Review Decline Revision Requests Review Part 1 of 1 April 2018 - - PowerPoint PPT Presentation

Review “Decline” Revision Requests

Review Part 1 of 1 April 2018

Organization of Revision Requests

• Survey questions will correspond with ID

numbers on the slides

• Decline:
• Yes….Request should be declined! “Will no longer consider

these requests”

• No….Request should be moved to DIFER!
• Contact Me….

– I need to give you additional information! – I need more time to consider this!

Decline Revision Requests (n =16)

Decline: eArrest.03 (ID 3)

• eArrest.03 ‐ Resuscitation Attempted By EMS

– Change: Add value

• Other

Decline: eAirway.04 (ID 15)

• eAirway.04 ‐ Airway Device Placement

Confirmed Method

– Change: Add Value

• X‐Ray

– Comment: This type of confirmation is used for pediatrics.

Decline: eScene (ID 22)

• eScene.09 ‐ Incident Location Type
• Change: Drop the use of ICD‐10‐CM

– Create a standard list that is a subset of the NFIRS location type using the NFIRS

• Comment: Make it easier for fire based

services to cross report this information. Right now, these lists have very limited matching.

Decline: StateDataSet (ID 23)

• Additions to StateDataSet
• Change: Add Elements

– eResponse.05 ‐ Type of Service Requested – eResponse.07 ‐ Primary Role of the Unit – eDisposition.16 ‐ EMS Transport Method

Decline: eArrest.16 (ID 25)

• eArrest.16 ‐ Reason CPR/Resuscitation

Discontinued

– Change: Add value

• Transferred patient care to other health care provider,

CPR not discontinued

Decline: Pattern Change (ID 30)

• Modify Patter for DataType: PhoneNumber
• Change: Allow the digit "1" in the 4th position
• f a 10‐digit phone number. This allows a

phone number like 801‐123‐6789.

• Comment: We adhere to NPA‐NXX standard

formatting, which does not allow for a “1”.

Decline: eInjury.01 (ID 49)

• eInjury.01 ‐ Cause of Injury

– Change: Pattern

• Change pattern to exclude Y93 codes, used in Patient

Activity (eSituation.17)

• Current Pattern: ([TV‐Y][0‐9]{2})((\.[0‐9A‐Z]{1,7})?)
• Proposed Pattern: ??

– Comment: Defined lists will address the concern.

Decline: eExam.09 (ID 50)

• eExam.09 ‐ Heart Assessment

– Change: Add values

• S3 Gallop
• Friction Rub
• Heart sounds decreased, muffle

– Comment: These values exist as specific values.

Decline: eMedications (ID 69)

• eMedications.05 ‐ Medication Dosage

– Change: Add Attribute

• TKO / KVO

– Comment: There is a KVO option in eMedications.06.

Decline: eSituation (ID 87)

• eSituation.16 ‐ Patient's Occupation

– Change: Add values

• Police
• Fire
• EMS
• 9‐1‐1 dispatch
• Corrections
• healthcare, etc.

– Comment: These high‐risk professions are susceptible to suicide

Decline: eResponse (ID 92)

• eResponse.07 ‐ Primary Role of the Unit

– Change: Add values

• Ground Transport, Primary Care Provider
• Ground Transport, Assist Lead EMS Agency

– Comment: Would extend the meaning of this element.

Decline: eDispatch.xx (ID 93)

• Add NEW Element: Discontinued
• eDispatch.xx ‐ Dispatch Narrative/Notes

– Change: NEW Element Name:

• Definition: Narrative or notes taken by the dispatcher
• r call taker.
• Constraints

– Data Type: String – minLength: 1 – maxLength: 10,000

Decline: eResponse (ID 170)

• eResponse.11 ‐Type of Transport Delay

– Change: Add values

• Violent (patient)
• Violent (non‐patient)

– Comment: For responder safety and to further validate research that shows those with mental illness are more likely to be the victim of an assault rather than the perpetrator.

Decline: dPersonnel (ID 179)

• Add NEW Elements to document Personnel information

– New Elements:

• PersonnelPayRate (decimal)
• WorkersCompensationClassCode (string) – This element varies by state.
• EMSPersonnelIsActive (yes/no or bool)
• EMSPersonnelsTerminationDate (date)
• SocialSecurityNumber (string)
• StateIssuingDriversLicense (US State)
• DriversLicenseNumber (string)
• DriversLicenseExpirationDate (date)
• EMSPersonnelsHairColor (string)
• EMSPersonnelsEyeColor (string)
• BodyWeightinKilograms (decimal)
• HeightInCentimeters (decimal)
• EmergencyContactNumber (phone number)

Decline: eResponse (ID 196)

• eResponse.07 ‐ Primary Role of the Unit

– Change: Add Value

• Other

Decline: eMedications.03 (ID 200)

• eMedications.03 ‐ Medication Given

– Change: Create new PN Value

• No Medication Administered

– Comment: The addition of these this choice would help to lessen the need for and use of the NOT values and help to give a better assessment

• f when a medication was not administered.