mobile and Backend) MUST provide a direct interface with Medtronic's LifePak 12 monitors. This MUST be an interface live in the field today. With the exception of necessary Medtronic software, the Backend ePCR Software's review of ECG data MUST be web -based to minimize workstation configuration. 211. Completed report can be sent by fax to a designated list of facilities provided by the Agency. This is accomplished by simply selecting the fax button which will then default to the facility chosen for transporting the patient. User can also select "other" which will open a drop down window displaying all the facilities to choose from. This feature is used to fax a report to a receiving hospital as a redundant system when the printer is not available to provide a hard copy of the report. 212. Mobile ePCR Software provides a means to wirelessly (Bluetooth or other functional wireless mechanism) transfer reports between portable devices in the field. E.g. to transfer a report that has been started by an Engine Company to a Rescue, the Engine Officer would select the Rescue number from a pre -designated list and then select the send button. This will transfer all the patient -specific and applicable report information gathered by the Engine to the Rescue, thereby eliminating redundant entry. The Engine still MUST complete its unit report independent of the Rescue's ePCR. 213. The Mobile ePCR System has an Agency - configurable language translator tightly integrated exposing a list of questions or statements defined by the Agency in Agency - definable languages (Spanish, Creole, etc.). MOBILE MANAGEMENT 214. ePCR System is able to identify each Mobile Device by a unique identification number assigned to it which is used to send data to a specific unit. 215. Due to the need for reliable wireless connectivity, the Mobile ePCR software MUST manage and/or display wireless connectivity to the backend system to ensure the field user is aware of connectivity status. 216. Any device that is interfaced or connected with the tablet/PC will have its date/time synchronized with this software in order to avoid conflicting times in the completed document. 217. Agency must have significant flexibility with the ability to change the title of fields and tabs on Mobile ePCR Software screens to be consistent with the Agency's terminology. 218. The Agency is capable of temporarily adding or activating a new field or icon/flagging tool to the software program to identify specific incidents, example: Hurricane event, acts of God, mass casualty, etc. as determined by the Agency. The Agency will have the ability to configure the start and stop dates and times to have this particular field or icon in use. This temporary field or icon will be used by the Report Writer when an incident is related to this specific event. Agency can then query and tie all alarms that were related to this event by the Report Writers' selection of this field or icon. This will assist in the collection of data for future study of these specific incidents. 219. The Mobile ePCR Software will automatically scan the report for required elements and display a 'to-do' list exposing omitted mandatory fields needing attention. These elements will be highlighted in the software and each can be navigated to by clicking on the applicable to-do fist item. 220. The amount of patients per incident and the amount of incidents that can be managed by a single mobile device is unlimited. (Specify any limitations that do apply). 221. ePCR System provides redundancies to store data on the mobile device. Provide the methods used by the ePCR system to meet this requirement WITHOUT a reliance on wireless connectivity (if device's HD is damaged). 222. Mobile ePCR Software has a warning alert before exiting the application to avoid accidental closing during use. 223. Once a PCR has been synchronized to the server, the PCR will be available to the medic from any device running the application. E.g. platform independent. PERFORMANCE 224. System's 'up time' is at least 99.5%, 24 hours a day, 7 days a week. 225. Mobile ePCR Software takes minimal time (typically < 2 seconds) to perform actions including login, open report, move from screen to screen, enter data and save data. 226. Mobile ePCR Software is NEMSIS Silver Compliant. 227. Mobile ePCR Software requires less than 5 seconds to setup for either printing or ePCR wireless transfer. 228. Data must be available real/near real time to various stakeholders, e.g. quality assurance, billing, research processes, other units/stations. 229. Vendor can Provide the time required to retrieve an individual ePCR based on five (5) years worth of data (approximately 450,000 records) contained in the database. 230. Vendor can disclose minimum bandwidth required to transmit data and the average size of an ePCR, e.g. at 56kb/s an average PCR will require "x" time to transmit to the server. 231. Vendor can provide the wireless capabilities of the ePCR System to include the size of files currently transferred and type of data currently transferred. 232. MUST be able to wirelessly transfer completed ePCRs from Mobile to Backend ePCR Software without security issues. 233. Software connects to multiple sites throughout the day without having to reboot. REPORTING & ANALYSIS 234. Program has optional report printing versions to choose from for specific purposes; 1. Original ePCR 2. Amended ePCR 3. HIPAA-sensitive ePCR (excluded data fields normally containing confidential information). 235. Agency can schedule reports/queries to be generated and routed to be distributed at a pre- determined time frame automatically. 236. Product is able to query all reports tied to a particular member by more than one means, (badge number or employee number, name etc.) to facilitate these in case of a name change due to marriage or other. 237. Canned reports are included with software package, (provide list). 238. . Reports can be integrated with mail server for distribution as a PDF, EXCEL, WORD (or similar) format. 239. The ePCR System must have the ability to view an ePCR where multiple care providers and/or units provided treatment and/or transport to a single patient during a single incident as one contiguous record (of the final unit managing the patient) if an electronic transfer of that patient occurs between these respective units. 240. Over 99.5% of data elements capable of being collected by the ePCR System are capable of being analyzed though the Custom Reporting and Analysis Tool on all ePCR records. 241. Following is a list of common reports used to analyze data collected through the ePCR System. Specify if the ePCR System can generate each of the required reports by either a predefined (canned) report or through a reporting tool customized specifically for the ePCR System. The reports MUST be generated through a web -based tool. 242. Action taken by Unit, Shift, Date/Time Period. 243. # Incidents by Unit, Shift, Employee. ' 244. Cardiac/Respiratory arrests by Unit, Shift, Date/Time Period. 245. Chief Complaints by Unit, Shift, Date/Time Period. 246. Final disposition by Unit, Shift, Date/Time Period. 247. Injury (Cause) by Unit, Shift, Date/Time Period. 248. Medications given by Employee. 249. Procedures performed by Employee. 250. Provider Impression by Unit, Shift, Employee. 251. Exception report, such as no vitals, no transport, chest pain with no treatment, etc. by daily/month ly/yearly (specify what exceptions the system can report against). 252. Non -reconciled incidents by Unit, Shift, Employee 253. ePCR H I PAA-sensitive information INCLUDED (this will show addendums) 254. ePCR HIPAA-sensitive information EXCLUDED (this will show addendums) 255. ePCR H I PAA-sensitive information INCLUDED (this will show addendums), this report will also show fields that were left blank.) 256. Incidents by situation found, company type, false alarms, Date/Time Period ' 257. Average response time (monthly) This includes fractal breakdown as specified in the following example: The system must include a reporting tool allowing the Agency to specify the average difference between ANY TWO operational or clinical times. For example, average time between dispatch and defibrillation, dispatch and first vitals, at patient and first treatment. Agency must be able to pick any two times and compare them (NOT through canned reports. 258. Cancellations by unit (monthly/yearly) 259. Response time > "agency -defined time" by Unit, Shift, and Date/Time Period 260. Transports by Hospital, (monthly/yearly) 261. Inter hospital transfers by (monthly/yearly) 262. Intubations by Unit, Shift, Employee, (monthly) This is one example. Agency MUST have the flexibility to query ANY treatment and ANY associated questions to a treatment. For example, reports for intubations can include a compliance breakdown for each of the agency - definable questions associated with intubation (or any other treatment) as well as a breakdown for any of the answers selected for any one of these definable questions (i.e., breakdown of lung sounds, tube check, cords visualized, etc). 263. Transported ALS/BLS by unit, status from scene, (monthly/yearly) 264. Web Based Query Tool allows agency - configurable access to database with minimal information. Tool supports "drill down" capabilities to allow the user to click or select a field and retrieve additional information. 265. Able to query if ePCR reports have not been completed but units have been dispatched and a ePCR is expected by unit and shift, station and shift, district and shift, etc. 266. ePCR Custom Reporting System must display the result set in various formats (charts, tables, graphs, etc) from within a web browser 267. Authorized user can create a personal folder to save custom reports he/she created for future use. 268. A web -based Custom Reporting System provided with the ePCR System MUST be able to query data based on multiple fields (data fields collected by the system) as well as display results by multiple fields selected in the system. For example, a user can create a report that finds all cases involving cardiac arrests that did not receive aspirin, oxygen, or any other agency -specified treatment, and break down the results by employee, disposition, or other agency -defined parameters. At least 98% of all data elements collected by the ePCR system MUST be capable of being queried. 269. When incidents are sorted according to type (Hazmat, EMS, Chest Pain, etc.) it can be configured to print in the sorted order. 270. The web -based reporting tool MUST not expect or require knowledge of SQL to build and execute reports since many of the Agency users will not have a background in SQL. The Agency REQUIRES a reporting tool that is `fine-tuned' to the ePCR system instead of a third party reporting tool, such as Crystal Reports. Ad hoc reports, for example, should not require any SQL knowledge or third party reporting. • 271. ePCR System MUST provide a web -based tool allowing an authorized user the ability to create and execute queries by individual paramedics. For example, a breakdown of types of calls, intubations and success rates, other treatments, etc. 272. Any of the reports built by the Agency using the Custom Reporting System, can be scheduled for automatic email delivery to Agency -definable staff (daily, weekly, monthly). 273. All fields that accept numeric entry are left blank instead of having a "0" as a default. This eliminates the possibility of misleading information if this field is overlooked and report is erroneously printed with zeros. 274. The ePCR System allows for the capture of all Florida State EMSTARS required elements per the Silver standard and is NEMSIS Silver -compliant. Specify how this is accomplished. 275. The ePCR System allows for the capture of all elements required for the State Aggregate report and can send the data via an XML file extracted from the database. 276. The ePCR System's State Interface can create an extract file containing required data elements in compliance with the Florida State EMSTARS utilizing the NEMSIS Silver standard and will offer updates as part of maintenance to comply with the required elements in this standard. Specify how this is accomplished. 277. The ePCR System must meet Florida's EMSTARS minimum criteria as listed below: 1.) The software must be certified as NEMSIS compliant at either the Silver or Gold level. 2.) The software must be configured with data elements, field values, and validation rules specified in the Florida EMS Data Dictionary. 3.) The software must utilize the EMSTARS XML Schema to export EMS event records. 4.) The software vendor must successfully submit test records to the EMSTARS database for validation. 278. The Agency is not limited to NEMSIS or EMSTAR codes. For example, while NEMSIS may have one impression code for chest pain the Agency may define additional impression codes similar to cardiac (chest pain, cardiac related, potential STEMI, etc). However, the Florida EMSTAR Interface must provide the ability to consolidate similar coded elements into a single element for Florida EMSTAR extract submission. 279. If data is entered into a field using the copy function, when printing the report, the program prints out the actual data and not the word copy. 280. Upon printing reports, program only prints the populated fields. Having a heading print out that is left blank is a liability concern and also wastes paper. Any printed report includes Alarm #, Report Writer or Badge # ID and date report was printed clearly stamped on bottom of each page. SYSTEM 281. The ePCR System supports the capability to easily integrate with Reporting Services and the potential capability to easily integrate with other web -enabled products. 282. Every ePCR report created MUST be accessible to edit on both a mobile device on the field apparatus as well as each station's workstation. 283. ePCR software includes extensive data dictionary with consistent terminology. A comprehensive data dictionary documenting all data structures, triggers, and database details MUST be delivered with the ePCR Software prior to or at system acceptance. 284. Backend ePCR Software allows authorized staff to add or modify lists or lookups via a web -based interface. The same users MUST be able to disable a list item but cannot delete a list item already captured in the past (to maintain referential integrity). 285. Backend ePCR Software should have the capability of exposing QM notes for a specific alarm or staff member as well as providing general messages enterprise -wide. 286. The ePCR System MUST allow any coded list element to be enabled or disabled to allow the Agency to archive data and hide any particular element from being viewed in the current Mobile ePCR Software pick list due to discontinued equipment or retired personnel. This data remains in the database and is accessible for future queries, legal matters, etc. 287. The ePCR System MUST readily distinguish between two ePCRs entered by the same unit for the same alarm on different shifts. E.g. If Q4A is on an alarm at shift change and is relieved by Q4B, each officer must generate a separate report to document their assignment for the same unit on this same alarm. 288. ePCR system must have the ability to quickly search and retrieve one or more matching ePCRs based on the utilization of one or more search parameters (including wildcards) or filters including: - date or date range - incident number - incident address - patient name - patient SSN - destination - shift - unit - crew last name - crew employee ID - Officer in Charge This feature MUST be web -based and offer the same role -based access rules noted elsewhere in this document. 289. Report status categories include: open, closed, updated/appended, cleared or rejected by supervisor, etc. It is understood that each of these status categories may have significant business intelligence but the ePCR system should have the potential capability to expand upon these status types in the future. 290. The ePCR System must provide a mechanism to store ePCRs in a production or operational database for retrieval and analysis as well as a separate archival database for the same purpose. The same review and analysis tools MUST be web - based and MUST allow a user to access either database through a simple means. 291. The ePCR system MUST be able to DEMONSTRATE its ability to effectively manage a quantity of at least 100,000 annual ePCR records in the operational system and a minimum of 400,000 ePCRs (5 years of report data) in the archival system. The capability of the ePCR System to handle this volume MUST be demonstrable (e.g., live customer). 292. An automatic log off feature or capability MUST exist on both the Mobile and Backend systems based on an agency -defined period of inactivity to comply with HIPAA regulations. 293. Program has a built in report audit feature that tracks and displays applicable activity in reference to the report. When reviewing/printing any ePCR, program automatically captures an audit record of the ePCR, went it was reviewed, printed, or when an addendum was added. An ePCR can be printed either in its original 'closed' format, or printed in with its addendums. The addendums must also display information about each addendum including date/time, author, reason and the addendum content. The functionality above MUST be through a web -based interface. 294. Except under very limited circumstances, all Mobile ePCR system updates will automatically Toad up on the Mobile ePCR system devices upon a connection without the need of user intervention. This is accomplished without a long delay, while the system is operational. 295. The Backend ePCR Software utilizes a web - based query building tool used to create custom reports without the need of specialized computer skills (such as SQL) or specialized query software (such as Crystal Report, Cognos, etc). 296. Agency can select certain criteria based on impression, complaint, cause or treatment to automatically trigger routing a report to QA for review. 297. Vast majority of Mobile ePCR Software updates are done from an administrative location which will automatically upload to all devices so as to not have to manually upload each unit individually. 298. Interfaces to 24Seven and State required EMS report allow for the specification of exported data elements to have default values automatically entered in the back end which may not be collected by the Report Writer. 299. Product allows for new guidelines or protocols to be pushed out to all the field devices from a central location via a web -based interface from an administrative station. 300. The ePCR System allows the Agency to specify unlimited dispositions. Each disposition can be defined with a specific check or to-do list of data elements that need to be collected prior to closing an ePCR. 301. Integrity of original, legally closed medical record is maintained. ePCR can be made read-only after ePCR closure rules have been satisfied. Information can be amended via a web -based application by authorized users, e.g. demographics, insurance details. All changes must be tracked by version controlling method(s) to maintain HIPAA compliance (name, date, what was edited on the ePCR) 302. Through a web -based tool, the Agency is able to update user information from the server to field collection device without requiring vendor intervention. 303. Through a web -based tool, the Agency's QA Officer and Medical Director must have the ability to attach comments to the PCR. 304. ePCR system integrates with third party billing software. The billing interface must be at least in an XML format (vendor defined is acceptable) and is fully automated (scheduled) and can send the extract file automatically via secure FTP or via a web service. Give examples of billing companies software integrates with. 305. ePCR System MUST provide a "repeat customer" referencing feature. The Mobile ePCR Software MUST be able to wirelessly query the Backend database by using HIPAA-compliant standards (e.g. a minimum dataset of name and SSN must be entered to validate the patient match). Upon a successful match, the repeat customer's archived information will populate applicable fields in the Mobile ePCR Software. Minimum fields include patient demographics and billing information as well as past history (meds, allergies, and preexisting conditions). 306. All terminology used throughout the program is consistent in order to reduce confusion. For example if CVA, Laceration, or MI are used in any field or list, then Stroke, Cut or Heart Attack should not be used to reference similar data throughout the program. 307. At least 100 patients can be managed on a single handheld for a single incident. Selecting a specific patient for an incident will expose and print only that particular patient's details. 308. The ePCR System must allow the Agency to configure one or more dispositions specific to the collection of an 'Incident Report'. The data elements necessary to complete this report must be selected through a data element 'matrix' (or similar). This feature will eliminate unnecessary entry of data that is not applicable to an 'Incident Report', but still utilize the same Mobile ePCR Software. 309. Three reporting modes are used by the Agency (ePCR, Incident, Unit). The ePCR System must allow for the specification of one or more dispositions associated with these reporting modes. 310. The product automatically calculates relevant scores upon entry of data elements comprising the score (GCS, APGAR, etc). 311. The ePCR System provides the collection of the following NFIRS basic module data elements and will offer updates as part of maintenance to comply to the required elements in this standard - property use - action taken - event type - mutual aid 312. Mobile ePCR software has the capability to connect to a primary and secondary server without requiring a reboot. 313. The Mobile ePCR Software must be able to upload an individual ePCR to the central server without the need for a 'batch" upload. 314. The ePCR system or backend system alerts the Agency administrator of system events, E.g. a server shuts down. 315. ePCR System provides a web -based tool that continuously analyzes certain clinical and operational data and offers authorized user the ability to create alerting rules based on an event occurring once, or an agency definable quantity and time period. A triggered alert will result in an email or sms being sent to one or more agency definable personnel. 316. The system must have `global' access to agency definable HTML or PDF content, such as a Protocol reference. TERMS & CONDITION 317. Vendor agrees to an escrow contract for source code. Release triggers include provision of source code for internal use only if vendor no longer supports product or cease business operations. 318. Vendor can provide upgrade policy for current software version (costs for upgrades, what is or is not covered) TRAINING & SUPPORT 319. City of Miami Fire - Rescue is provided with all future upgrades to product. 320. Product training is provided with software purchase for field, staff and IT personnel. Include the number of hours per session, number of sessions and limits per session. 321. Product implementation is broken down into milestones with specific timelines provided in advance to accomplish each. 322. Vendor provides a project manager, technical and support resources, training staff, etc. during implementation and "Go Live" stage. Give details for onsite support associated with go live and post go live activities (support times, contact mechanisms, etc). 323. Vendor offers a reduced pricing model for utilizing the Mobile ePCR software for training purposes only. MISCELLANEOUS 324. While not required to be installed or used initially as part of the delivered ePCR System, the ePCR System MUST have a capability which can be demonstrated to allow hospitals to securely view an ePCR of any patient delivered to its facility by the Agency, via a browser. 325. There are no minimum or maximum limitations to restrict any aspect of the purchase contract. 326. Product can be purchased with an enterprise license to allow the Agency to host their own data at no additional cost. 327. A majority percentage of all of your organization's ePCR FULLY LIVE implementations are fire - based services. (provide reference list). 328. Provide the number of annual incidents responded to by your largest and smallest FULLY LIVE fire -based service agencies. 329. Provide key challenges your customers have faced when implementing your ePCR System. 330. Provide details for the training process, timelines and support offered by your company and if conducted by instructors with expertise in specific fields. (For example do experienced paramedics conduct the end user training, IT personnel conduct the technical training, support personnel conduct the administrative training etc.) 331. Provide the development cycle of your product, when the current version was developed and when the next version is scheduled for release. 332. Provide the version # of your current ePCR System and any future plans you wish to disclose. 333. Provide all hardware required for both the front and back end products, give details of the companies and products you have utilized in the past with successful results. 334. Provide a cost estimate for custom work such as CAD/billing integration. 335. Provide at least three (3) references utilizing your ePCR product, with at least 2 being fire -based of similar size (or larger) to Miami Fire. 336. Provide the server specifications for the Backend ePCR Software, including all interfaces. 337. List any shortcuts, tools, features that are integrated into the Mobile ePCR Software to assist in "mobile data collection". 338. A miscellaneous icon is available for specific incidents that will require forwarding a report to another agency (e.g. elder links, animal control, HRS, etc) with additional data. Program uses data entered into the report to pre - populate the form and only the additional fields need entry. Upon completing the PCR, the user can query this specific "form report" and fax it to the proper agency using the direct contact link to the agency. OPTIONS & CUSTOMIZATION 339. A Rescue inventory check-out sheet can be added to the tablet hard drive and accessed by a separate icon. The apparatus inventory lists all items by compartment with an entry field next to each item. User simply highlights an item and selects from a quantity box (1-2-3-4-5-6) for each item. Upon selecting a quantity, data is transferred to the item field and program automatically highlights next item needing entry. With this format, the user only needs to make a quantity selection for each item as the program runs through entire list with each entry. This information is transferred and stored electronically to eliminate hard copy storage. This Rescue unit's tablet (must keep individual tablet married with a specific Rescue unit) hard drive would then keep an ongoing total of all inventoried equipment/supplies as it is used during this shift. At pre -determined quantity level or time intervals chosen by Agency, the product will prompt the user by audible alarm any items needing re -stocking by listing them in a pop-up inventory window. Oncoming shift can select the inventory icon and take a look at the Inventory page at shift change and quickly stock low items first in case of early alarm. 340. Mobile ePCR Software has the capability to track supplies and inventory to maintain an accurate on hand balance. 341. The Mobile ePCR Software has the potential capability to interface with barcode and card swipe technology to populate applicable demographic and event data of the ePCR. .