because a better narrative changes everything s

EMS Healthcare Solutions

SBecause a better narrative changes everything.

•Increase Revenue•Decrease Denials•Improve QA/QI Process•Standardized Narrative Format

888.943.5604 | www.EMSHealthcareSolutions.com

NarrativePRO

2055 Walton Road, St. Louis, MO 63114 | www.narrativepro.com | 888-943-5604

The addition of NarrativePRO has greatly improved the effectiveness of our documentation. I would recommend it to anyone!

-Larry Chasteen, AdministratorNorth Scott County ambulance District/ Chaffee, MO

-Dolly Giles, Former DirectorPike County Memorial Hospital EMS/ Louisiana, MO

narratives and we have seen a marked reduction in billing rejections due to poor documentation.

Changing the way you think about narrative writing.

Real Results, Real People.

Whether the narrative is in CHART or SOAP format, you will have a consistent, legible, and easy to read narrative; each time, every time.

Standardized Narrative Formats

chronological order. This organized narrative greatly improves the QA/QI process, and critical data can be found easily to ensure that protocol is being followed.

Improve Patient Care

NarrativePRO’s features ensure that crew members input the right information decreasing potential risk for litigation. There’s no doubt about the quality and thoroughness of the report.

Reduce / Prevent EMS Litigation

The program incorporates several areas to justify the need for not only transport by ambulance, but the mobility status of the patient and the reason for hospital to hospital transfer. These areas are critical to billing success.

Improve Billing Return

NarrativePRO is changing the way narratives are written. It works as an “add-on” program to any ePCR or paper report on the market. NarrativePRO contains endless options for the most complete and thorough narrative possible. The best

them, or simply use your own words. NarrativePRO is very detailed in every way, yet basic and simple to understand. Imagine writing a full page or more in less than 10 minutes but with twice the detail and information!

Because a Better Narrative Changes Everything

Ready to Get Started? Get your FREE 30-Day Trial Today.

Increase Revenue Decrease Denials Improve QA/QI Process Standardized Narrative Format

Save Critical Time and Money.....NOW!

Real Results, Real People.“We allowed a new EMT, who has never written a run report use NarrativePRO. The report was near perfect, better than those who have been in the field for many years.”

“As the QI and Billing person, NarrativePRO has definitely made my job much easier. Better and more legible documentation and consistent across all of our staff. We can process claims quicker with fewer tickets to fix.”

Changing the way you think about narrative writing.

Save Critical Time and Money...NOW!NarrativePRO is changing the way narratives are written. It works as an “add-on” program to any ePCR or paper report on the market. NarrativePRO contains endless options for th emost complete and thorough narrative possible. The best feature is the flexibility of its options, none of which are mandatory. You may choose from all the options given, add to them, or simply use your own words. NarrativePRO is very detailed in every way, yet basic and simple to understand. Imagine writing a full page or more in less than 10 minutes but with twice the detail and information!

Improve Billing ReturnThe program incorporates several areas to justify the need for not only transport by ambulance, but the mobility status of the patient and hte reason for hospital to hospital transfer. These areas are critical to billing success.

Improve Patient CareThe final narrative is sectioned by headers, in chronological order. This organized narrative greatly improves the QA/QI process, and critical data can be found easily to ensure that protocol is being followed.

Reduce/Prevent EMS litigationNarrativePRO’s features ensure that crew members input the right information decreasing potential risk for litigation. There’s no doubt about the quality and thoroughness of the report.

Standardized Narrative FormatsWhether the narrative is in CHART or SOAP format, you will have a consistent, legible, and easy to read narrative; each time, every time.

Ready to get started, call 888.943.5604.

NarrativePRO is NOT an auto-generated Narrative

YOUR AMBULANCE COMPANY 1255 Main Street Anytown, Missouri 12345 11/30/2017 INSERT INSURANCE INFORMATION HERE [CHIEF COMPLAINT / RESPONSE] This crew responded to a call for a 51 year old male that was dispatched by central dispatch for respiratory distress. Unit responded emergency, with lights and sirens. The chief complaint for the patient is RESPIRATORY DISTRESS. The secondary problem appears to be generalized weakness. Upon arrival to the scene we found the patient sitting on bed at residence. The general impression of the patient was severe distress. Fire department personnel were on scene. FD assisted with placing patient onto ambulance cot. FD placed patient on oxygen via a nasal cannula. Patient was assisted up, pivoted, placed onto wheeled stretcher. Patient was secured to stretcher using stretcher straps and stretcher was secured into ambulance. Patient was positioned on stretcher in high-fowlers position. Per the ambulance crew, the patient required oxygen, but couldn't self-administer and requires airway monitoring. [HISTORY OF PRESENT ILLNESS / INJURY] History was obtained from patient. This problem began 1 hour ago. This is an occasional problem for the patient. The last time this occurred was 6 months ago. This problem has gotten worse since onset. Allergies: Penicillin. Changes: Nothing the patient has done helps. Medical History: congestive heart failure, COPD, and diabetes. Medication List: Albuterol, Insulin, and Lasix. Meds - Prior to our arrival, the patient had used nebulizer treatment. Normal: Patient normally on oxygen continuously. The patient states he went to retrieve his mail and when the patient returned he was extremely short of breath. Patient requests transport to Emergency Department for evaluation. [ASSESSMENT – PRIMARY] Joshua L. Ball, CCEMT-P has performed a complete head to toe ALS assessment on the patient. Patient was conscious and alert. HEAD/NEURO: Clear speech, Neuro assessment intact, No facial droop, No JVD, No loss of consciousness, No memory loss, and Trachea midline CHEST/RESPIRATORY: Breathing - Tachypneic, Cough - Productive, Dyspnea - COPD history, Equal chest rise and fall, Lung Sounds - Rhonchi bilaterally, all lobes. , and Sputum - Frothy white ABDOMEN: Bowel sounds present, Flat, No complaint of nausea, Non-tender, and Soft PELVIS/GU: No incontinence, and Pelvis stable EXTREMITIES: Capillary refill greater than 2 seconds, Equal grips, Good pulse, motor function, and sensation in all extremities, and No pain in extremities OTHER: Fever > 100 Degrees, and Skin - Hot and dry MOBILITY: Ambulance staff observed that the patient cannot get out of bed without assistance, ambulate or sit in wheelchair safely and therefore the patient is bed confined by the definition of Medicare. DIAGNOSTICS: Initial EKG rhythm was and remained sinus tachycardia with no ectopics, per paramedic. 12 Lead EKG shows no ST elevation or depression.V/S: Obtained at 12:00; LOC - Alert, Person, Place, Time, Event; Blood Pressure - 150/90, manual, high fowlers; Pulse - 110, regular, radial; Respirations - 24 breathes per minute, labored; Sa02 - 88% with oxygen at 1-6 lpm; Temperature - 101.2, fahrenheit, taken tympanic; GCS - 15; CO2 - 55; Pain - 0; Blood Sugar - 205 mg/dL; Notes - Initial contact with the patient. Obtained at 12:20; LOC - Alert, Person, Place, Time, Event; Blood Pressure - 130/88, NIBP, high fowlers; Pulse - 102, regular, radial; Respirations - 18 breathes per minute, labored; Sa02 - 98% with cpap therapy; GCS - 15; CO2 - 45; Pain - 0; Notes - Patient care released to the receiving RN. [RX / TREATMENT] [12:01] OXYGEN: Oxygen was initiated by Joshua L. Ball, CCEMT-P at 15 lpm via non-rebreather mask. The patient's condition no change. Authorized by protocol (standing order). [12:02] MEDICATION: Joshua L. Ball, CCEMT-P administered Albuterol 2.5 mg nebulized. The patient's condition no change. Medication authorized by protocol (standing order). [12:04] PROCEDURE: Joshua L. Ball, CCEMT-P initiated c-pap therapy. The patient's condition no change. Medication authorized by protocol (standing order). [12:05] IV: Joshua L. Ball, CCEMT-P initiated an IV 0.9% NaCl with an 18 g IV in the left ac at a rate of KVO with a total infusion of 100 cc's. The patient's condition no change. Authorized by protocol (standing order). No swelling at insertion site. No redness at insertion site. Insertion site cleaned using an aseptic technique [12:06] MEDICATION: Joshua L. Ball, CCEMT-P administered Solu-Medrol 125 mg IVP. The patient's condition no change. Medication authorized by protocol (standing order). [ASSESSMENT – SECONDARY] An ongoing assessment was performed by Attendant 1 every 5 minutes. Patient states they are breathing easier now. Patient states the oxygen is helping. HEAD/NEURO: No changes from prior assessment CHEST/RESPIRATORY: No changes from prior assessment ABDOMEN: No changes from prior assessment PELVIS/GU: No changes from prior assessment EXTREMITIES: Capillary refill now less than 2 seconds and Nail beds back to normal color OTHER: No changes from prior assessment [TRANSPORT] Patient was transported without incident and without delay. Patient was transported via ALS to emergency department. Patient moved from stretcher to emergency department cot via two person sheet lift. IV line still patent, no swelling or discoloration at insertion site. All of patient's belongings were turned over to the hospital staff and/or patient. Patient care and report given to emergency department nurse. The person taking over care had no questions. The person taking over care was given a patient report that included the patient's medical history, medications, allergies, and insurance information. DOCUMENTATION: Patient signed consent on computer form. Nurse signed for patient transfer of care on computer. Patient signed for HIPAA pamphlet on computer form. Report By: Joshua L. Ball, CCEMT-P Driver: Jamie Miller EMT-P Attendant One: Joshua L. Ball, CCEMT-P

Ready to get started, call 888.943.5604.


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Because a better narrative changes everything.


NarrativePRO by EHS now includes "DRAATT"

The clinical narrative is the centerpiece of your patient care report (PCR). A good narrative provides a complete and accurate account of the events of a call, and the actions taken during the call. A well-written clinical narrative should also convey details of an ambulance run in a clear, chronological manner and capture all relevant information about the patient’s condition, treatment, and transport.

Unlike the SOAP and CHART formats which were developed by physicians to assist with clinical narratives in the hospital setting, DRAATT is an EMS-specific, chronological clinical narrative format.

NarrativePROby

Now includesthe DRAATT format

Developed by

DRAATT is an EMS- specific, chronological narrative format

that is featured in

NAAC represents the industry’s “Gold Standard of Excellence” in compliance,

ethics and integrity in all facets of ambulance compliance.

DRAATT stands for:Dispatch | Response | Arrival | Assessment | Treatment | Transport.

Specifically designed to capture all aspects of an EMS call, from dispatch to transfer of care.


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Because a better narrative changes everything.


WE’VE GOT NEWS!An amazing combination. EHS

and iPCR have teamed up.

NarrativePRO by EHS and

iPCR are integrated, allowing

you to complete your ePCR

NEMSIS data and Narrative

with just one click of a button.

WE’VE GOT NEWS!

NarrativePROby

Complete your patient care report along with the narrative at the same time!

A COMBINATION YOU HAVE BEEN WAITING FOR

Documentation will never be the same again!Compliant narrative formats in CHART, SOAP or DRAATT!

because a better narrative changes everything s

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