EMS Ambulance PCR Software in the Cloud
AngelTrack’s built-in PCR supports car, wheelchair, gurney, BLS, ALS/MICU, fixed-wing, rotary-wing, on-scene labs, telemedicine service calls, and all NFIRS modules… both emergency and non-emergency, transport and no-transport. It is HIPAA-compliant and highly secure, has all necessary legal forms built right in, and captures electronic signatures using any touchscreen device (including smartphones). Patients sign their name using their fingertip.
Because AngelTrack is cloud software, your crews can access the PCR anywhere: At the station, on the road, while on-scene, in the ER, at a restaurant, wherever. It is completely mobile and paperless, and supports all computers, mobile devices, operating systems, and common browsers. Your patient care records remain forever safe and accessible.
"Bring Your Own Device"
AngelTrack’s NEMSIS+NFIRS report editor runs anywhere, on any device, desktop and mobile.
All you need is a web browser… even a smartphone will suffice for collecting signatures (sign with a fingertip), photographing documents, recording vitals, everything that goes on in an ambulance. Crews can use company-issued laptops, toughbooks, or tablets, or their own personal smartphones, phablets, and tablets of any size.
Use the mobile cost estimator page to see exactly what different mobile devices will cost over time.
No more paper. No more spreadsheets. No more installing and updating apps on various devices. No more synchronizing data back at the station.
iPad Mini (IOS)
Online All the Time
AngelTrack is a cloud application, like Netflix and Google. It’s always there for you, on the internet.
Your current, prior, and upcoming PCR reports are online on your AngelTrack server, 24/7/365. With your mobile device you can review them, or work on them, from anywhere. When you finish a report, there is no uploading or synchronizing or exporting, or any need to return to the station. Your reports are already in your AngelTrack server, ready for QA and billing.
While on your way to see a patient, you can pull up that patient’s or building’s prior reports, regardless of who wrote them, or when they wrote them. Documents, DNRs, and EKG strips too.
Offline PCR Capability Too
AngelTrack’s PCR offers one-click switching to its offline mode. The offline mode is an app that runs right in the user’s web browser, using Blazor WebAssembly technology. It requires nothing to be installed ahead-of-time; when the user clicks the button to go offline, the app auto-downloads right then and there.
In its offline mode, AngelTrack’s PCR can collect time punches, odometer readings, electronic signatures, e-PCS forms, e-McPAN forms, vital signs, assessment, physical exam, patient demographics, PMHx data, and billing information. It auto-uploads and synchronizes this data whenever its internet connection comes back.
Crew members can seamlessly switch between online and offline modes with a single click, with no need to switch screens or re-login.
The offline PCR runs on Windows, iOS, and Android devices — anywhere that the web browser supports WebAssembly.
Integrated with Dispatch and Billing
The PCR is always aware of all dispatch instructions, plus all patient and facility information carried forward from prior incidents regardless of which crew members attended. It can even pull up the patient’s or building’s prior history of reports, and view them in full.
This unified system eliminates all the hassle of downloading dispatch and patient data to crews, and of uploading and organizing their run reports afterward. You will need fewer back-office employees, and those you keep will spend vastly less time moving papers and data between systems.
Automatic Narrative Composer
For EMS trips, AngelTrack automatically writes the narrative using natural language and sentence structure, drawing on data already input into the PCR (vitals, assessments, procedures, etc.) and from dispatch records.
It’s not a “narrative helper”, or a sentence picker, or a phrase bank… it is a real live narrative composer. It writes a chronology-style narrative in one mouse click.
It writes the entire narrative at approximately 80% detail level. Crews just fill in the last 20% — the little details about the patient and the transport that a PCR can’t capture.
Capture Signatures Right on a Tablet or Smartphone
Need to collect a signature? Just whip out your smartphone and hand it to the patient — they sign with their finger right on the screen. And tablets work too of course — any internet-connected tablet will suffice.
Or use your smartphone to photograph the signed document, and attach the photograph in the PCR. Or scan the document in later and attach the scan. AngelTrack supports it all, and it’s all easy.
Because AngelTrack’s PCR is integrated with its dispatch system, it always knows which signature forms are needed. And of course you can modify any form’s legalese to suit your needs.
Smart Documentation Requirements
AngelTrack’s PCR is integrated with its dispatch, QA, and billing systems, and so it knows what information (patient, billing, medical, signatures, etc.) is needed for every call. It then tells the crew which data pages are required, by turning those buttons bright yellow. Other data pages may be recommended (in order to pass QA) but not required; these it turns dark yellow. In this way, a crew member can see immediately what is still needed in order to submit a complete report to QA.
In deciding which data pages are relevant, the PCR considers all of the following:
- EMS service level requested / NFIRS incident type.
- Billing settings.
- Primary complaint.
- Patient disposition.
- Crew member patch levels.
- Call progress (on scene / transporting / at destination / closed).
- Call execution status.
- Prior authorization status (PCS/PAN).
- ECG, ventilator, injury, and MI records as required by the complaint.
…ensuring that all data needed for QA and billing is collected on the very first go.
Electronic PCS Forms with Touchscreen Signatures
AT LONG LAST… all-electronic PCS forms, compliant with Medicare regulations!
Crews can collect both one-shot and multi-day PCS forms using any mobile device that has GPS and touchscreen. They can use their mobile device to open the form while on-scene, and then just hand the device to the LVN, RN, or physician to quickly fill out and sign.
The completed electronic PCS then enters AngelTrack’s paperless document system, automatically appearing in all relevant run reports.
There is also an electronic form for the PCS-like Medicaid PAN form, required in some states.
Snapshotting Shows Patient Data Over Time
AngelTrack’s PCR uses snapshotting to store a patient’s entire history. Every week, a new snapshot is created for the patient, based on the prior snapshot. Changes to the patient’s medical and billing information apply to that week’s calls, and are carried forward to future snapshots.
This clever system saves crew members the onerous hassle of typing in the same patient information over and over again, every transport… while still preserving the ability to review the patient’s history, to see how they are changing over time.
It is also a major boon to the billing office. Snapshotting allows the patient’s insurance to change without disturbing the billing information collected for past services. Every dispatch shows the patient’s insurance as it was at the time of service, regardless of how it later changes. (Of course it is also possible for a supervisor or biller to directly edit any prior snapshot in order to make corrections.)
NEMSIS 3.4 and 3.5 Certified
Together with its dispatch system, AngelTrack’s PCR collects all data necessary for NEMSIS 3 export/upload. AngelTrack is NEMSIS certified on v3.4.0 and v3.5.0, and can emit data in whichever format your state requires.
NEMSIS 3.x data packages exported by AngelTrack can also be imported by insurance filing software, as well as automatically uploaded to your state trauma registry.
We handle all of our state trauma registry requirements, including the task of schematron updates.
NFIRS 5.0 Approved
AngelTrack is approved by FEMA to submit NFIRS 5.0 data to the national fire database.
It automatically handles all of your upload requirements, in any state which provides a standard SFTP server to receive NFIRS data. It also performs automatic re-uploads when the underlying data changes, as well as automatic no-activity uploads when necessary.
If your state does not offer an SFTP server, then AngelTrack will organize all of your completed reports into a single place, where you can download them and submit them to your state by other means.
Onboard Editable EMS Protocol and Drug Reference
The PCR has an online medical protocol viewer, section by section, for quick reference in the field. The full contents of the NASEMSO National Model EMS Clinical Guidelines is already pre-loaded into 61 sections and ready to go… or ready for customizing, using the full-featured WYSIWYG editor.
Likewise the online drug reference, which is also available right in the PCR, and is already populated with fully editable content.
For both the medical protocol and the drug reference, you can cut-and-paste new content directly from your Microsoft Word documents.
Collect Patient Portraits with your Smartphone
Use the camera in your mobile device to snap a photo of the patient for automatic attach to the patient’s records. The whole process requires just six mouse-clicks on a typical smartphone or tablet.
The portrait is 400×400 in color. Afterward, crews can check the portrait before picking up an unresponsive patient, to make sure they are taking the right person.
ZOLL Monitor Integration
AngelTrack integrates with ZOLL RescueNet to download data from any ZOLL X-series monitor. With one click, the attending can import the vital signs and strips collected by the monitor, including fully-rendered strip images.
Flexible Administrator Options
The AngelTrack administrator controls all of the following options:
- Can crew submit a report to QA even when AngelTrack believes that necessary data is missing?
- Can crew cut and paste text to/from a report narrative, or must it be typed each time by hand?
- How many hours after call completion are reports due? (Overdue reports prevent clockout unless waived by a supervisor. Yes, AngelTrack has a built-in smart timeclock.)
- Do wheelchair transports require a signature from the receiving facility?
- If AngelTrack knows that a prior authorization document is needed, should the PCR prompt the crew to ask for one while onscene?
- What percent of PCR run reports are subject to QA? (0 to 100%).
- Can simple dispatches (like wheelchair van transports) skip over QA if their times and mileages are within the normal range?
- Must the attending specify ICD10 acute symptoms for emergent and ALS+ transports?
Custom Field Reporting
AngelTrack allows for custom PCR questions to be created to support your operational needs. Create specific questions and require your medics to complete them in the field so you can track what’s actually important to your operation.
Each field has a configurable minimum value, so as to provide visual indication of below- or above-normal data values.
Email a PDF of the Entire Report from Anywhere
With one click, crews can email out their PCR — including electronic signatures and attached documents — to the destination facility, or to the origin facility, or to the patient. Emails are handled by AngelTrack’s HIPAA-compliant email provider, MailGun.
Integrated Document Management
AngelTrack’s PCR is integrated with its paperless document management system, so that relevant documents automatically appear in the PCR and in the run reports.
For example, if a crew member scans a patient’s medication list during the morning transport to dialysis, that scan automatically appears in the return trip too. Likewise for PCS, PAN, and other prior authorization documents: once uploaded by the billing department, they automatically appear in the PCR and run reports of all relevant transports within the document’s date range.
DNR and DNR revocation documents, likewise, are intelligently managed. They appear, along with adequate warnings, in the PCR for all transports occurring during the document’s effective date. That means a DNR needs to be scanned just once, and then every call thereafter will automatically have a copy.
To attach another document, just photograph it using your mobile device’s camera. Or scan it the old-fashioned way at a computer.
AngelTrack has a videogame-style achievement system, with 26 different achievements, each with 12 different levels… a total of 284 different ribbons to win. The achievements reflect the challenges and chores of a career in EMS.
Of those, 23 are automatically tabulated and awarded, while 3 are manually awarded by supervisors. Each crew member’s current achievements are displayed on their home page, for all to see.
Medication Usage Reporting
Supervisors can pull reports at any time showing medication usage as recorded in the PCR. A bird’s-eye report shows all medication usage over any date range, sorted by medication and route. From there, click to pull usage information for each medication, over any date range, sorted by crew member.
Wasted medications are tracked and reported, with automatic witness signature requirements. And narcotics usage reports highlight suspicious usage patterns that may indicate diversion.
PCRs must be tolerant of missing information, for when patients are uncooperative or when the chaos of critical transport doesn’t allow time to collect much data. And yet we wish for crews to fill out their PCR forms as completely as possible.
AngelTrack solves this problem by offering completeness reports, which show how completely each crew member fills out their PCR forms on average. By looking at averages, we allow for the occasions when the data is just not available.
Completeness reports can show company-wide performance, or zoom in on just one individual. Detailed reports are available showing exactly which PCR sections are fully filled-in versus which are tending to have too many unanswered datafields.
Built-In ICD-10 Finder and Medication Finder
Keypunch of patient PMHx data is made easy with a built-in ICD-10 code finder, which knows the entire ICD-10 code database and can match codes by body part or by symptom.
Likewise the built-in medication finder, which knows the entire RxNorm database of medications (about 1 million entries) and can match medications by partial name or by ingredient.
Automatic State Uploads
AngelTrack handles all of your trauma registry upload tasks for you, automatically, including periodic updates of schematrons (aka validation rules). Schematron validation is performed live, so that crews can address all errors and warnings before submitting their reports to QA.
AngelTrack also handles all state fire database upload tasks for you, including automatic re-uploads, automatic inactivity reports, and automatic record-deletion reports, provided your state operates a standard SFTP server to receive the data.