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Will / Grundy EMS SystemSilver Cross Hospital ∙ 1200 Maple Road ∙ Joliet, IL 60432 ∙ 815-740-7130 ∙ Fax 815-740-7917 |
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OPERATIONSThis page contains information on EMS operations including commonly used Forms, Region 7 QA data and contact information for our IDPH Regional EMS Coordinator. The System CME Program now has its own page titled "System CME". Click on the button to the left to access that page.
ILLINOIS PCR FORMS*** Forms are changing. Deplete old forms and order new. IDPH will continue accepting old paper forms until 10-29-10. *** In transitioning to the new NEMSIS (National Emergency Medical Services Information System) national standards for data collection, IDPH will only accept old "bubble sheets and narratives" until October 29, 2010. You may continue depleting your current stock of forms until that time. If you are close to depletion, you may order and begin using the new April 2010 forms as of April 29, 2010. IDPH will accept both until 10-29-10. Electronic data submitters have until April 29, 2011 to ensure their software is compliant with the new NEMSIS data standards. Be sure your electronic third party software vendors (ie: Firehouse, Zoll, etc) are working on this NEMSIS update and will have it re-validated by 4-29-11. Click here to view the April 2010 Instruction Manual for the NEW Illinois EMS PCR Form. Click here to view the full 6-part April 2010 Illinois EMS PCR Form. We have not received notification in change of vendors, so ordering forms should still be the same. To order the one-part or six-part Illinois PCR (Ambulance Run) forms contact Mike Rubinsky with Scantron by phone 800-735-2566 ext 1347, fax 717-684-1312, or email mike_rubinsky@scantron.com. Be sure you are ordering new forms.
The 1 part form (277608-1) is
$9.37 per pack of 100 IDPH is currently working on a web based system. Agencies would be able to use a 1 page face sheet (created by system) then input their call data one by one into a web-based (via internet) data collection system with the State of Illinois. There would also be an option to print a run form after entering data. This would eliminate the need to use the paper PCR forms and the State says it would be free to users. Obviously it would not have the same capabilities as a third party software vendor such as Zoll, Firehouse, or ImageTrend for QA purposes, but would offer reduction in paperwork and error kick-backs. IDPH is hopeful to have a version available by the end of summer. We will get you more information as it becomes available.
QA - DOCUMENTATION TEMPLATESThese documentation templates should be used to ensure that information is documented appropriately.
INSPECTIONSFor ambulance inspections allow enough notice for scheduling prior to new rig arrival and expirations. Inspection forms may be printed below for you to use as reference. When authorized to self-inspect, print and send the completed form to the System (we will sign and forward to IDPH). All self-inspections are subject to System spot-checks. Now that we have a new Regional EMS Coordinator for Region 7, Shannon Wilson, please contact her for inspections and she will let me know if she needs my assistance covering something. Shannon may be reached at 630-293-6899 or at shannon.wilson@illinois.gov. The State is using a new computer pen-based program for inspections that updates the
ROUTINE SYSTEM OPERATIONSMarilyn MacBlane handles most of the daily routine operations in this System such as ambulance inspections, supplies, pyxis, system entry, licensure, events, website maintenance, and data collection. For questions please contact her at 815-740-7130#2.
Most of the forms used in daily operations are located in the Will/Grundy EMS Policy Manual, however we have provided some of the more frequently requested forms here:
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