Common Questions

Understanding the Billing Tab in Elite

Are you at a loss with the Billing tab in Elite when you’re working on a patient report? Here is a TechTip that might help.

Elite Billing Tab

 

 

 

Specifically, let’s talk about the CMS Service Level field.

CMS Service Level Elite Field

 

 

When you see this field, ask yourself: What is the level of service provided to the patient during transport? (Because of how we assemble resources, it is not always obvious if a patient was transported ALS or BLS.  We need to identify if the paramedic upgraded a call or if it was downgraded to BLS.)

  • If the patient received ALS service during transport, pick any option that contains ALS (ALS1, ALS1 Emergency or ALS Level 2 – it doesn’t matter which).
  • If the patient received BLS service during transport, pick any option that contains BLS (BLS or BLS Emergency – it doesn’t matter which).
  • Disregard other choices.

Note: The choices in this field are driven at the national level but not all of the choices apply to how we do business.  We have adapted what you enter to get the information we need locally, which is why you can choose any ALS, any BLS and disregard the rest.

Viewing a Patient’s Previous 12-Lead EKGs

ImageTrend (ELITE) recently added the functionality to view a patient’s previous 12-lead EKGs and other vitals.  Here are the steps you need to take:

  • Begin entering demographic information for you patient:
    • Use as much personally identifying information as possible (minimum of 2 pieces) to identify the correct patient including Name, Social Security Number, Date of Birth, Home Address.
    • Note that, if the system finds a matching record, a yellow bar with a blue Find a Repeat Patient link will appear at the top and the Find a Repeat Patient button will turn blue — Use this button whenever possible to keep multiple patient encounters grouped together.
      Repeat PT Button

 

 

 

  • Click the Find a Repeat Patient button.
  • Select the proper patient from the list of possible matches.
  • Click on the Timeline power tool at the right of the screen. (This allows you to view information from previous incidents, such as vitals, EKGs, previous dispatch reasons, and provider impression.)

 

 

 

 

 

 

 

 

 

 

 

  • Select the Medical Devices in the filter criteria to view a list of EKGs, and click the eye icon to view the EKG, itself.

 

 

 

 

 

 

 

 

 

Questions about how to use this function may be directed to Captain Tim Burns or FF Benjamin Brighton.

Recording Meds That Are Not in Elite

Scenario: Your patient has a bottle of medicine that you need to record but one that is not in Elite. There’s no Other option in the drop-down list. How should you record it?

Click in the Other Medical History input box and add the medicine(s) there.

Other Medical History Input Box

 

 

 

 

Follow this up with e-mailing the name of the medicine(s) to Tim Burns (Tim.Burns@montgomerycountymd.gov) and he will have the medicines added to the Current Medications drop-down list. Please double-check your spelling.

Reporting a Downgrade in Elite

Scenario: You are an ALS provider who needs to report a downgrade in Elite. The BLS provider has transported the patient in his/her ambulance and you intend to try to return to Station 8 without being dispatched. What do you need to report?

Ensure you are writing the report with the Unit/Call Sign as the ALS unit on the call.

Switch to the Call Info menu and Disposition tab to change the Primary Role of the Unit at the End of Incident  to Non-Transport-Other Reason and The Treatment & Transport Disposition field to Operational Support Provided – Patient Contact (if there was PT contact).Disposition Fields for a Downgrade in Elite

 

 

 

Leave the Patient Side Time blank. (Yes, it will be red, but it won’t trigger the additional validation rules this way.)

Remember, just as with the previous version of eMEDS, you still need to write a narrative to explain why you chose to downgrade the patient.

 

Fixing the “Initializing the Dashboard Resource Cache Manager” Error

Are you trying to log onto Elite but getting an error of Initializing the Dashboard Resource Cache Manager? Are you frustrated and ready to inflict damage on the unsuspecting hardware?

Please don’t hurt the computer. This is a simple fix in Google Chrome and a quick one, at that.

  • Press Ctrl-H on your keyboard. (This will bring up the browsing data/history.)
  • Find and click Clear Browsing Data link on the left side of the screen.

Clear Browsing Data Link

 

 

  • Make sure all of three items are checked (browsing history, cookies and cached images). They should be checked, by default.
  • Click the blue Clear Data button.
  • Ensure that you are in an area likely to get a good wireless connection.
  • Reboot the computer
  • Try logging in again.

Documenting Medication Taken Prior to Arrival

Scenario: Your cardiac patient took aspirin prior to your arrival and you need to document this.

Change to the Provider Actions menu and Medication tab and click the Add button.

Elite Medications Add Buttons

 

 

 

 

Fill in the necessary files. For the Crew Giving Medication field, use either Other Non-Healthcare Provider (for people unrelated to healthcare organizations) or Other Healthcare Provider (for doctors, nurses, hospital/urgent care personnel, etc).

Form_from_Other_Provider

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identifying a Patient with No Social Security Number

Scenario: You have recorded 999-99-9999 for a patient’s social security number and Elite is flagging you with a red field.

Elite MR Number Validation Rule

 

 

 

What does this mean?

MCFRS now would like you to capture the patient’s medical record (MR) number whenever you transport and you are unable to obtain a valid social security number. The MR number is located on the patient’s wrist ID that hospital staff put on the patient.

Where to enter the MR number?

The CAD menu’s first screen shows the following (now required with the 999-99-9999 SSN) field:

Elite MR Number Needed

 

 

 

 

Click the Add button.

Select Hospital Medical Record Number – Receiving and input the number found on the patient’s wristband.

Elite MR Number Added

 

 

 

 

 

 

Viewing Only Certain Priority Incidents on the P1 Incidents List

The P1 MDC Incidents list can be long. Suppose you want to see only the incidents of priority 4 and lower (as the list goes up to priority nine).

  • Click the Incident button on the right side of the screen.
  • Click the Filter button at the bottom of the screen.
  • Check the Priority box.
  • Set the Operator as Less than or Equal to and input a Value of 4.
  • Click the Add button and then the Filter button.

Note: The filtered list you created is a snapshot and will not update the main list.