QA Protocol

AngelTrack has a built-in protocol that dictates the minimum elements in a report for submission to QA. Your agency may impose additional requirements, published to the crews and enforced by the QA reviewers.


AngelTrack's Built-in QA Protocol

AngelTrack's built-in protocol imposes certain requirements on a run report before the crew is allowed to submit it to QA.

The foremost requirement is that a Patient Disposition must be recorded. For wheelchair van transports it will be automatically set*. The value of the Patient Disposition field then determines the other protocol requirements.

For any run whose Patient Disposition field implies that patient contact occurred, the following is required:

The following additional requirements apply depending on the service provided, on the Patient Disposition, and on whether or not transport occurred:

Service Patient Contact but No Transport Transport Occurred
Car
Wheelchair
[no requirements]
  • Odometer readings consistent with transport travel time
  • Transport leg times (pickup and dropoff)
  • Patient billing information, if the call is to be billed to insurance (unlikely for a WC call)
  • Signature: "Receiving Facility" or "Receiving Facility Refusal to Sign" or "Patient Discharge" or "Patient Discharge AMA"
BLS
ALS
  • One or more sets of patient vitals
  • One or more patient assessments
  • Narrative at least 200 characters long
  • One or more ECG results if the primary complaint implies a heart problem
  • Odometer readings consistent with transport travel time
  • Transport leg times (pickup and dropoff)
  • "Reason for Transport", a one- or two-sentence summary of the reason for taking the patient to the destination
  • "Reason for Stretcher", a one- or two-sentence summary of the medical justification for stretcher transport rather than wheelchair
  • One or more sets of patient vitals
  • One or more patient assessments
  • Narrative at least 200 characters long
  • One or more ECG results if the primary complaint implies a heart problem
  • Patient billing information if the call is to be billed to insurance, including:
    • first and last name
    • date of birth
    • Social Security number
    • home address
    • primary insurance type and ID number
  • Signatures: "Payment Authorization" or "Patient Unable to Sign Payment Authorization", and "Receiving Facility" or "Receiving Facility Refusal to Sign" or "Patient Discharge" or "Patient Discharge AMA"
Telemedicine
  • Odometer readings consistent with enroute travel time
  • One or more sets of patient vitals
  • One or more patient assessments
  • Narrative at least 200 characters long
  • One or more ECG results if the primary complaint implies a heart problem
  • Patient billing information, if the call is to be billed to insurance
  • Signature: "Telemedicine Consent"
[not applicable]
Labs
  • Odometer readings consistent with enroute travel time
  • At least one set of lab results
  • Patient billing information, if the call is to be billed to insurance
[not applicable]

Crew members cannot normally submit a run report to QA until the built-in protocol is satisfied; the relevant buttons in the PCR turn red to indicate items still missing. However, individual employees can be granted a crew privilege allowing them to submit a report even when AngelTrack believes it does not meet these requirements. And supervisors (Captains and Lieutenants) are always allowed to submit run reports to QA no matter how little they contain.


Company Additions to the QA Protocol

Your agency may impose additional requirements on top of AngelTrack's minimums. These additional requirements should be published to the crew members and then enforced by the QA reviewers. AngelTrack's announcement system is a good way to keep your crews and QA reviewers apprised of changes to your agency protocol.

The agency protocol, if any, should be specified in the "QAReviewProtocol" document template, found in the "Document Templates" item on the Settings page. Only Administrators have authority to modify the template, but it is readable (via a handy link on the QA Review page) by all QA reviewers.

In a fresh AngelTrack installation, that document template simply contains a copy of AngelTrack's built-in (minimum) protocol, as a reminder of exactly what AngelTrack requires.



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