Part 5 - Alameda County Public Health Department

Transcription

17.3.
The device provides the option of transmitting 12-Lead ECG reports to a personal computer
installed with appropriate software via a direct cable or wireless connection.
17.4. The device and communication system supports the following 12-lead features:
17.4.1. Alert at the receiving end that a 12-lead ECG has arrived
17.4.2. Transmission to multiple locations
17.4.3. Auto forwarding of 12-lead ECG report
17.4.4. Sharing of electronic 12-lead report via email
17.4.5. Acknowledgement of successful transmission at the device
18. Power
18.1. Battery Options; the device operates using Lithium-ion, rechargeable batteries.
18.2. The device operates with one or two batteries; it operates from only one battery at a time,
monitors the state of each battery and automatically switches to the second battery when a
low battery is detected for the first battery, without interruption of functional operation.
18.3. Operating Time; two (2) new fully charged Lithium-ion batteries provide the following prior to
shutdown at 20 C (68 F):
18.3.1.
Monitoring typical 360 minutes, minimum 340 minutes
18.3.2.
Pacing typical 340 minutes, minimum 320 minutes
18.3.3.
Defibrillation (360 J) typical 420 shocks minimum 400 shocks
18.4. Capacity after Low Battery warning
18.4.1.
Monitoring typical 21 minutes, minimum 12 minutes
18.4.2.
Pacing typical 20 minutes, minimum 10 minutes
18.4.3.
Defibrillation (360 J) typical 30 shocks minimum 6 shocks
18.5. The device displays battery icons at the top display area for each battery placed in the
device. The battery icons indicate the state of battery charge and which of the two batteries is
being used to supply power to the device. Low battery status is indicated with a low battery
icon, flashing battery icon and a low battery message warning message.
18.6. The batteries icons will not be active for any battery pack not provided from the original
manufacturer.
18.7. The Lithium-ion batteries have four horizontal bars, or battery charge indicators that indicate
when the individual battery has: greater than 70% charge (four bars), greater than 50%
charge (three bars), greater than 25% charge (two bars), and 25% or less charge (one bar).
18.8. When both batteries reach a low battery condition, the device emits an audible voice prompt
to replace the battery.
18.9. The device retains the operator parameter settings with an inadvertent power loss of less
than 30 seconds.
18.10. The device displays a service indicator when a fault is detected.
19. Maintenance
19.1. Each time the monitor/defibrillator is powered on, it performs internal self-tests to check that
internal electrical components and circuitry work properly.
19.2. The defibrillator stores the results of all user-initiated self-tests in a test log.
19.3. When the defibrillator is on and a problem is detected that requires immediate service, such
as a malfunctioning charging circuit, the Service LED is illuminated.
19.4. The defibrillator performs an automatic self-test daily at 03:00 (3:00 A.M.), if not in use.
During the automatic self-test, the defibrillator turns itself on (ON LED illuminates) briefly,
completes self-test, stores the self-test results in a test log and turns itself off.
19.5. The device is capable of a manual user test that includes charging and discharging the
defibrillator, and printing a report.
19.6. The device has provision to transfer the test log report to a PC by a cable or by wireless
means.
19.7. The device has provisions to upgrade for future AHA specifications.
19.8. The device offers a user replaceable screen protector.
19.9. The device offers a removable/Interchangeable shock-absorbing handle.
20. Physical Characteristics
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20.1. The device does exceed the following weight limits:
20.1.1.
Basic monitor/defibrillator with new roll of paper and two batteries installed 8.6 kg
(18.9 lb)
20.1.2.
Full featured monitor/defibrillator with new roll of paper and two batteries installed 9.1
kg (20.1 lb)
20.1.3.
Lithium-ion battery: 0.59 kg (1.3 lb)
20.1.4.
Accessory bags and shoulder strap: 1.77 kg (3.9 lbs)
20.1.5.
Standard paddles: 0.95 kg (2.1 lbs)
20.2. The device does exceed the following dimensions:
20.2.1.
Height: 31.7cm (12.5 in).
20.2.2.
Width: 40.1cm (15.8 in).
20.2.3.
Depth: 23.1cm (9.1 in).
21. Environmental conditions for operation as specified
21.1. The device operates from 0° to 45°C (32° to 113°F). It operates from -20° to 0° C (-4° to 32°
F) or 45° to 60°C (113° to 160°F) for 1 hour after storage at room temperature.
21.2. The non-operating temperature range of the device is -30° to +70°C (-22° to 158°F) except
therapy electrodes and batteries.
21.3. The device operates in relative humidity from 5 to 95%, non-condensing.
21.4. The device operates from ambient to 429mmHg (-1,253 to 15,000 ft) with NIBP: -152 to 3,048
m (-500 to 10,000 ft).
21.5. The device meets vibration per MIL-STD-810E Method 514.4, Propeller Aircraft - category 4
(figure 514.4-7 spectrum a) Helicopter - category 6 (3.75 Grms), Ground Mobile - category 8
(3.14 Grms) EN 1789: Sinusoidal Sweep, 1 octave/min, 10-150 Hz, ±0.15 mm/2 g.
21.6. The device operates after 5 drops on each side from 18 inches onto a steel surface EN 1789:
plus a 30-inch drop onto each of 6 surfaces.
21.7. The device operates after a functional shock per IEC 60068-2-27 and MIL-STD-810E shock
requirements 3 shocks per face at 40 g, 6 ms half-sine pulses.
21.8. The device operates after 1000 bumps at 15 g with pulse duration of 6 msec.
21.9. The device can withstand an impact per IEC 60601-1 0.5 + 0.05 joule impact UL 60601-1
6.78 Nm impact with 2-inch diameter steel ball: Meets IEC62262 protection level IK 04.
21.10. The device is dust- and splash-proof (IP44) per IEC 529.
21.11. The device meets EMC emissions standards: EN 60601-1-2:2001 Medical Equipment General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility Requirements and Tests, EN 60601-2-4:2003: (Clause 36) Particular Requirements for the
Safety of Cardiac Defibrillators and Cardiac Defibrillator-Monitors.
21.12. The device withstands 60 hour exposure to the chemicals: Betadine (10% Povidone-Iodine
solution), Coffee, Cola, Dextrose (5% Glucose solution), Electrode Gel/Paste (98% water, 2%
Carbopol 940), HCL (0.5% solution, pH=1), Isopropyl Alcohol and NaCl (0.9% solution).
Cosmetic discoloration of the paddle well shorting bar shall be allowed following exposure to
HCL (0.5% solution).
22. Configuration Settings
22.1. To prevent unauthorized access to the setup and service menus, the device requires
separate 4 digit numeric security passcodes to be entered.
22.2. General: allows selection of the following:
22.2.1.
Language choice.
22.2.2.
Code Summary format of short, medium, long.
22.2.3.
Trend Summary format of short medium, long.
22.2.4.
Site number up to 14 characters.
22.2.5.
Device ID up to 14 characters.
22.2.6.
Auto Log: automatic recording and storage of vital signs every 5 minutes ON or OFF.
22.2.7.
Line filter setting of 50 or 60 Hz.
22.2.8.
Screen message timeout value of 5, 10 or 30 seconds.
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22.3. Manual Mode: allows selection of the following;
22.3.1.
Resume sync after shock ON or OFF.
22.3.2.
Pads default energy setting of 2, 5, 10, 50, 100, 125, 150, 175, 200, 225, 250, 275,
300, 325, 360, or Energy Protocol (Power-on energy setting (joules) for standard
paddles and therapy electrodes).
22.3.3.
Energy protocol allows presetting energy for sequence of 3 shocks: each shock may
be preset to a value of 150 J to 360 J with the requirement that energy value for
shock 2 cannot be less than shock 1 energy level, and the energy value for shock 3
cannot be less than shock 2 energy value.
22.3.4.
Voice prompts ON or OFF in manual mode.
22.3.5.
Shock tone ON or OFF when full charge is reached.
22.3.6.
Manual Access selection of AED / Confirm Once, AED / Confirm Always, AED /
Passcode Once, AED / Passcode Always, AED / Restricted.
22.3.7.
Set passcode to enter manual access when AED / Passcode Once or AED /
Passcode Always are selected for Manual Access.
22.4. AED Mode: allows selection of the following:
22.4.1.
Energy protocol allows presetting energy for sequence of 3 shocks: each shock may
be preset to a value of 150 J to 360 J with the requirement the energy value for
shock 2 cannot be less than shock 1 energy level, and the energy value for shock 3
cannot be less than shock 2 energy value.
22.4.2.
Stacked Shocks Enable consecutive shocks without CPR.
22.4.3.
Automatically analyzes after each shock ON or OFF.
22.4.4.
Motion detection ON or OFF.
22.4.5.
Allow a pulse check prompt choices of Never (Never prompt for Pulse Check), After
Second NSA (After every “No Shock Advised” (NSA) except for first analysis NSA
result), After Every NSA (Only after “No Shock Advised”), or Always (After every
three-shock stack and every NSA).
22.5. CPR Setup
22.5.1.
CPR Time 1 can set CPR interval after each shock to 15, 30, 45, 60, 90, 120, 180
seconds, 30 minutes.
22.5.2.
CPR Time 2 can set CPR interval after No Shock Advised decision to 15, 30, 45, 60,
90, 120, 180 seconds, 30 minutes.
22.5.3.
Initial CPR provides the choice to enable an initial CPR time period immediately after
the device is turned on, to Analyze first, or to disable an initial CPR time period.
22.5.4.
Initial CPR Time can be set to 15, 30, 45, 60, 90, 120 or 180 seconds.
22.5.5.
Pre-Shock CPR provides the ability to have a CPR interval after shock advised
decision of 15 or 30 seconds or to be disabled. Note Pre-Shock CPR applies to the
second and all subsequent shocks.
22.6. Metronome
22.6.1.
Enable provides the metronome during CPR and may be Off or On.
22.6.2.
The C:V ratio for an Adult with No Airway can be set to 30:2, 16:1, 15:2, 12:1, 10:1 or
100:0.
22.6.3.
The C:V ratio for an Adult with an Airway can be set to: 30:2, 16:1, 15:2, 12:1, 10:1 or
100:0.
22.6.4.
The C:V ratio for a Youth with No Airway can be set to: 30:2, 16:1, 15:2, 12:1, 10:1
or 100:0.
22.6.5.
The C:V ratio for a Youth with- Airway can be set to: 30:2, 16:1, 15:2, 12:1, 10:1, or
100:0.
22.7. Pacing: allows selection of the following:
22.7.1.
Default pacing rate of 40 to 170ppm.
22.7.2.
Default output current of 0 to 200mA.
22.7.3.
Default mode of DEMAND or NON-DEMAND.
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22.7.4.
Default internal pacing detection ON or OFF.
22.8. Monitoring Setup allows selection of the following;
22.8.1.
Channels… Set up to 5 groups of multi-channel waveforms to display as follows:
22.8.1.1.Set 1 Select multi-channel waveforms for Set 1
22.8.2.
Channel 1 waveform selections include: Paddles, ECG Lead I, ECG LEAD II, ECG
Lead III, aVR, aVL, aVF, V1, V2, V3, V4, V5 orV6. Note 2 When a 3-lead cable is
used, Channel 1 displays only ECG leads I, II, or III, even if any other lead (except
Paddles lead) is selected in setup. Paddles selection in Channel 1 suppresses ECG
lead selections in Channels 2 and 3.
22.8.3.
Channel 2 waveform selections include: None, Cascading ECG, ECG Lead I, ECG
Lead II, ECG Lead III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6, CO2, P1, P2 or SpO2.
22.8.4.
Channel 3 waveform selections include: None, ECG Lead I, ECG Lead, II, ECG Lead
III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6, CO2, P1, P2, or SpO2.
22.8.5.
Continuous ECG storage of ECG waveform Off or On.
22.8.6.
SPO2 Tone SPO2 Pulse tone Off or On.
22.8.7.
CO2… Set up CO2 defaults as follows:
22.8.7.1.Set CO2 units of measure to mmHg, kPa or %
22.8.7.2.Set body temperature correction factor for EtCO2 value to Off or On
22.8.8.
NIBP… Set up NIBP defaults as follows:
22.8.8.1.Initial cuff pressure to 180, 160, 140, 120, 100, or 80 mmHg.
22.8.8.2.Measurement interval to Off, 60, 30, 15, 10, 5, 3 or 2 minutes.
22.9.
12-lead ECG acquisition. The device uses the University of Glasgow 12-Lead ECG Analysis
Program and provides the following setup choices:
22.9.1.
Transmit automatically on acquisition Off or On.
22.9.2.
Print automatically on acquisition Off or On.
22.9.3.
Print speed for 3-Channel 12-Lead report of 25 mm/sec or 50 mm/sec
22.9.4.
12-Lead interpretation Off or On.
22.9.5.
Print format for 12-Lead reports of 3-Channel Standard, 4-Channel Standard, 3Channel Cabrera or 4-Channel Cabrera.
22.10. Events: allows selection of the following:
22.10.1.
Selection of events 2 through 11 from a pre-configured list.
22.10.2.
Selection of events 12 through 22 from a pre-configured list.
22.10.3.
User customization of up to 18 events to be included in the list.
22.11. Alarms: allows selection of the following:
22.11.1.
Set volume for alarms, tones, and voice prompts.
22.11.2.
Enable or disable parameter alarms at power up.
22.11.3.
VF/VT alarm enabled or disabled.
22.12. Printer: allows selection of the following:
22.12.1.
Auto print event selection:
22.12.1.1.Print defibrillation events ON or OFF
22.12.1.2.Print pacing events ON or OFF
22.12.1.3.Print CHECK PATIENT events ON or OFF
22.12.1.4.Print SAS events ON or OFF
22.12.1.5.Print patient alarms ON or OFF
22.12.1.6.Print operator annotated events ON or OFF
22.12.1.7.Print initial rhythm ON or OFF
22.12.2.
Default ECG frequency response of:
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22.12.2.1.Monitor 0.5 - 40Hz
22.12.2.2Diagnostic 0.05 - 150Hz
22.12.3.
Print alarm Waveforms with an alarm events in CODE SUMMARY Off or On.
22.12.4.
Print event waveforms with user-entered events in CODE SUMMARY Off or On.
22.12.5.
Print waveforms with vital signs in CODE SUMMARY On or Off.
22.13. Transmission: allows selection of the following:
22.13.1. Setup 72 data transmission sites
22.13.1.1Site name up to 14 characters
22.13.1.2.Output port to Bluetooth®, Direct Connect or both
22.13.1.3.Clear list of site
22.13.1.4.Select default destination site to None. After sites are defined or select from the list.
22.13.1.5.Select default report for data transmission of Snapshot, All, Code Summary, Trend
Summary, Vital Signs, 12-Lead or Continuous ECG.
22.13.1.6.Wireless Enable wireless communication Off or On.
22.13.1.7Enable filtering of Bluetooth device searches to On or Off.
22.13.2.
Clock: allows selection of the following:
22.13.2.1.Set the current date and time.
22.13.2.2.Select real or elapsed time on the display.
22.13.2.3.Daylight Savings Time ON or OFF.
22.13.2.4.Select time zone form non or Universal Time code for 74 time zones
22.13.3.
Reset Defaults: allows selection of the following:
22.13.3.1.Cancel and return to Setup Screen.
22.13.3.2.Reset all values to the factory default settings.
22.13.4.
Print Defaults: Provides printout of the current device configuration setup.
22.13.5.
Send Configuration: Transfer the device setup configuration to another device.
22.13.6.
Set Passcode: allows selection of the following:
22.13.6.1.1Set passcode to enter Setup mode (the current passcode appears 0000). Rotate
and press SPEED DIAL to select digits.
22.13.6.1.2.Select passcode access for Archives mode to No Passcode, Archives Only,
Delete Only, Archives/Delete.
22.13.6.1.3.Set passcode to enter Archives mode 0000 (Rotate and press SPEED DIAL to
select digits).
22.13.7.
Delete Records... Set passcode to delete records in Archives mode 0000. (Rotate
and press SPEED DIAL to select digits.)
22.13.8.
The device allows the entire list of configuration settings to be transferred to other
identical devices via the Configuration Setup Tool Software application using a direct
connect cable, thereby eliminating the need to configure Setup Options on each
device separately.
23. Other
23.1. Device is designed to help the operator meet HIPAA (Health Insurance Portability and
Accountability Act of 1996) requirements.
GDR 3301779_A
February 2009
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Appendix 28 Lucas Brochure
LUCAS
™
CHEST COMPRESSION SYSTEM
507
In an emergency,
an extra set of
hands is always
welcome—particularly
when it comes to
performing CPR.
508
Your partner in life support
Effective chest compressions are essential for providing
good blood flow during CPR.
Compressions deliver vital oxygen to the brain and can prime the heart for a
successful shock. Maintaining sufficient coronary perfusion pressure during cardiac
arrest improves the likelihood of return of spontaneous circulation (ROSC).1
However, as any rescuer or caregiver knows, performing manual CPR according to
current AHA guidelines is difficult and tiring. Several studies show the effectiveness of
chest compressions can drop rapidly – often after only one minute – due to rescuer
fatigue2,3. In fact, many organizations have added extra staff to cardiac arrest calls to
switch out rescuers performing compressions.
The LUCAS Chest Compression System automates external chest compressions
from first response in the field to ambulance transport and throughout the hospital.
LUCAS facilitates consistent blood flow from the moment it is turned on, helping
caregivers deliver CPR with safety and confidence.
509
“It’s simple and easy
to use, and it’s small
and compact.”
Dr. Charles Lick,
Medical Director,
Allina Medical Transportation
Effective, consistent and uninterrupted compressions according to current guidelines
LUCAS is an easy-to-use system designed to deliver chest compressions in the same way and with the
same efficiency for adult patients. This reduces the impact of extenuating factors such as transport conditions,
rescuer fatigue and variability in caregiver experience. Interruptions to compressions can reduce the effectiveness of resuscitative efforts. LUCAS performs 100 compressions per minute with a depth of 2 inches. It also
allows for complete chest wall recoil after each compression and provides a 50% duty cycle—equal compression and relaxation time for the chest wall.
Good circulation during the patient transport process
For patients whose hearts are able to generate little or no cardiac output, the ability to deliver efficient chest
compressions is a great advantage. LUCAS makes it possible to provide good circulation to the patient during
transport to the hospital and throughout the hospital for further treatment.
Hands-free compressions
LUCAS is designed for optimal performance in different surroundings in and outside the hospital. LUCAS
consistently performs compressions while the responder is free to provide medication, defibrillation or
ventilation. The results of defibrillation can be improved when there is minimal delay between chest compressions and shock . With LUCAS, delays between chest compressions and defibrillation can be minimized.
4
Safety during transport for both personnel and patient
When LUCAS provides the compressions, the responder can be safely seat belted in during transport.
Ease of use and portability
LUCAS can be applied to the patient with interruptions in compressions of less than 20 seconds, whether the
patient is on the ground, on a bed or on a stretcher in the ambulance. One control knob makes operation as
easy as 1-2-3. LUCAS is lightweight and has an ergonomic and compact design. Its padded backpack makes
it easy to carry to the patient in a variety of emergency situations.
510
511
Speed and simplicity for first responders
At a cardiac arrest scene, the situation is often chaotic and stressful.
With LUCAS, rescuers can initiate hands-free compressions
immediately, stabilize the patient and quickly control the scene. LUCAS
eliminates the need for extra CPR personnel, reducing scene congestion
while ensuring the delivery of consistent, quality chest compressions.
• Automated compressions give rescuers the opportunity to
deliver other life support activities and prepare the patient for
ambulance transport.
• Simple set-up and operation with a single control knob allows you to
start compressions fast, and deliver them continuously and effectively.
• A sleek, padded backpack makes LUCAS comfortable to carry and
convenient to store. This smart design frees up your hands to carry
other emergency equipment.
512
Travel with care during ambulance transport
Transferring a cardiac arrest victim from the scene to the hospital
often involves interruptions in CPR delivery—and potential risk to the
patient. LUCAS moves with the patient from the emergency scene to
the ambulance. It provides continuous compressions to help prevent
a drop in coronary perfusion pressure, allowing the patient to maintain
good circulation during transport.
• Rescuers can be safely seat-belted in the ambulance while
compressions continue on the patient, helping to reduce travelrelated injuries.
• Hands-free compressions eliminate rescuer fatigue and stress
injuries associated with CPR delivery.
• Automated compressions free up ambulance personnel to focus on
other life support activities such as delivering medication, ventilation
or defibrillation.
In a recent survey, nearly 25% of ambulance officers suffered back injury, and as many
as 62% of these reported that the cause of the injury was related to CPR delivery.
Jones A, Lee R. Cardiopulmonary resuscitation and back injury in ambulance officers.
International Archives of Occupational and Environmental Health. 2005;78(4):332-336.
513
LUCAS
™
CHEST COMPRESSION SYSTEM
COMPRESSIONS
Compression Frequency: 100 compressions per minute
Compression Depth: 2 inches (5 cm)
Compression: Decompression Duty Cycle: 50%
Patients Eligible for Treatment:
• Sternum height of 7.5 –11.9 inches (19–30.3 cm)
Backpack
• Maximum sternum width of 17.7 inches (45 cm)
OPERATION
Operation: Fully pneumatic (compressed air)
Power Source:
• Breathing air from portable compressed air cylinder
• Air outlet in hospital/ambulance with nominal supply pressure within 46–87 psi (3.17– 6 bar)
Air Consumption: 1.84 ft 3 per minute (52 L/minute)
Operating Temperature: 41 to 104°F (5 to 40°C)
Storage Temperature: -22 to 140°F (-30 to 60°C)
PHYSICAL CHARACTERISTICS
Height (stowed in backpack): 25.6 inches (65 cm)
Width (stowed in backpack): 13.0 inches (33 cm)
Depth (stowed in backpack): 9.8 inches (25 cm)
Air hose length: 10.8 feet (3.3 meters)
Weight (unit only): 13.9 lbs (6.3 kg)
Weight (backpack and included accessories): 5 lbs (2.27 kg)
All specifications are at 25°C unless otherwise stated.
Technical data are subject to change without prior notice.
Air Hose
514
Operation Knob
Patient Strap
Release Ring
Height Adjustment
Handle
Suction Cup with
Presure Pad
Backboard
Stabilization Strap
515
Provide continuous care
in the emergency department
In the emergency department, LUCAS is a vital tool in the treatment of
cardiac arrest victims. LUCAS is designed to deliver consistent, quality
chest compressions—providing continuous care while healthcare
professionals administer shocks or medications, or move the patient
to another location.
• Coronary perfusion pressure can be maintained without
interruption—from the cardiac arrest scene to the emergency
department and beyond.
• Emergency department staff, free from the need to perform manual
compressions, can more efficiently assess the patient’s condition
and determine the best course of action.
• Automated compressions reduce crowding and chaos in the
emergency department, keeping staff calm and focused.
• LUCAS plugs directly into your hospital’s compressed air outlet for
easy access to an uninterrupted power source.
516
Keep up the pressure in the cath lab
Don’t compromise between continued intervention, effective chest
compressions or safety of your personnel. With LUCAS, you don’t have
to choose. The LUCAS Chest Compression System facilitates blood
circulation to supply oxygen to vital organs.
“The mood in the cath lab
• LUCAS helps sustain circulation while enabling simultaneous
percutaneous intervention (PCI) and catheterization.
contrary to what usually
• Medical staff can perform cath lab procedures without sacrificing
compressions, allowing for a less stressful environment that
facilitates quality decision-making.
• LUCAS is also translucent except for the hood and the piston.
This enables you to capture most fluoroscopy projections without
removing LUCAS. The following fluoroscopy projections can be
captured in monoplane while LUCAS is attached to the patient:
LAO Cranial/Caudal Oblique; RAO Cranial/Caudal Oblique; Straight
Caudal; Straight Lateral; and Straight Cranial.
was calm at all times despite
the ongoing VF....This is quite
happens in such situations
when manual compressions
are used.”
Olivecrona, Lund, Sweden,
(tctmd.com 24 Oct 2006).
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A Tireless Lifesaver
When Leon Schmidt, 68, suffered a massive cardiac arrest, it
was LUCAS that kept him alive. “As soon as the paramedics
arrived, they had Leon on the LUCAS,” recalls Gayle
Schmidt, Leon’s wife.
Later, Gayle was told that patients who experience the same
type of cardiac arrest as her husband have only a three
percent survival rate. “If it wasn’t for the LUCAS,” she insists,
“Leon wouldn’t be with us today.”
Results like this are encouraging to Charles Lick, MD,
medical director for Allina Medical Transportation and
Emergency Department director for Buffalo Hospital.
“In 2005, the AHA determined that we need to focus on
performing better chest compressions to move the blood
around and keep the organs working. We know that CPR
is difficult to do well. People slow down. They don’t always
do it appropriately—even professional rescuers. A machine
doesn’t get tired; it is consistent, and consistency is key,”
he explained.
All Allina Medical Transportation ambulances are equipped
with the lifesaving devices. And now Buffalo Hospital has
added a LUCAS device to its Emergency Department.
“Someone who has suffered a sudden cardiac arrest in the
field has a good chance of suffering another one as we work
on them in the Emergency Department,” Lick said. “The
LUCAS is as valuable here as it is in the field.”
Lick predicts that in the coming months, LUCAS will help
more patients like Schmidt get on with their lives. “I’m
convinced we can do much better CPR with LUCAS than we
can with human intervention.”
518
A look at the past can change the future
CODE-STAT™ Data Review Software is a retrospective analysis
tool that allows you to evaluate an entire CPR event at a glance.
CODE-STAT software annotates chest compressions onto the
patient’s continuous ECG report and calculates CPR statistics to
help you assess your performance and meet current guidelines.
For instance, the AHA guidelines stress the importance of starting
CPR quickly. CODE-STAT software allows you to see when LUCAS
was powered on at the scene, how long it took to start compressions
(mechanical or manual), and the overall compression rate throughout
the episode of care. This enables you to measure, analyze and
review the performance of individual rescue teams or medical units,
target specific areas for improvement, and retrain personnel to meet
performance goals.
The ability to download, review, manage and analyze emergency
medical data from LUCAS facilitates quality analysis and business
decisions. Together, LUCAS and CODE-STAT software work effectively
to support your quality improvement initiatives.
Manual Chest Compression
LUCAS Chest Compression
Target
Chest Compression
Rate Achieved
!
519
Technical Service Support
A Team Player
The Physio-Control service team has been a part of our company’s
framework since 1972. Our service representatives have an average
tenure of over 12 years and log an average of 2,400 field hours
each year. With Physio-Control on your side, your equipment is
backed by stellar support, so you get maximum life and use from
your investment.
The LUCAS Chest Compression System is an out-of-the-box
device ready for immediate use. The Silver 2-year Extended
Service Plan provides two years of extended coverage after
the end of the manufacturer’s one-year warranty, for a total of
three years of support. This plan is included with the purchase
of the LUCAS Chest Compression System. An upgrade to the
Gold 2-year Extended Service Plan provides enhanced services
such as scheduled performance inspections, loaner equipment,
extended coverage for parts and labor, and replacement of
unserviceable equipment.
520
Physio-Control Products and Solutions
As your trusted partner in saving lives, we offer a full suite of solutions from field to hospital. Whether your need is emergency
response or quality control analysis, our technologies can help you make a difference in the lives of the people in your care.
Defibrillator/Monitors
Data Management and Connectivity Tools
LIFEPAK® 12 Defibrillator/Monitor
Over 90,000 LIFEPAK 12 defibrillator/monitors are in use today—
on rescue rigs and in hospitals worldwide. Feedback from this
global community keeps us innovating—adding features to help
you in your lifesaving work. The LIFEPAK 12 defibrillator/monitor
packs multi-parameter therapeutic and diagnostic functions into a
rugged, portable device. Use a tool that can tackle today’s patient
care needs and adapt to tomorrow’s challenges.
LIFENET® STEMI Management Solution
The LIFENET STEMI Management Solution from Physio-Control
lets you create an early warning system for STEMI patients and
share critical information about them. While care teams focus on
patients, the STEMI Management Solution securely delivers ECG
data when and where it’s needed, linking prehospital, emergency
room, and PCI treatment teams. The first web-based system of its
kind, our STEMI Management Solution allows patient care teams to
quickly decide where to send the STEMI patient for the appropriate
care—mobilizing the cardiac catheterization lab, freeing up the
emergency department, enabling the EMS team to move on quickly
to their next case, and reducing false-positive cath lab activations.
Physio-Control offers the LIFENET STEMI Management Solution in a
variety of options and term lengths, with implementation services to
help smooth your way to a regional approach to STEMI care.
LIFEPAK 20e Defibrillator/Monitor
Providing monitoring and therapeutic functions, the device
helps hospitals meet standards of the Joint Commission
on Accreditation of Healthcare Organizations (JCAHO) for
resuscitation services throughout the hospital. The device offers
both manual and automated (AED) modes and includes
ADAPTIV™ biphasic technology.
LIFEPAK 1000 Defibrillator/Monitor
The LIFEPAK 1000 defibrillator is a powerful and compact device
designed to treat cardiac arrest patients and provide continuous
cardiac monitoring capabilities. Bulit-in flexibility allows the 1000
to be programmed for use by first responders or professionals
and enables care providers to change protocols as standards of
care evolve. A large, intuitive screen displays graphics and ECG
readings that are clear and easy to read from a distance. The most
rugged defibrillator in the LIFEPAK fleet, you can carry the 1000
with confidence into the harshest environments.
LIFEPAK CR® Plus Automated External Defibrillator
Designed for minimally trained rescuers in commercial and public
settings, the CR Plus guides the rescuer step by step with calm,
clear voice prompts. Simple to use, it is built with the same advanced
defibrillation technology used by EMS and hospital personnel.
CODE-STAT™ with Advanced CPR Analytics
CODE-STAT Data Review Software with CPR analytics is a postevent review tool that annotates chest compressions onto the
patient’s continuous ECG report and calculates CPR statistics
such as compression rate and hands-on time. Benchmarking and
trending reports help you manage quality assurance and improve
responder performance via intuitive, easy to read reports. Data
collection is simple, giving you the ability to download from medical
informatics-enabled LIFEPAK defibrillators.
DT EXPRESS™ Data Transfer Software
This simple, Windows®-based software application manages data
from LIFEPAK defibrillator/monitors. The software makes it easy
to download critical event and waveform data to your PC, add
supplemental patient data, print a hardcopy report, and store
records on a disk. For storage and on-screen viewing of reports,
export files to CODE-STAT data review software.
521
For more than 50 years, Physio-Control, maker of the renowned
LIFEPAK defibrillators, has been developing technologies and designing
devices that are legendary among first response professionals, clinical
care providers and the community.
REFERENCES
1 Paradis N, Martin G, Rivers E, et al. Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary
resuscitation. JAMA 1990;263(8):1106-1112.
2 Ochoa FJ, Ramalle-Gómara E, Lisa V, Saralegui I. The effect of rescuer fatigue on the quality of chest compressions. Resuscitation.
1998;37:149-52.
3 Hightower D, Thomas S, Stone C, Dunn K, March J. Decay in quality of closed-chest compressions over time. Annals of Emergency Medicine.
1995;26:300-303.
4 Steen S, Liao Q, Pierre L, Paskevicius A, Sjoberg T. The critical importance of minimal delay between chest compressions and subsequent
defibrillation: a haemodynamic explanation. Resuscitation 2003;58:249-58.
LUCAS is designed and manufactured by JOLIFE AB in Sweden and distributed exclusively worldwide by Physio-Control, Inc.
For further information, please contact your local Physio-Control representative or visit our website at www.physio-control.com
For further information please contact your local Physio-Control representative or visit www.physio-control.com
HEADQUARTERS
SALES OFFICES
Physio-Control, Inc.
11811 Willows Road NE
P. O. Box 97006
Redmond, WA 98073-9706 USA
Tel. 425 867 4000
Toll Free. 800 442 1142
Fax. 425 867 4121
www.physio-control.com
Physio-Control UK
Medtronic Ltd
Suite One, Sherbourne House
Croxley Business Park
Watford, Herts
WD18 8WW
Tel. 44 1923 212 213
Fax. 44 1923 241 004
Canada
Medtronic of Canada
6733 Kitimat Road
Mississauga, ON
L5N 1W3
Tel. 888 879 0977
Fax. 416 430 6115
©2008 Physio-Control, Inc. All rights reserved. All names mentioned herein are trademarks or registered trademarks of their respective owners.
GDR 3300466.A
522
Appendix 29 Autovent 3000
523
524
Appendix
30 Approval Process for New Equipment
Approval Process for New Equipment Used by Paramedics Plus •
Once a suggestion for new or different equipment has been received, the Medical Director first reviews the suggestion to determine if the suggestion has sufficient merit to warrant further consideration. •
Copies of the “standard of care suggestion” form, with all pertinent information about the change, are posted for all affected agencies/personnel. •
Over the next thirty days, comments on the proposed change are accepted, after which time a committee made up of personnel particularly interested in clinical issues and appointed by the Medical Director, review the suggestion. All related documentation is provided to this committee at least 30 days prior to the committee meeting. •
Should the suggestion have merit, as determined by the Medical Director and the committee, a financial impact study is conducted by the EMS Agency. •
The Agency’s comments regarding economic aspects of the proposed change are then presented to Medical Director and committee. •
With the approval of both parties the change moves forward and is adopted as the official standard of care. 525
526
Appendix 31 Extrafleet Software
527
528
529
530
531
532
Appendix 32 Checklist
533
534
535
536
Appendix 33 Down Time Report Attachment
537
538
0
0
0
0
0
1
0
0
3
0
2
1
1
0
0
0
0
0
2
Duffy
Kelly
MMRS UNIT
T-01
T-02
T-03
T-04
T-05
T-06
T-07
T-08
T-10
T-105 2007
T-106 2008
T-11
T-12
T-13
0
0
0
0
0
101
0
0
0
0
0
93
101
197
0
150
0
0
542
AVG
Cost
0
1
0
0
0
0
0
0
0
0
1
0
0
1
0
1
0
0
0
# of
Jobs
0
0
63
0
42
0
0
0
0
34
0
0
0
0
0
0
0
0
288
Tires
0
0
63
0
42
0
0
0
0
34
0
0
0
0
0
0
0
0
288
AVG
Cost
2
2
4
0
0
2
2
0
0
0
1
1
2
3
0
0
0
0
0
# of
Jobs
C:\DOCUME~1\kinga\LOCALS~1\Temp\~crw{46A3F46F-11B0-415D-99B6-3807D65855E0}.rpt
202
0
0
0
93
101
394
0
450
0
0
542
0
0
0
0
0
0
Aaron
Brakes
0
# of
Jobs
A-17
Vehicle ID
1/5/2010
3:31:45PM
0
0
0
0
0
1,102
282
3,408
0
0
301
1,453
0
0
0
212
644
847
1,422
Engine
Repair
0
0
0
0
0
551
141
852
0
0
150
727
0
0
0
212
644
423
474
AVG
Cost
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
# of
Jobs
Trans
Repair
0
0
0
0
0
0
0
0
0
0
0
0
75
0
0
0
0
0
0
AVG
Cost
0
0
0
0
0
0
0
0
0
0
0
0
75
0
0
0
0
0
0
0
1
2
0
0
3
2
0
4
0
1
0
1
2
0
0
0
0
0
# of
Jobs
0
0
0
0
0
0
101
106
0
0
285
504
0
727
0
23
0
138
559
Electric
& A/C
Date Range: 8/23/2009 to 12/31/2009
Job Code Breakout Cost Per Mile
with AVG Detail - EMSA East
0
0
0
0
0
0
101
53
0
0
95
252
0
182
0
23
0
138
279
AVG
Cost
3
0
3
1
0
1
1
0
1
0
2
0
1
3
1
2
1
1
0
# of
Jobs
629
387
272
17
3
0
1,264
0
1,344
251
0
447
166
0
368
0
420
0
2,111
PM
3
0
421
0
448
251
0
447
166
0
368
0
210
0
2111
210
387
136
17
AVG
Cost
1
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
# of
Jobs
0
0
0
0
0
0
0
0
285
0
0
0
0
0
0
0
500
0
295
Other
0
0
0
0
0
0
0
0
285
0
0
0
0
0
0
0
500
0
295
AVG
Cost
Total
Cost
2,853
416
4,859
251
0
1,032
2,215
101
1,989
0
1,688
644
3,170
3,215
387
314
17
3
0
0
0
0
0.21
0.03
0.39
0.00
0.00
0.08
0.22
0.00
0.14
0.00
0.15
0.00
0.22
0.20
0.00
0.05
0.00
0.00
0.00
$ per
Mile
Page 1 of 4
13,711
13,158
12,608
0
0
13,104
9,873
0
14,715
0
11,151
0
14,107
16,159
0
5,756
Total
Mileage
Appendix 34 Cost per Mile Tulsa 2009
539
540
0
121
1
1
0
1
0
1
0
2
2
0
1
0
1
1
0
0
3
T-16 2007
T-17
T-18
T-19 2007
T-20 2007
T-21 2007
T-22
T-23 2007
T-24
T-25
T-25 2009
T-26 2009
T-27 2009
T-28
T-29
T-3 2009
T-30
121
0
0
121
121
0
121
0
593
310
0
121
0
483
0
233
418
121
780
AVG
Cost
1
0
0
1
1
1
0
0
0
2
0
0
0
1
0
2
2
0
0
# of
Jobs
0
0
34
0
0
34
1,400
34
0
0
0
430
0
0
0
45
0
2,019
1,363
Tires
0
0
34
0
0
34
1,400
34
0
0
0
215
0
0
0
45
0
1,010
681
AVG
Cost
3
0
4
1
0
0
0
0
2
0
1
0
0
2
2
0
0
5
2
# of
Jobs
362
0
0
121
121
0
1,186
620
0
121
0
483
0
233
418
121
1
T-15
780
Brakes
1
# of
Jobs
T-14
Vehicle ID
1/5/2010
3:31:45PM
1,477
0
3,005
561
0
0
0
0
926
0
60
0
0
590
14,375
0
0
1,518
1,217
Engine
Repair
492
0
751
561
0
0
0
0
463
0
60
0
0
295
7187
0
0
304
609
AVG
Cost
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
3
1
0
# of
Jobs
0
0
0
2,714
0
0
0
0
0
0
0
0
0
0
0
0
0
3,194
3,044
Trans
Repair
0
0
0
2714
0
0
0
0
0
0
0
0
0
0
0
0
0
1065
3044
AVG
Cost
2
0
0
3
1
2
3
0
2
4
0
2
0
3
3
2
3
2
0
# of
Jobs
0
315
0
0
777
31
316
306
0
319
842
0
125
0
384
348
70
509
279
Electric
& A/C
Date Range: 8/23/2009 to 12/31/2009
0
157
0
0
259
31
158
102
0
159
210
0
63
0
128
116
35
170
139
AVG
Cost
2
0
0
2
2
0
1
0
4
3
2
1
1
1
1
3
1
1
0
# of
Jobs
512
544
473
384
72
83
454
229
0
419
0
0
1,031
626
0
263
0
1,951
1,587
PM
0
210
0
0
515
313
0
263
0
488
529
256
544
473
384
72
28
454
229
AVG
Cost
2
0
1
2
0
0
0
0
0
1
0
2
1
1
0
0
0
0
0
# of
Jobs
0
0
0
0
0
321
0
45
97
0
0
0
0
0
52
0
189
93
116
Other
0
0
0
0
0
161
0
45
48
0
0
0
0
0
52
0
94
93
116
AVG
Cost
2,405
5,938
5,191
1,998
2,929
0
5,765
2,620
2,178
350
690
0
4,382
3,531
572
978
566
2,002
14,795
Total
Cost
0.21
0.00
0.42
0.21
0.17
0.03
0.04
0.00
0.47
0.29
0.05
0.08
0.05
0.36
0.28
0.05
0.39
0.38
0.13
$ per
Mile
Page 2 of 4
13,834
0
13,777
12,415
12,836
10,392
16,193
0
9,404
12,168
12,083
12,583
11,144
5,607
53,787
50,169
15,338
13,747
14,908
Total
Mileage
706
0
1
1
1
0
1
1
1
0
0
0
0
3
0
0
1
T-33
T-34
T-35
T-36
T-37 2009
T-38 2009
T-39
T-40 2004
T-5 2009
T-7 2009
T-9 2009
T-96
T-97
T-97 2008
T-98
97
0
0
0
0
0
121
229
278
0
46
242
208
0
0
0
T-32
Brakes
0
# of
Jobs
T-31
Vehicle ID
1/5/2010
3:31:18PM
0
0
97
0
0
235
0
0
0
0
121
229
278
0
46
242
208
AVG
Cost
0
0
0
0
0
1
0
0
0
1
1
1
1
0
0
0
0
# of
Jobs
45
0
0
0
0
0
0
0
0
0
45
0
0
0
23
1,270
1,265
Tires
45
0
0
0
0
0
0
0
0
0
45
0
0
0
23
1,270
1,265
AVG
Cost
0
0
0
0
0
0
0
2
1
0
0
1
0
2
0
0
2
# of
Jobs
541
0
0
0
0
0
0
0
993
180
0
0
910
0
288
0
0
186
Engine
Repair
0
0
0
0
0
0
0
496
180
0
0
910
0
144
0
0
93
AVG
Cost
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
# of
Jobs
Trans
Repair
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
AVG
Cost
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
2
0
1
1
0
2
2
1
3
3
2
1
0
0
# of
Jobs
0
0
0
431
45
298
0
126
90
0
302
268
38
233
408
149
45
Electric
& A/C
Date Range: 8/23/2009 to 12/31/2009
0
0
0
431
45
149
0
126
90
0
151
134
38
78
136
74
45
AVG
Cost
1
2
0
4
2
3
4
1
3
4
2
2
1
2
4
1
2
# of
Jobs
17
556
60
224
0
686
666
837
2,577
255
419
2,862
848
761
66
882
2,731
PM
60
112
0
171
333
279
644
255
140
716
424
380
66
441
683
17
278
AVG
Cost
0
0
0
0
0
0
0
0
1
0
0
2
1
1
2
0
0
# of
Jobs
0
0
0
0
0
0
0
0
0
0
23
0
0
382
385
208
335
Other
0
0
0
0
0
0
0
0
0
0
23
0
0
191
385
208
167
AVG
Cost
Total
Cost
157
655
45
1,689
666
1,008
2,667
1,248
1,044
3,381
2,433
3,550
949
1,768
3,319
17
743
0.01
0.18
0.00
0.27
0.16
0.07
0.26
0.00
0.11
0.21
0.00
0.27
0.01
0.20
0.24
0.00
0.18
$ per
Mile
Page 3 of 4
23,092
3,717
0
6,218
4,142
14,274
10,378
0
9,817
16,283
0
13,064
88,846
8,810
13,780
8,385
4,135
Total
Mileage
542
36
# of
Jobs
153
8,397
Brakes
233
AVG
Cost
20
# of
Jobs
153
8,432
Tires
422
AVG
Cost
49
# of
Jobs
55
Total Veh
Count
Report Totals:
Vehicle ID
1/5/2010
3:31:45PM
654
35,956
Engine
Repair
734
AVG
Cost
9,027
Trans
Repair
164
1505
AVG
Cost
Fleet Averages
6
# of
Jobs
68
# of
Jobs
173
9,494
Electric
& A/C
Date Range: 8/23/2009 to 12/31/2009
140
AVG
Cost
84
# of
Jobs
559
30,755
PM
366
AVG
Cost
20
# of
Jobs
60
3,321
Other
166
AVG
Cost
1,916
105,383
Total
Cost
0.16
$ per
Mile
Page 4 of 4
11,630
639,668
Total
Mileage
Appendix 35 Radio
APX7500 Mobile RC 1 2009A
2-In-1 Radio.
For One-Of-A-Kind Interoperability
Motorola APX™ 7500 Multi-Band Mobile Radios
543
Designed for today.
Engineered for the future.
APX Mobile: Technology driven by first-responder challenges
When every second counts, first responders must be able to communicate
with one another – no matter what agencies are involved in mission
critical operations. Despite years of heightened attention to security and
preparedness, many communities are looking for the right technology to
achieve interoperability and be capable of mounting a swift and effective
joint response.
With the APX 7500, organizations can purchase one radio for instant multi-band
communication – and streamline the expense of maintaining, installing, and
operating multiple mobile radios. The APX 7500 mobile radio operates in 700/800
MHz and VHF and will be available in other bands as they become available.
The APX 7500 exemplifies Motorola’s commitment to meet the voice and data
demands of today’s first responders in mission critical environments – to enable
anywhere, anyplace, anytime connectivity.
Motorola is the leader in providing mission critical solutions that enable
agencies to achieve interoperability goals, whether customers are upgrading
an existing system or designing a new system from the ground up.
Top Mission Critical Communication Challenges –
and how APX answers the call
Interoperability On Demand
Agencies from different jurisdictions often operate
on different frequency bands – requiring agencies
to install and maintain two radios in order to
communicate with one another.
The APX solution: The APX 7500 multi-band radio
can operate on both 700/800 MHz and VHF
frequencies* – to enable instant, interoperable
communications for improved coordination,
response, and first responder safety.
Ease of Installation
The area inside vehicles offers limited installation
space and radios can be difficult to access.
Future Ready Investment
Agencies want to protect current investments in
mission critical radios and ensure that new radio
purchases can be updated to utilize the latest
advances in technology.
The APX solution: The APX 7500 is backwards
and forwards compatible – it works on all existing
ASTRO® 25 systems and will also work as
customers migrate to advance technology
such as TDMA. The radios have an expansion
slot that makes adding future data applications,
such as Bluetooth® possible.
The APX solution: The APX mobiles are designed
to fit into the existing install space for ease of use,
installation and removal. The mid and high-power
mobiles, allow for reuse of mounting holes and
cables. The new high power trunion design provides
secure engagement and ease of installation
allowing the radio to be removed without removing
the cables.
2
544
*Additional bands will be available.
Advanced Technology Provides an Answer
FDMA (Frequency Division Multiple Access) is a proven technology that is widely
used today in radio systems and is part of Project 25 Phase 1. FDMA carries one
call per channel. TDMA (Time Division Multiple Access) will be part of P25 Phase
2 requirements and it provides double the voice capacity. Customers can add
more users to their system or more data services without the need for additional
frequencies or infrastructure.
The APX radios support both P25 Phase 1 and Phase 2 technologies seamlessly.
Using Motorola’s unique Dynamic Dual Mode (DDM) capability, the radios
dynamically switch between FDMA and TDMA without the user having to
change channels. This provides complete interoperability and flexibility to
communicate with existing and future networks.
APX is fully compatible with the Motorola ASTRO 25 Network
APX 7500 multi-band radios were designed to work with ASTRO 25, Project 25
standards-based communications networks. With integrated voice and data
capabilities, the ASTRO 25 network offers improved communications between
multiple agencies, as well as neighboring communities, from everyday operations
to disaster response.
“Providing cross-discipline interoperability and
increased functionality, APX is a cutting-edge
tool for communications.”
– Eugene Vardaman, Executive Director,
North Carolina Criminal Justice Information Network
3
545
Innovations that enhance safety
and elevate performance
Advanced new features in a familiar design
Two APX 7500 models:
APX 7500 Mid Power and APX 7500 High Power
EASE OF INSTALLATION
+ Mid Power Install
Fits into the existing XTL footprint allowing reuse of the mounting holes
and cables for ease of installation.
+ High Power Install
New trunion design provides secure engagement, ease of installation
and a new handle design that allows the radio to be removed without having
to remove the cables.
+ RF ID
12 character RF ID asset tracking provides a fast, accurate and convenient
method of obtaining valuable asset tracking information without having
to uninstall the radio.
1 O3 Control Head
1
+ 4-line/14 character/2 icons character
alphanumeric display
+ 3 x 6 keypad with up to 24
programmable soft keys
+ Cellular style user interface and
color display
Seamless Scan
Seamless scanning of multiple protocols including
FDMA and TDMA systems and multiple RF bands.
2 O5 Control Head
2
4
546
ADVANCED HARDWARE
Multi-Band Operation
Multiple frequency bands supported while
maintaining APCO TIA transceiver specifications.
+ 4-line/14 character/1 icon
customizable, tri-color LCD display
+ 3 x 6 keypad microphone accessory
with 3 programmable soft keys
+ 5 programmable soft key buttons
and, 5 scroll-through menus with up
to 24 programmable soft keys
+ Multiple control head configuration
to fully control a single radio with up
to 4 different wired locations
+ Motorcycle configuration available
Integrated GPS
Integrated GPS receiver can transmit the outdoor location of a vehicle to a map-based location application.
Advanced Encryption
The mobile comes standard with FIPS certified
encryption for secure communications with greater
security in a tamperproof solution.
ADVANCED SOFTWARE FEATURES
Intelligent Lighting
Intelligent lighting uses color to notify the user of
the radio mode, potential emergencies, or specific
events. Color alerts provide information at a glance.
FUTURE READY
Expansion Slot
Expansion slot for future option cards, such as
Bluetooth® and other future data applications.
Future-application ready.
Radio Profiles
Radios can be configured with multiple user-selected
or automated operating behaviors such as audio
level, lighting and tones. Whether on surveillance or
working in bright sunlight, the user can customize
settings as needed.
Memory
Expandable memory slot for storage of future data
applications information. As technology needs grow,
increased memory is available.
Text Messaging
Text messaging offers a freeform or canned messaging solution. Efficiently send and receive messages
to and from subscribers or dispatch operators.
Programming over Project 25 (POP25)
Motorola’s POP25 solution allows subscriber radios
to be programmed over the air via the ASTRO 25
systems while remaining in the field.
Unified Call List
Consolidates all call lists underneath one unified list.
Users can easily access all information associated to
a particular contact.
5
547
Today’s Mission Critical Challenges
Demand a New Generation of Radios.
Why APX 7500?
Motorola’s APX mobile radios deliver exceptional performance by combining
advanced voice and data technology with legendary Motorola quality.
The innovative rugged design and safety-focused functionality is based on
extensive user input and innovative engineering – continuing in the Motorola
tradition of translating engineering breakthroughs into real world advantages
to deliver the best two-way radios in the field.
INTEROPERABILITY ON DEMAND
APX 7500 operates in multiple bands and meets
P25 public safety specifications for seamless multiagency collaboration.
2-In-1 Radio
APX 7500 operates in 700/800 MHz & VHF and
acts as two radios in one. Motorola has reduced
the amount of equipment service shops must
install and maintain.
MISSION CRITICAL DESIGN
The APX mobile radio was designed to maintain
the same mounting foot prints as the XTL. The high
power trunion was completely redesigned for ease of
installation, providing installation guides and rails, better
engagement into the tray and enhanced handle grip.
Advanced Emergency Functionality
Motorola offers several Advanced Emergency features to assist in keeping mission critical users safe.
When an emergency call is initiated; other users in
a talk group will hear an alert and see the ID in their
display. The Emergency Keep Alive feature ensures
your emergency call is not dropped even if the radio
power switches OFF. The Emergency with Voice to
Follow feature allows communication without pressing the PTT button if needed.
FUTURE READY INVESTMENT
APX is backwards and forwards compatible with
Motorola SmartNet®, SmartZone® and ASTRO 25
6
548
systems and offers future expandability for
developing technologies.
Standards
APX 7500 supports P25 Phase 1 and is upgradeable
to support P25 Phase 2 to offer better spectrum
utilization and double voice capacity using existing
frequencies.
Data Capability
The APX 7500 is Integrated Voice & Data ready.
With the ability to send and receive data through
your trunking or conventional system infrastructure,
APX is ideal for text messaging and can be used as
a modem. Programming over Project 25 (POP25)
allows the radio configuration to be accessed and updated over the air. APX also comes equipped with an
integrated GPS Receiver for outdoor location tracking.
FLASHport™ Software
The APX 7500 has built-in FLASHport capability to
support customizing the radio with new software.
Customer Programming Software
The APX radios utilize new and enhanced CPS
software that is user friendly and provides increased
speed and efficiency. The Built-in Codeplug Comparator allows easy diagnostics of codeplug differences. The Customizable Views feature allows users
to see only the codeplug fields they are interested in.
An Undo/Redo function makes changes easy. With
Improved Help access the CPS automatically stays in
synch with the user’s selections.
Add-On. Optimize. Enhance.
Extensive line of Motorola Original®
accessories for APX mobile radios
To complement the APX 7500 mobile two-way radio,
Motorola Original® accessories are specifically designed for
mission critical communications. Agencies can re-use many
accessories from the Motorola XTL radio’s that utilize the
O5 and O3 control heads – maximizing investments while
maintaining the latest technology.
Plus, Motorola offers the new IMPRES™ Smart Audio
System which provides enhanced communication between
the radio and the accessory optimizing the audio performance
and assuring the highest quality communication.
AUDIO ACCESSORIES
Keypad Microphone
Access critical features directly from
the microphone. A full keypad allows
users to dial phone numbers and
send text messages, while the
navigational buttons allow users to
navigate through radio menus. Also
includes 3 programmable buttons
for additional customization.
IMPRES Visor Microphone
Utilizes state-of-the-art IMPRES technology. Automatic gain control provides
improved audio and consistent output.
Small microphone mounts to vehicle’s
visor for convenient hands-free radio
operation and safety while in a vehicle.
Desktop Microphone and Tray
These convenient accessories allow
mission critical users to convert APX
mobiles into simple base stations
offering an ideal solution for dispatch
and transportation users. Desktop tray
and microphone sold separately.
Keypad Microphone
IMPRES Visor Microphone
ANTENNA
GPS Antenna
A separate GPS antenna is required
in addition to the mobile RF antenna
for GPS capability. This fixed-mount
antenna is a discreet standalone
antenna that has a semi-permanent
mount easily assembled with minimal
tools to vehicle roof or trunk.
Desktop Microphone and Tray
GPS Antenna
7
549
Mission Critical Portfolio
Technology That’s Second Nature™
The APX™ Mobile Two-Way Radios are part of the MOTOA4 Mission Critical Portfolio of products that
offer seamless connectivity between first responders. Motorola puts real-time information in the hands of
public safety personnel to provide better information that enables better decisions for better outcomes.
It’s Technology That’s Second Nature.
APX P25 Multi-Band Radios
Additional information and resources such as product information, brochures, and white papers are available
on the APX product website found at motorola.com/apx.
motorola.com/apx
Motorola, Inc.
1301 East Algonquin Road
Schaumburg, IL 60196 U.S.A.
800-367-2346
www.motorola.com/apx
MOTOROLA and the Stylized M Logo are registered in the U.S. Patent and Trademark Office. All other product or service names are
the property of their respective owners. All features, functionality and other product specifications are based upon the latest available
information and are believed to be accurate; however such product specifications are subject to change without notice or obligation.
© Motorola, Inc. 2008
RC-1-2009A
550
APX7000 Portable Brochure
2-In-1 Radio.
For One-Of-A-Kind Interoperability
Motorola APX™ 7000 Multi-Band Portable Radios
551
Motorola’s most advanced portable
radio delivers exceptional performance
APX P25 Multi-Band radios transform input from users into real world
advantages for mission critical communications.
Motorola’s APX 7000 P25 Multi-Band portable
radios deliver exceptional performance by
combining advanced voice and data technology
driven by the challenges of mission critical users.
APX portable radios provide interoperability on
demand, as well as enhanced voice and data
capabilities, in a revolutionary form factor optimized
for use in high stress situations.
Designed with input from first responders, this
rugged device is easy to use allowing personnel
to focus on their mission, not the technology. In
addition, the APX 7000 equips first responders with
the loudest, clearest audio of any Motorola portable
on the market – 50% louder than similar radios in
its class*. APX 7000 radios meet current P25 public
safety standards and are future-ready to support
new technology and data applications.
The APX 7000 exemplifies Motorola’s commitment
to meet the voice and data demands of today’s first
responders in mission critical environments – to
enable anywhere, anyplace, anytime connectivity.
Motorola is the leader in providing mission critical
solutions that enable agencies to achieve interoperability goals, whether customers are upgrading an
existing system or designing a new system from
the ground up.
* Based on results of controlled engineering tests.
Top Mission Critical Communication Challenges –
and how APX answers the call
Interoperability On Demand
Mission Critical Form Factor
In mission critical situations agencies from different
jurisdictions often operate on different frequency
bands – requiring personnel to carry two radios in
order to communicate with one another.
Users want an ergonomic and rugged device that
delivers superior audio performance with real-time
information in a smaller package.
The APX solution: The APX 7000 multi-band radio
can operate in any of 2 bands (VHF/UHF R1, or
700/800 MHz frequencies)*– to enable instant,
interoperable communications for improved
coordination, response, and first responder safety.
The APX solution: The APX 7000 offers voice and
data capabilities with a large color display, top display,
keypad, and loud and clear audio in a compact
rugged design. Its unique T-Grip form factor provides
secure and easy handling.
* Additional bands available in the future.
2
552
APX is fully compatible with the Motorola
ASTRO® 25 Network
APX 7000 radios are designed to work with Motorola’s ASTRO 25, Project 25
standards-based communications network. With integrated voice and data
capabilities, the ASTRO 25 network offers improved communications between
multiple agencies, as well as neighboring communities, from everyday
operations to disaster response.
Advanced Technology Provides an Answer
FDMA (Frequency Division Multiple Access) is a proven technology that is
widely used today in radio systems and is part of Project 25 Phase 1. FDMA
carries one call per channel. TDMA (Time Division Multiple Access) will be
part of P25 Phase 2 requirements and provide double the voice capacity.
Customers can add more users to their system without the need for additional
frequencies or infrastructure.
The APX radios support both P25 Phase 1 and
Phase 2 technologies seamlessly. Using Motorola’s
unique Dynamic Dual Mode (DDM) capability, the
radios dynamically switch between FDMA and
TDMA without the user having to change channels.
This provides interoperability on demand with
existing and future networks.
Future Ready Investment
Agencies want to protect current investments
in mission critical radios and ensure that new
radio purchases can be updated to utilize the latest
advances in technology.
The APX solution: The APX 7000 is backwards and
forwards compatible – it works on all Motorola
ASTRO 25 systems and will also work as customers
migrate to advanced technology. The radios have
an expansion slot that makes adding future data
applications, such as Bluetooth®, possible without
additional hardware updates.
“Providing cross-discipline interoperability and
increased functionality, APX is a cutting-edge
tool for communications.”
– Eugene Vardaman, Executive Director,
North Carolina Criminal Justice Information Network
3
553
Innovation at every turn
Mission Critical two-sided design.
Highly functional and easy to operate.
Two APX 7000 models
+ Top Display model offers an
8-character visible top display.
+ Dual Display model features a large
color display, top display and keypad.
1
6
ERGONOMIC FORM FACTOR
Universal Push-to-Talk
Enlarged Push-to-Talk button with enhanced
grooves is easy to access and simple to operate.
Provides optimal tactility for right or left hand use.
4
2 T-Grip
The T-Grip design provides an enhanced slip-free
grip and a wider control top area for increased knob
spacing and differentiation in a seamless eyes-off,
hands-on operation.
7
2
5
1
3 Dual-Battery Latch
The dual-battery latch system is designed for increased stability and is easy to secure with its
Commercial ‘Power Tool’ style loading.
4 Accessory Connector
New portable accessory connector utilizes the
IMPRES™ audio technology. It is extremely durable and
offers increased intelligence for enhanced accessories.
8
USER INTERFACE
5 Two-Sided Design
Enhanced ergonomic design features a large color
display, loud audio speaker and an enlarged keypad.
Ideal for both voice and data communications.
6 Top Display
An 8-character visible display, presenting 32-character
zone/channel data, provides information at a
quick glance.
7 Large Color Display
High contrast color display with impact and scratch
resistance is enhanced for legibility in all lighting conditions and durable in mission critical environments.
8 Enlarged Keypad
Keypad with increased spacing enables easy navigation, improved numeric input and better visibility.
4
554
3
SUPERIOR AUDIO
9 Dual Speakers
Dual sided speakers for optimized communication
in both voice and data environments. The custom
loud speakers reproduce speech dynamics for
superior intelligibility in most environments*.
10 Dual Microphones
Dual-microphones with directional-sensing technology locates the talker and engages sophisticated
algorithms in noisy or windy environments for
clear communications.
* Recent studies have shown communication systems can be affected by
certain high noise sources such as alarm systems in self-contained breathing
apparatus or chainsaws in fireground environments.
ADVANCED SOFTWARE FEATURES
Intelligent Lighting
Intelligent lighting uses color to notify the user of
the radio mode, potential emergencies, or specific
events. Color alerts provide information at a glance.
Radio Profiles
Radios can be configured to adjust audio level, lighting
and tones through user selected or automated
options. Whether on surveillance or working in bright
sunlight, the user can customize settings as needed.
Text Messaging
Text messaging offers a freeform or canned
messaging solution to efficiently and discreetly
send and receive messages to and from subscribers
or dispatch operators.
10
9
Unified Call List
Consolidates all call lists underneath one unified list.
Users can easily access all information associated
to a particular contact.
Voice Announcement
Voice Announcement allows the user to navigate
through channels/talk-groups and zones in the radio
while an audible, pre-recorded voice file provides a
description of the selected channel or zone.
ADVANCED HARDWARE FEATURES
Multi-Band Operation
Multiple frequency bands supported while
maintaining APCO and TIA transceiver specifications.
Seamless Scan
Seamless scanning of multiple protocols including
FDMA and TDMA systems and multiple RF bands.
Integrated GPS
Integrated GPS receiver can transmit the outdoor
location of an individual or vehicle to map based
location software.
Encryption
Standard equipped with FIPS certified encryption
hardware. Provides secure communications with
greater security in a tamperproof solution.
Ruggedized Colored Housings
Customize your APX 7000 radio with a colored
housing. Choose from 3 colors, traditional black,
public safety yellow or impact green to help
differentiate your teams.
FUTURE READY
Expansion Slot
Expansion slot for future option cards, such as
Bluetooth® and other future data applications. Easily
update radios to achieve the latest functionality.
Memory
Equipped with 64 MB of industrial grade internal
memory and a removable memory MicroSD card
slot. The removable memory card allows future
expandability for growing technology needs.
Programming Over Project 25
Motorola’s POP25 solution allows subscriber radios
to be programmed over the air via the ASTRO 25
systems while remaining in the field.
5
555
Today’s Mission Critical Challenges
Demand a New Generation of Radios.
Why APX 7000?
Motorola’s APX portable radios deliver exceptional performance by combining
advanced voice and data technology with legendary Motorola quality.
INTEROPERABILITY ON DEMAND
APX 7000 operates in multiple bands and meets
P25 public safety specifications for seamless
multi-agency collaboration.
2-In-1 Radio
APX 7000 operates in any of 2 bands (VHF/UHF R1
or 700/800 MHz) and acts as two radios in one.
Public safety officials can now reduce the amount of
equipment responders must carry and maintain.
MISSION CRITICAL FORM FACTOR
The new two-sided ergonomic design was developed
based on extensive user input. Available in optional
colored housings, APX is rugged and easy to use in
extreme environments.
Superior Audio Quality
The APX 7000 is the loudest Motorola portable
available on the market. Dual speakers enable
extremely loud, bi-directional audio when needed. It is
equipped with Motorola’s Noise Reduction Software
(NRS) and dual microphones that virtually eliminate
ambient background noise from radio transmissions,
and improves user safety by making sure transmissions are not only heard, but are clearly intelligible.
Advanced Emergency Functionality
Motorola offers several Advanced Emergency
features to assist in keeping mission critical users
safe. When an emergency call is initiated; other users
in a talk group will hear an alert and see the ID in their
display. The Emergency Keep Alive feature ensures
your emergency call is not dropped even if the radio
power switches OFF. The Emergency with Voice
to Follow feature allows communication without
pressing the PTT button if needed.
6
556
FUTURE READY INVESTMENT
APX is backwards and forwards compatible with
Motorola SmartNet®, SmartZone® and ASTRO 25
systems and offers future expandability for
developing technologies.
Standards
APX 7000 supports P25 Phase 1 and is upgradeable to
support P25 Phase 2 to offer better spectrum utilization
and double voice capacity using existing frequencies.
Data Capability
The APX 7000 is Integrated Voice & Data ready. With
the ability to send and receive data through your
trunking or conventional system infrastructure, APX
is ideal for text messaging, and can be used as an
RF modem. Programming over Project 25 (POP25)
allows the radio configuration to be accessed and
updated over the air. APX also comes equipped with an
integrated GPS Receiver for outdoor location tracking.
Advanced Encryption
APX7000 raises the bar on two-way radio security
offering FIPS 140-2 Level 3 certification. It includes the
simplicity of both Infrastructure and Tactical Over the Air
Rekeying (OTAR).
Customer Programming Software
The APX radios utilize new and enhanced CPS software that is user friendly and provides increased speed
and efficiency. The Built-in Codeplug Comparator
allows easy diagnostics of codeplug differences. The
Customizable Views feature allows users to see only
the codeplug fields they are interested in. An Undo/
Redo function makes changes easy. With Improved
Help access the CPS automatically stays in synch
with the user’s selections.
HMN4104 with RLN6424
Add-On. Optimize. Enhance.
Extensive line of Motorola Original®
accessories for APX portable radios
IMPRES 3-Wire Surveillance Kits
To complement the APX 7000 portables, Motorola Original
accessories are specifically designed for mission critical
communications.
Motorola has expanded their portfolio of high performance audio
accessories with the IMPRES™ enabled line of accessories.
These accessories optimize the key aspects of audio quality –
loudness, clarity and intelligibility.
AUDIO ACCESSORIES
IMPRES Display Remote Speaker
Microphone
This IMPRES enabled RSM includes
a display that mirrors the top display
of the radio to show zone and channel
information at a glance. Meets Ruggedized PLUS specifications for
submersibility and includes the first
rugged submersible audio jack from
Motorola.
IMPRES 3-Wire Surveillance Kits
Flexible and most discreet communication option for surveillance activity.
Includes one wire for receiving, one
wire for the microphone, and one wire
for push-to-talk functionality. Offers
Motorola’s state-of-the-art IMPRES
technology which provides enhanced
audio gain capability – a critical feature
when whispering is required to remain
discreet capability when officers need
to whisper to remain discreet.
BATTERIES
IMPRES Batteries
IMPRES energy technology maximizes
talk time and optimizes battery life. All
IMPRES batteries are designed and
manufactured to Motorola Proven
Tough standards. High-capacity, Ruggedized PLUS and Intrinsically Safe
options are all available.
CARRY DEVICES
Leather Carry Cases
Constructed of top-grain leather
designed to withstand the harsh conditions of mission critical use. Two models: fixed-belt loop or a quick release
swivel latch for a secure fit in high
activity environments.
IMPRES Batteries
Leather Carry Cases
Universal Carry Holder
Sturdy hard-plastic case with a belt clip
designed to support the APX 7000 Dual
Display portable. The large display
remains protected by facing in on the
belt. One size fits all available batteries.
Universal Carry Holder
CHARGERS
IMPRES Dual Unit Charger
The unique, dual-pocket design allows
simultaneous charging of primary and
secondary batteries. Providing the
convenience of a spare battery that
is charged and ready to be used at all
times. Utilizing IMPRES technology,
the dual unit charger provides advanced features, including the ability
to turn on/off reconditioning, reduced
reconditioning time and improved
energy efficiency.
IMPRES Dual Unit Charger
7
557
Mission Critical Portfolio
Technology That’s Second Nature™
The APX™ Portable Multi-Band Radios are part of the MOTOA4 Mission Critical Portfolio of products that
offer seamless connectivity between first responders. Motorola puts real-time information in the hands of
public safety personnel to provide better information that enables better decisions for better outcomes.
It’s Technology That’s Second Nature.
APX P25 Multi-Band Radios
Additional information and resources such as product information, brochures, and white papers are available
on the APX product website found at motorola.com/apx.
motorola.com/apx
Motorola, Inc.
1301 East Algonquin Road
Schaumburg, IL 60196 U.S.A.
800-367-2346
www.motorola.com/apx
MOTOROLA and the Stylized M Logo are registered in the U.S. Patent and Trademark Office. All other product or service names are
the property of their respective owners. All features, functionality and other product specifications are based upon the latest available
information and are believed to be accurate; however such product specifications are subject to change without notice or obligation.
© Motorola, Inc. 2009 (0910)
RC-4-2006C
558
Appendix 36 OnBoard Mobile Gateway Datasheet
P RODUCT D AT A S HE E T
onBoard™ Mobile Gateway
Secure LANs “In Motion”
The Next Generation Wireless Platform for Public Safety
TM
The onBoard
Mobile Gateway enables secure, Local Area Networking (LAN) purpose-built for “in-motion”
mission-critical applications. The onBoard Mobile Gateway turns vehicles into local area networks, providing truly
mobile workers with all the benefits of being connected to the “corporate” network while working in the field.
Through the convergence of next generation LAN and WAN technologies including Ethernet, 802.11/WiFi, 3G and 4G
networks including 802.20, authorized users are simply, securely, cost-effectively and transparently connected to
standard communications and collaboration applications via virtual private networks (VPNs). Secure end-to-end
networking is provided by support for standards-based, IPSec, PPTP-based VPNs and Mobile IP. No client software
or hardware installation is required. Authorized users simply turn on their WiFi-equipped laptops or PDAs and
connect to the onBoard Mobile Gateway using their proprietary VPN clients or standards-based 802.11i secure
wireless networking technology.
Intended for use in challenging multi-user, multi-device, multi-application, and/or multi-network environments, the
TM
onBoard Mobile Gateway serves as a communications gateway and integration hub for peripheral devices as well
(medical devices, printers, scanners, cameras, other specialized diagnostic equipment etc.). It also serves as a
complete remote applications platform with server, open APIs for the deployment of specialized software applications
(i.e. records management), and hardened storage for caching, hosting and automatic, bi-directional synchronization
of large data stores. This managed distributed network storage (content) presents data to authorized users at speeds
many orders of magnitude faster than any of today’s broadband wireless networks, and minimizes the user impacts
on the network during peak usage events.
By leveraging standards-based networking technology to provide a more effective approach to mobile broadband
TM
networking, the onBoard Mobile Gateway provides a secure, reliable and cost effective solution for workers In
Motion!
Vehicle Area Networks and “Best Available Wireless”
Private IP
Network
Electronic
Patient
Care
Records
CAD/AVL
3G Public
3G
Mobile
Public
Data
Mobile
Data
Driver
Safety
Equipmen
t
onBoard™
Mobile
Gateway
ECG
Inventory
Management
Other Wireless
Networks
4.9GHz, 700 MHz
Public/Private
IP Networks
Other
Information
Resources
© 2006 In Motion Technology, Inc. Specifications subject to change without notice. onBoard and In Motion are trademarks of In Motion Technology, Inc. All other names mentioned herein are trademarks or
registered trademarks of their respective owners.
559
onBoard™ Mobile Gateway
Technical Specifications
Compatibility
 Operates with WiFi certified client devices
 Supports all client operating systems
WAN Wireless Networking
 integrated compatibility with current wireless WAN
standards including 1xRTT, EVDO, GPRS, GPRS
EDGE, UTMS, UMTS TDD (IP Wireless), UMTS
HSDPA, Flash-OFDM (Flarion), WiDEN
 IEEE 802.11 a/b/g
 IEEE 802.11-based 4.9GHz
 IEEE 802.16
 Satellite
 Future compatibility with new wireless WAN standards
including 802.16e, 802.20
LAN Networking
Multiple Client Networking Options
 IEEE 802.11 b/g (vehicle AP)
 Ethernet
 Ethernet USB
 Serial - PPP
 DHCP Server (RFC 2131)
 Intercept-based HTTP login
Physical Interfaces
 Ethernet – RJ45
 USB – USB 1.1 x 2
 Serial – RS232, DB9
 IEEE 802.11 b/g
Protocols Supported
 Transparent support for HTTP, HTTPs, SMTP, POP,
IMAP, FTP, etc.
 PPP (RFC 2516)
 Bluetooth
 Mobile IP support (optional)
Security
WLAN
 WEP, WPA-TKIP
 IEEE 802.11i
Firewall
 NAT (RFC 1631) with port forwarding
 Open API for remote deployment of current organization
standard
Encryption
 Intel certified VPN compatibility/passthrough
 IPSec standard
 Supports Cisco EasyVPN client
 Open API for remote deployment of current organization
standard
Authentication and Accounting
 802.1x/RADIUS authentication
 Supports 254 concurrent users
 Provides accounting by time used or data
transferred/received by users
Weight
 6.5 lbs/2.9 kg
Power Management
Power Supply
 Internal DC to DC converter with power input range
of 10-18 VDC
 AC adapter (optional)
Power Management System
 Auto power-up (demand or schedule)
 Graceful power-down
Dimensions
 Width: 10.79 in/27.4 cm
 Depth: 8.79 in/22.3 cm
 Height: 2.37 in/6.0 cm
Platform
 AMD Geode LX processor
 Linux operating system
 Integrated GPS-based reporting based on NMEA
0183 standard (TCP or UDP: local LAN and remote
servers)
 1GB Solid State IDE Drive
Management
 Operational support services for fault, configuration,
accounting, performance and security (FCAPS)
 Real-time tracking
 Historical logging
 Remote access
 Remote software updates
Environmental Specifications
Temperature/Humidity
 Operating Temperature: -20ºC - + 60 ºC
 Storage Temperature: -40ºC - +80ºC
 Operating Humidity: 10-90% relative humidity; noncondensing
 Storage Humidity: 5-95% relative humidity; noncondensing
Vibration/Shock
 in accordance with SAE J1455
EMI/EMC
 FCC Part 15
In Motion Technology, Inc.
Suite 350, 625 Agnes Street
New Westminster, B.C.
V5Y 4M3
Tel: 604.523.2371
Fax: 604.648.9629
Contact us at sales@inmotiontechnology.com
www.inmotiontechnology.com
© 2006 In Motion Technology, Inc. Specifications subject to change without notice. onBoard and In Motion are trademarks of In Motion Technology, Inc. All other names mentioned herein are trademarks or
registered trademarks of their respective owners.
560
Appendix 37 MARVLIS Brochure
561
MARVLIS brings fundamental changes to the management and deployment of assets and time sensitive services. Starting with a simple web browser based viewer, you can grow the system to provide
comprehensive maps, real-time analytical tools, intelligent routing and live graphical display of current
and required resources.
Isn’t it about time you find out how MARVLIS can help you manage your most important assets?
MARVLIS Server
MARVLIS Server functions as the hub of a complete communications system for
the entire MARVLIS suite of porducts by interfacing directly with your CAD
system to better manage resources and enhance the overall value of your
system. Server receives location and status data from people and vehicles
in the field, archives the data and distributes it to multiple monitoring applications in the dispatch center. Manage road closures and construction with an
advanced barrier management system to improve routing, vehicle coverage
and closest vehicle recommendations. Automated updates push application
and data updates to your fleet without interrupting operations or consuming
excessive staff time.
MARVLIS Client
MARVLIS Client is your in-vehicle connection to dispatch. Designed with the
driver in mind, Client utilizes GPS and wireless communications to display realtime maps and routes recommended by MARVLIS Server as well as providing
valuable information to empower the field worker for better perfomance.
Take advantage of silent dispatch capabilities to receive full incident information including location, status and updates. Store multiple destinations
such as headquarters, posts and hospitals for quick and simple routing.
Field supervisors can access information about resources under their command, new incidents in the system and dispatch assignments.
MARVLIS SITREP Global
Knowing the location and capabilities of each of your resources is paramount
when responding to an emergency situation. Developed to operate using a
simple web browser, SITREP Global incorporates a multitude of data streams
to simultaneously track thousands of units, providing real-time locations and
information for each. In addition to your own data, SITREP Global allows
you to take advantage of a wealth of map data through ArcGISSM Online
such as aerial imagery, topographical maps and more. Customize SITREP
Global and easily display real-time weather data from NEXRAD, add traffic
cameras to see current traffic images and road conditions, and increase the
amount of essential information that can now be delivered to your users.
562
MARVLIS Deployment Planner
MARVLIS Deployment Planner automatically builds an accurate and efficient
System Status Management plan to better deploy your resources for reduced
response times and better service to the community. Using the historical
demand data generated by Demand Monitor, Deployment Planner analyzes your demand, post locations and geographic coverage requirements
to create a plan that best utilizes your resources for specific times of the
day and week. The results of the analysis can be immediately used for
deployment or can be imported into your CAD system for use as part of your
overall management system.
MARVLIS Impedance Monitor
Do you know the fastest route to an incident location? Depending on the time of
day, day of the week or time of year that route may be different. MARVLIS
Impedance Monitor constantly learns from your fleet’s AVL data and determines the true speed of travel over your roads and highways during different times of day. The resulting GIS data is then used to more efficiently
recommend closest vehicles, route your vehicles to avoid traffic problems
and more accurately calculate the true coverage of a vehicle for a specified
response time.
MARVLIS Deployment Monitor
Deployment Monitor is the only real-time analysis tool for the dispatch center that
combines demand data, AVL, CAD information, traffic congestion and vehicle
status to provide a complete overview of the effectiveness of your resource
deployment. The operator is presented with a map that displays the hot
spot map from Demand Monitor, overlaid with vehicle locations, vehicle
status and coverage of each vehicle. Together, this information aids in the
efficient management of resources to assure that the high probability areas
can be covered by available vehicles yet minimizes the need for constant
vehicle move-ups.
MARVLIS Demand Monitor
MARVLIS Demand Monitor is a new approach to managing call demand within
your jurisdiction. Through automatic and regular analysis of the geographical
and historical properties of data from your CAD system, Demand Monitor
accurately predicts the location of upcoming calls. Demand Monitor
increases your overall effectiveness by providing a map of the areas with
the highest probability of calls, specific to your area, for the current time
and season of year.
563
MARVLIS: A proven track record helping save time, money, and lives
Sunstar Emergency Medical Services
2007 Region 4 Governor’s Sterling Award
“One of the improvement actions identified that would have the largest impact
was to change our static post plan (where we position trucks) for the ambulance
deployment to a dynamic one that changes every hour of the day. The
implementation of a computer program called MARVLIS enhanced our
placement of ambulances with its sophisticated ability to use historical data to
determine high patient call volume areas and to calculate drive time.
However, the most significant result was improving our emergency response
time from 90.2% to now over 93% in lieu of an increase in patient call volumes.
This equates to ambulances arriving on scene more than 1 minute quicker. We
additionally saw a savings of $650,000 in penalties by exceeding our
contractual goal of 92% and performing above 93% compliance.”
Sunstar: MARVLIS Implemented in March 2005
Sunstar Response Time Improvement Team
Mecklenburg EMS Agency - MEDIC
“If we, as an industry, are to be successful with both taking care of our customers and performing at a level that utilizes our
resources optimally, we must have systems that provide real-time, accurate and reliable information. MARVLIS and its associated
applications deliver this and more. The flexibility of the software has allowed MEDIC to shape the various applications around our
ever-changing needs for data and place real-time mission critical information in the hands of our supervisors and managers in a
way that allows them to make the best decisions possible. Ultimately, we are improving the work environment for our paramedics
and enhancing the care that our patients receive.”
Barry Bagwell
Assistant Director of Operations
Jersey City Medical Center EMS
“Positive patient outcomes are the goal for any EMS agency, and at Jersey City Medical Center, it is our guiding light. The Jersey City
Medical Center’s EMS Department has taken a leadership role in positive patient outcomes by examining real life scenarios. We
made a self-realization in 2005 that the system as a whole was in need of improvement in a multitude of areas, and the most
notable were our response time and asset deployment. With the help of Bradshaw Consulting and the MARVLIS system we were
able, in less than a years time, to reduce our response time by over two minutes. With an in-house study we have undertaken, we
have seen that the drop in response time has improved patient survivability. With the data collected so far we hypothesize that by
reducing our response time by two minutes we will have the ability to return pulses to as many as thirty more patients a year.”
Richard Sposa
MCC/EMS Communications Coordinator
Bradshaw Consulting Services, Inc.
Bradshaw Consulting Services, Inc. provides innovative GIS solutions to commercial and government
clients throughout the world. We focus our efforts in the areas of Public Safety, GIS Services, and Mobile
GIS/GPS to deliver superior solutions to our customers.
Located in Aiken, South Carolina, our winning team encompasses some of the best and brightest players
from the information technology, application development and GIS communities.
2009
564
MOTOROLA FOR BUSINESS
|
SIGN UP FOR EMAIL UPDATES
Appendix 38 Droid Cellphone Specifications
MOTO STORE
> DROID by Motorola
DROID by Motorola
MOTA855
Price: $599.99
Availability: In Stock
Large 3.7" Hi-Res Touchscreen
Tell a friend
Other views:
Description
Full Specification
Compatible Products
Operating System
Android 2.0
3G Technology
Yes
Advanced Speech Recognition
Yes
Bands
CDMA 1X 800/1900, EVDO rev. A
Stereo Bluetooth® technology v2.1 + EDR
Bluetooth
Profiles supported: HFP, HSP, A2DP, AVRCP, PBAP, and OPP for
video/still images
5 MP camera with DVD-quality video
Dual LED flash
Camera
4x digital zoom
Autofocus
Image Stabilization
Carriers
Verizon Wireless
Connectivity
MicroUSB 2.0 high-speed
Dimensions (H x W x D)
2.4 x 4.6 x .5 in
Display
3.7"; WVGA (480 x 854 pixels); 16:9 widescreen
Gmail™, IMAP, POP3
1
Email Support
Form Factor
Corporate (Exchange 2003 and 2007)
Attachment and browser document viewer (Microsoft Office® and
pdf)
Slider
Google Maps™, Google Maps™ NavigationBETA,
GPS AND LOCATION SERVICES1 aGPS (assisted), sGPS (simultaneous),
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1 of 2
12/23/2009 9:45
DROID by Motorola - Motorola US
http://www.store.motorola.com/mot/en/US/adirect/motorola?cmd=catP
Google Latitude™, Google Maps Street View, eCompass
Music
Music Player
Touch screen
Visual Voice Mail
Other Features
Voice Prompts
Dual Mic Technology
Voice Recognition
3.5mm headset jack
Removable Memory
Standby Time2
2
Usage Time
16 GB microSD pre-installed
supports up to 32 GB microSD expandable
Up to approx. 270 hrs
Up to approx. 385 min
DVD quality video playback (up to 30fps)
Video
DVD quality video capture (up to 24 fps)
WiFi
802.11 b,g
Weight
169g (6oz)
D1 (720x480) resolution
Disclaimer
NOTE: Certain mobile phone features are dependent on the capabilities and settings of your service
provider's network and your network service plan. Additionally, certain features may not be activated by
your service provider, and/or their network settings may limit the feature's functionality. Always contact
your service provider about feature availability and functionality. All features, functionality and other
product specifications are based upon the latest available information and are believed to be accurate;
however such product specifications are subject to change without notice or obligation.
1. Network dependent feature, not available in all areas. Airtime, data charges, and/or additional charges
may apply. Photo ID and ring tone assignment to the Address Book entries, must be saved on the phone and
not the SIM card.
2. All talk and standby times are quoted in Digital Mode, and are approximate. Battery performance depends
ABOUT MOTOROLA CAREERS DEVELOPERS INVESTORS MEDIA CENTER PRIVACY STATEMENT TERMS OF USE CONTACT MOTOROLA SITE MAP
© 2009 MOTOROLA INC. ALL RIGHTS RESERVED.
566
SITE FEEDBACK
Appendix 39 FirstWatch
FirstWatch CAD Interfaces
While FirstWatch is not application (or vendor) specific, to date—February, 2008
FirstWatch has interfaced with the following Data Sources and Software Applications:
Computer – Aided Dispatch (CAD) Systems
•
•
•
•
•
•
•
TriTech VisiCAD
Pinpoint / RescueNet / Zoll Data
Systems CAD
Intergraph Public Safety CAD
EnRoute / GEAC CAD & I-status
by GEAC
InterACT CAD
Logistic Systems CAD (Logisys)
OSSI CAD
•
•
•
•
•
•
•
•
Plant / CML CAD
VisionAIR CAD
PRC / Northrop Grumman CAD
Tiburon CAD via NEMSIS push
Sweet / Ortivus CAD
FDM CAD
HTE CAD
Motorola Printrak & Premier
CADs
ProQA – Priority Dispatch Corporations algorithmic expert software application
for call takers in EMS, Fire and Police and their PSIAM Nurse Call Triage Program
Electronic Patient Care Reports (ePCR) / Paramedic Field Reports / Records
Management (RMS)
•
•
•
Zoll Data Systems ePCR
HealthWare ePCR
Roam-IT ePCR
•
•
•
FireHouse RMS
ACS ePCR
SunPRO / BioKEY
Hospital Diversion Software Applications – like: EMSystem
Hospital Emergency Department Data Sources
•
•
•
•
RODS – via centralized 6
Hospitals system (in dev)
Cerner via HL7 feed
McKesson via HL7 feed
OpenLink HL7 via Invision HIS
•
•
Poison Control Center Data
• via Toxicall interface
TheraDOC – via centralized 6
Hospital system
HL7 (TCP listener) direct data
stream interface
Food Complaint Data Base
Situation Found Database – Seattle, WA
For more information, please contact: Marc Baker at 760-943-9123 x208 or mbaker@firstwatch.net
www.firstwatch.net
904 Second Street, Encinitas, CA 92024
Phone 760-943-9123
Fax 760-942-8323
FirstWatch® is a Registered Trademark of Stout Solutions, LLC and has international patents pending for its technologies.
Copyright © 2002-2008, All Rights Reserved
567
FirstWatch Dashboard Description
FirstWatch® Dashboard is a web-enabled platform that effortlessly extends data from
single or multiple disparate data sources for quick and easy access to critical information. The
FirstWatch Dashboard enhancement module is designed to help increase situational awareness
and improve operational efficiencies in near-real time by facilitating secure access to key data
sources, such as: Computer Aided Dispatch, ProQA, and RMS and is easy to configure by the
end user. The Dashboard is currently based on underlying existing FirstWatch Triggers that
customers have defined.
Features include:
•
•
•
•
•
•
1
Users can have their own individual Dashboard view, based on permissions.
Snapshot of current status in near real-time (when applicable)1
Drill-Down capability from the dials and pie charts
o Drills down into the underlying FirstWatch Trigger for detailed information.
Current Trend Monitoring based on qualifying events
Monitor KPI’s in real-time - Current or Month to Date views of Compliance to
Goal
Includes Status indicators to ensure data is online and serves as visual indicator
if in alerting mode for trend Triggers.
Not all clients provide near real-time data access to FirstWatch.
FirstWatch
904 Second Street, Encinitas, CA 92024
Phone 760.943.9123
www.firstwatch.net
Fax 760.942.8329
FirstWatch® is a Registered Trademark of Stout Solutions, LLC and has international patents pending for its technologies.
Copyright © 2002-2009, All Rights Reserved
568
When Minutes Count…
It’s WHAT you know
and WHEN you know it.
Know first with FirstWatch
569
570
Appendix 40 Sansio Corp - Alameda County 091123 Response
Table of Contents
Table of Contents .....................................................................................i Corporate Profile .....................................................................................1 Sansio Qualifications...........................................................................1 Sansio Experience ..............................................................................1 Description of Services .............................................................................1 Why HealthEMS for the County of Alameda? ..........................................6 HealthEMS Functionality and Features Summary ....................................9 eChart Management ......................................................................... 10 HealthEMS Technical Solution ............................................................ 11 HealthEMS Software/Hardware Requirements ...................................... 12 HealthEMS Connectivity Options......................................................... 13 HIPAA............................................................................................. 15 Post-implementation ........................................................................ 31 Sansio HealthEMS Training Plan ......................................................... 31 Project Management Team...................................................................... 32 References .............................................................................................1 571
Corporate Profile
Sansio is a privately held corporation, incorporated in the state of Minnesota in June
1997, and domiciled at 11 East Superior Street, Suite 310, Duluth, MN, 55802.
Sansio Corporate Offices in Duluth, MN
Telephone: (218) 625-7226
* Fax: (218) 625-7225
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572
* www.sansio.com
Sansio Qualifications
One hundred percent (100%) of Sansio’s customer base is located within the United States,
and Puerto Rico. Sansio is in the business of providing Software as a Service (SaaS) to
customers via the Internet on a monthly subscription basis with contract terms ranging from
12 to 60 months. To date, Sansio has focused on health care information services providing
remote-hosted, web-based decision support solutions to the Home Care, Emergency Medical
Services (EMS), and Assisted Living industries. The solutions utilize electronic data capture
at the point-of-service and provide powerful business intelligence automation for the backoffice. Many prestigious health care organizations in America capture millions of patient
encounters annually using Sansio products such as HealthEMS®, HomeSolutions.NET®, and
ResiDexWEB.NET™.
Sansio proposes its proprietary, Commercial off the Shelf (COTS) remote-hosted, webbased solution for the EMS industry, HealthEMS, America’s #1 integrated pre-hospital data
collection, management, and reporting system. HealthEMS is a comprehensive web-enabled
EMS data management solution providing the most dependable and accurate point-ofservice (POS) electronic pre-hospital care reporting and management system in the
industry. HealthEMS will empower County of Alameda with instant management information
/ reporting via the Internet, equipping EMS leaders with timely, accurate information to
make informed decisions leading to improved patient care.
Sansio Experience
Sansio expertise includes installation and implementation of the HealthEMS solution at some
of the largest and most prestigious EMS organizations in the country, including FDNY (Fire
Department of New York City), New York Presbyterian EMS, the North Shore Long Island
Jewish Health System in New York City, Polk County in FL, Grady EMS in Atlanta, GA, MAST
(Metropolitan Ambulance Services Trust) in Kansas City, MO, and REMSA (Regional EMS
Authority) in Reno, NV, to name a few. Sansio 2008 contract awards include Los Angeles
Fire Department in CA, CoxHealth EMS and St. John’s EMS in Springfield, MO, Huron Valley
Ambulance in Ann Arbor, MI, Leon County EMS in Tallahassee, FL, Three Rivers Ambulance
Authority in Fort Wayne, IN, St. Paul Fire in St. Paul, MN, Sedgwick County EMS, Kansas,
and most recently Butler County, KS. Sansio has been “short-listed” as of this date in
response to Wake County in NC.
This experience combined with Sansio’s robust HealthEMS solution places Sansio in the best
position to successfully deploy an electronic patient care reporting system for Alameda
County. Sansio’s ability to manage technical projects and perform rapid implementation
provides the criteria to be selected as the Contractor to execute this project. Sansio is
prepared to move forward in deploying HealthEMS as the ePCR system for Alameda County:
timely, cost effective design, development, installation, implementation, training, and
management of the proposed system will produce the ultimate outcome: the ability of the
Emergency Medical Services department to better serve the citizens of the County of
Alameda County.
1
573
Description of Services
HealthEMS is a remote-hosted, web-based data management solution designed from the
beginning to meet the needs of the EMS industry. With approximately 3 million annual runs
going instored in the system, HealthEMS is often considered America’s #1 integrated prehospital data collection, management, and reporting system. HealthEMS creates an
electronic medical record using a solution that actually works at point-of-service. Sansio’s
impressive listing of customers includes successful installation and implementation of the
HealthEMS solution at some of the largest and most prestigious EMS organizations in the
country, including FDNY (Fire Department of New York City), New York Presbyterian EMS,
the North Shore Long Island Jewish Health System in New York City, Polk County and Leon
County in FL, Grady EMS in Atlanta, GA, MAST (Metropolitan Ambulance Services Trust) in
Kansas City, MO, REMSA (Regional EMS Authority) in Reno, NV, and Sacramento Fire in
California, CoxHealth EMS and St. John’s EMS in Springfield, MO, Three Rivers Ambulance in
Fort Wayne, IN, St. Paul Fire in St. Paul, MN, Huron Valley Ambulance throughout Michigan,
and Sedgwick County in KS, to name a few.
Additionally, Sansio 2008-2009 contract awards include Los Angeles Fire Department in CA,
Henderson Fire in Henderson, NV, and Butler County in KS, and is a finalist with Wake
County.
Sansio’s exceptional project team has been so successful with implementation of the
HealthEMS solution in EMS organizations across the country that Sansio believes the team
to be responsible for more pre-hospital care reports being captured electronically in the U.S.
than any team in the history of the industry. Seems like a bold statement, but it is factual.
Sansio’s project team has proven that it can implement the solution in the most complex of
EMS environments.
Sansio’s project team is able to demonstrate successful experience in the areas of software
development and deployment of healthcare point-of-service data collection. Sansio has
extensive knowledge of ambulance and health management billing systems, web-enabled
applications, federal and state ambulance regulatory reporting requirements, and a track
record of successful implementations in EMS organizations across the country.
HealthEMS functionality includes ability to capture related patient assessment forms,
hospital wound sheets, accident forms, etc., associating these forms to the ePCR within
HealthEMS. The HealthEMS ePCR conforms to CMS, CEMSIS, NEMSIS, and NFIRS reporting
requirements.
Sansio will successfully demonstrate all functional aspects of the proposed HealthEMS data
collection and management system through reference and in the form of real time
demonstration as requested by Alameda County. This will include the following components
and features:







Report construction, generation, and display
Setup of users, including administration and field, including how privileges are set
Construction of pick lists for the field data collection device
Process to roll-out pick list/ application updates to field data collection devices
HealthEMS Mobile online features
xChangER Emergency Room Attendant
HealthEMS centralized data management and storage
1
574
HealthEMS, at inception, was developed as a secure, scalable, comprehensive, remotehosted, web-based EMS data collection, management, and reporting solution, proven to
provide the most dependable and accurate pre-hospital field data capture system in the
industry. HealthEMS simplifies operations and would allow Alameda County to concentrate
on core competencies, offloading much of the cost and complexity of I.T. management
including upgrades, backups, database administration, scalability, security, remote
accessibility, and infrastructure management. The solution has the ability to be the
warehouse, send / export data to external warehouses or other repositories for indexing and
reporting purposes, and will be able to replicate data back to an Alameda County onpremises owned server, if desired.
Sansio’s proposed HealthEMS solution is available today and utilized by hundreds of EMS
providers with thousands of users across the country. The HealthEMS application will be
made available for evaluation, with all electronic documentation required for thorough
evaluation of the system. Sansio is prepared to host an onsite demonstration, explaining
and demonstrating full functionality and benefits. Sansio understands the proposed system
must be thoroughly tested to prove successful operation.
Sansio’s HealthEMS Mobile solution (written in Java) is device agnostic, designed to work on
the CF 18 & 19, as well as most other hardware/software platforms: Mac, Windows XP,
Windows Vista, Windows 7, etc. HealthEMS Mobile can be installed on any PC that supports
Java, including mobile PCs (ruggedized or not, tablet or laptop) and / or desktops. This
solution supports both “online” and “offline” functionality, and the ability to start on one
device and finish another.
Sansio’s HealthEMS solution meets or exceeds all CEMSIS, and NEMSIS Gold data set
requirements. HealthEMS has the capability to export data to the Alameda Emergency
Medical Services Authority in the standard CEMSIS format.
Sansio manages and maintains all of the network communications and connectivity required
to implement and maintain HealthEMS. HealthEMS maintenance and updates: Backups of
hosted applications and data are performed on a weekly (full) and nightly (incremental)
basis.
Sansio has designed a “system” where the datacenter(s) have multiple levels of
redundancies to ensure that any one or two component failures have little to no impact on
users. For example, a redundant web server could fail and users may not perceive any
change to application performance. If a mobile device were to fail, ePCR synchronization
could be verified by comparing CAD to the data available in HealthEMS.
Sansio has a proactive, comprehensive system continuity / disaster recovery plan with three
primary focus areas:



Maintain a high level of data availability
Maintain the integrity of data
Ensure the security of data from unauthorized access
Sansio deploys scalable, enterprise-level data management systems over multiple delivery
centers managed by Sansio staff. The System Continuity Team, which is made up of a
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575
combination of Executive, Network Operations, and Product Development managers, meets
on a regular basis to review system continuity and disaster recovery plans in order to
perform risk assessments and cost-benefit analysis as part of a proactive design effort. The
System Continuity Team is focused on deploying redundant solutions and routinely tests
components of the System Continuity Plan to ensure that Sansio is meeting these safeguard
objectives.
Procedures define personnel responsibilities and plans of action for various emergency,
backup, and recovery operations.
Lists of documentation, software, hardware,
communication equipment, supplies, transportation, real estate space, electrical power, and
environment conditions needed are stored in secure locations with the appropriate vendor
contact information. Single points of failure have been addressed at the Internet service
provider, geographical data center location, hardware, software and service levels, and
additional redundancy are added on an ongoing basis, as dictated by cost-benefit analysis.
Sansio stores customer data in both Oracle (transactional database) and SQL database
formats of which both are able to recover from system failures by backing out of
transactions to prevent corrupted data. Sansio has standby systems which hold copies of
the data as well as log files that are no more than 30 minutes out of synchronization. The
HealthEMS database is mirrored at the primary datacenter and replicated to a secondary
datacenter and Sansio has full tape backups which are performed nightly and stored off site
that same day. In the unlikely event of a database restore, Oracle redo logs would be used
to verify data consistency. Transactions in progress are not committed, but they are rolled
back. HealthEMS incorporates a built-in analysis and report generation function which
includes a comprehensive grouping of data reports for use in clinical, quality, and
productivity analysis. The application automatically generates specific pre-built reports in
many different categories.
The application uses a report writer which gives the user the functionality to print or export
the data from each of the reports, with the click of a button. This function gives the user
the ability to export the report data into a standard spreadsheet or database format for
additional manipulation of the data outside the application at a local level. This functionality
is particularly useful for large municipal providers like County of Alameda who are interested
in monitoring POS surveillance metrics.
HealthEMS has the ability to create user defined audits which will automatically flag records
for QA, and therefore allows for the ability to review, comment, and track those changes.
The setup of these functions is done in a user friendly web interface and includes all of the
functions described above.
HealthEMS functionality includes ability to integrate with Top Tier Computer Aided Dispatch
(CAD) systems, allowing for real-time comparison of CAD incidents to ePCR data, ensuring
timely and accurate capture of all ambulance runs. There is no additional charge for CAD
integration for Sansio's time/effort, as the service is included in the base price. With
HealthEMS Mobile, CAD data will pre-fill all available fields either upon entry of the ePCR or
during the call (updates are applied as they become available). Electronic Patient Care
Reports (ePCRs) can be started with or without CAD data, but will automatically synchronize
the CAD data as connectivity allows.
The HealthEMS Java-based software can be installed on as many devices as necessary to
support Alameda County needs, which includes mobile and desktop devices running local or
with an Internet connection. When Internet access is available, HealthEMS utilizes a secure
connection, and will provide a continuous/automatic sync. The ability to receive "Previous
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576
Patient Data", CAD, Messaging (crew and broadcast) and the ability to send real time data
to the hospital are all available when online. Electronic Patient Health Information (ePHI) is
only stored on local devices when offline, based on a user defined period of time.
HealthEMS Mobile integrates with Philips (MRX series), Medtronic (Lifepack 12 and 15), and
Zoll EKG monitors (E and M series). All EKG monitors have the ability to send via Bluetooth
to HealthEMS Mobile. "Data" available for import into the Mobile's ePCR dataset for Philips,
Medtronic, and Zoll EKG monitors are the same.
It includes the following fields:
Treatments, Medications, Vitals, and Patient demographics. The imported data can include
the times and the crew for each record type. The whole file is also attached and stored with
the rest of the CAD and ePCR data for later review. Independently stored images are also
available for review, such as EKG and ECG strips. Note - some PCs could be running Physio
and other Philips if needed. Sansio recommends using our product called xChangER to
automatically send the corresponding ePCRs and EKGs to the ER. If Alameda County
prefers to fax, currently Philips and Zoll offers the ability to attach an "image" and fax it
through Mobile. Once the crew determines the call to be complete, they will “save and
export” the call which “locks” the call from future editing. There is a QA process that can
make the call available again depending on agency process and permissions.
HealthEMS Mobile allows data/signature capture for the following fields: Authorization
signature, Guarantor, Privacy Notice, Patient's Physician, Receiving RN / MD, Technicians,
Refusals, Witness of Refusal, and Online Medical control. HealthEMS has the ability to
capture as many additional electronic signatures with descriptive comments as needed to
meet the many needs of Alameda County. This includes the ability to create new multiple
languages signatures with a simple web interface.
HealthEMS reporting functionality provides ad hoc reporting / filtering throughout the
website. The system provides a near infinite combination of querying/ filtering abilities.
HealthEMS incorporates a built-in analysis and report generation function which includes a
comprehensive grouping of data reports for use in clinical, quality, and productivity analysis
to support review of operational performance. With HealthEMS, Alameda County will have
the ability to analyze ePCR data in summary or detail format. Standard report formats have
been developed to facilitate regular reviews of information and increase system
performance; the application automatically generates specific pre-built reports in numerous
categories. Access to these reports is limited to select users. Users have the ability to find,
select, run, view, and print standard reports. Filter criteria is able to be stored for each user.
Reports all print/export to PDF, XML, Excel, or HTML for 100% custom evaluation. Where
applicable, HealthEMS “drill down” functionally exists. Frequently used reports can be
pushed to the user through either "myReports" or on Dashboard items (small tables, pie
charts, line charts or Bar charts). HealthEMS allows for the ability to run pre-defined
tabular reports that may be refreshed on-demand. Standard reports are executable on
demand and report generation options are selectable from an easy to navigate menu. Also,
Sansio has capability to provide a near real time export of the data to Alameda County for
ad hoc SQL query ability.
Providing good customer service may be enough to survive, but it takes excellent customer
service to thrive in today's marketplace. Sansio thrives. Sansio Solution Center Specialists
and Knowledge Transfer Group provide the following routine support.
Sansio provides phone and web-based Application Support of the System at no additional
cost to Customers who have successfully completed Core Classroom Training and are active
Users. Application Support is defined as help with application navigation or troubleshooting
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arising from the use of the System, as designed. Sansio’s Solution Center is staffed during
prime Customer business hours, Monday – Friday, 7AM – 6PM CT, excluding major
holidays. After hours or “non-prime” hours include 6PM - 7AM CT Monday – Thursday, and
6PM CT on Friday through 7AM CT the following Monday and on major holidays. Support
tickets started outside of prime Solution Center hours will be addressed the next business
day. Inquiries regarding system availability are supported by Sansio on-call technical staff
during non-prime Solution Center hours. Application Support excludes supporting Customer
procured hardware, OS and Internet connectivity. Sansio has an industry reputation for
exceptional end user support and its customers serve as a testimony to that fact. Sansio
does not provide a toll-free telephone number, or accept collect calls for support.
HealthEMS xChangER software supports continuity of care from transporting agency to
receiving facility. xChangER is a Java application that can be installed on as many
computers as necessary, allowing for multiple configurations per hospital setting based on
the different needs of each floor or unit.
•
•
•
Pre-hospital data from the mobile hardware device can be made available to the
receiving facility either during creation of the call or when the call is finalized
The hospital/receiving department can view in real time HealthEMS ePCR data with
functionality to integrate pre-hospital data with their own ER medical record
HealthEMS xChangER supports the "paperless" medical record, supporting electronic
transfer of data from the ambulance to the hospital supporting overall improvement
in care provided to the patient; the hospital has the ability to import the data in XML
format
HealthEMS provides the hospital Emergency Department and other facilities as authorized
by Alameda County to access and print ePCRs and reports based on “Facility Rights”.
Information that is viewed is logged and recorded for reporting. HealthEMS reporting
provides an Audit Trail in regards to the identity and time the user logged in. HealthEMS
tracks what records are viewed, edited, or deleted. The reports are called the “ePCR
Activity Log” and the “Login Information”. The solution includes an audit trail report
detailing changes made to patient records and includes date, time, and user information.
HealthEMS Mobile allows for the following ways of printing to send/produce or leave a copy
of the ePCR to the receiving hospital:
1) Bluetooth, wireless, or USB connected to the printer in the vehicle. Since the Pre-hospital
Care Report is a PDF, it doesn’t really doesn’t matter what printer types are used.
2) Receiving facility is provided permission to see their own calls, and can log in and print
their own ePCRs.
3) xChangER Emergency Room Attendant is an application that allows real time review of a
call at the facility, as the xChangER software makes it possible to view, print, or download
the Patient Care Report summary (ePCR).
4) Online faxing - Mobile allows the ability to fax an ePCR to the receiving facility by simply
picking the receiving facility and selecting which pre-setup number to fax, or, a new number
can also be entered to initiate the faxing process.
5) Log into Mobile on the receiving facility PC and print on the Facility’s network.
Note: the 8 1/2” x 11” ePCR is created as a PDF.
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Why HealthEMS for the County of Alameda?
As Alameda County moves forward in its evaluation and selection of an EMS electronic
patient care reporting system, choosing the right system is crucial.
HealthEMS, at
inception, was developed as a remote-hosted, web-based solution. The benefits of Sansio’s
HealthEMS COTS solution to Alameda County are many, including:

The remote-hosted, web-based solution eliminates the need of Alameda County to
invest time and money in the procurement, installation, and maintenance of servers
and other hardware for a new system – no additional hardware is needed to deploy
the base system

The web-based solution also removes worries concerning new functions and features
(service packs and fixes, etc); Sansio takes responsibility for installation and
maintenance of the system

Sansio provides the equipment redundancy and hosting necessary to ensure
security, reliability, and scalability; data is stored across multiple datacenters

The application is available to Alameda County and its authorized users at anytime
from any PC with an Internet connection using browser technology

When Alameda County chooses Sansio’s HealthEMS web-hosted solution, Alameda
County can start using it from day one (avoids the worry towards implementation
time, which has been cited as one major reason for mobile hardware implementation
failures) as the speed of deployment is fast; HealthEMS is up and running on Sansio
servers, supporting hundreds of EMS sites and thousands of users across the country

With HealthEMS, all users are always on the same version of the software, and
upgrades are performed seamlessly by Sansio as part of the service; this helps
improve staff productivity and effectiveness

Sansio’s HealthEMS solution will support Alameda County compliance efforts,
conforming to CMS (Centers for Medicare and Medicare), NEMSIS (National EMS
System), NHTSA (National Highway Traffic Safety Administration, NFIRS (National
Fire Incident Reporting System), and State (CEMSIS) guidelines for EMS data
collection and reporting

Catering to the needs of the mobile workforce and work-at-home employees, the
HealthEMS web-based solution requires only an Internet connection and web browser
to be accessed, making the solution available from virtually anywhere
Sansio will assist Alameda County to successfully implement HealthEMS, an electronic
solution that combines mobile pre-hospital data collection with remote-hosted, web-enabled
centralized quality and data management. The solution proposed for Alameda County will
include the HealthEMS industry-leading ePCR; this is a legal, medical, and billing document
that will be used to provide a complete, accurate, and detailed description of pre-hospital
care delivered by Alameda. The HealthEMS ePCR will provide documentation of patient
assessment, treatment, and reassessment after intervention. The HealthEMS ePCR will
promote quality improvement, with integrated QA/CQI and reporting functionality
unsurpassed in the industry. The HealthEMS ePCR is the foundation of the HealthEMS
complete electronic medical record.
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Benefits of the SaaS Model
As Alameda County moves forward in its evaluation and selection of an EMS electronic
patient care reporting system, choosing the right system is crucial.
HealthEMS, at
inception, was developed as a SaaS, remote-hosted, web-based solution. Sansio’s
HealthEMS COTS, remote-hosted, web-based solution will provide Alameda County
numerous benefits, including:
Scalability –
•
•
The subscription-based pricing model matches run volume and scales with revenue.
The centralized, web-based deployment model has upwards scalability to ensure
satisfactory performance as run volume increases, without additional I.T.
investment.
Data Integrity –
•
•
Database Administration and maintenance is included in the HealthEMS SaaS
solution, enabling specialized, vertical application management to be handled by the
vendor so customer’s I.T. staff can focus on other horizontal, strategic duties.
The centralized, Oracle-based deployment limits exposure to having data in multiple
locations, providing simplistic version control.
Availability –
•
•
HealthEMS provides contractual application availability guarantees and has
historically exceeded its commitment since first delivering SaaS solutions via the web
in 2001.
Users throughout the organization are able to access timely data, as HealthEMS
Mobile ePCR information is seamlessly and securely uploaded to HealthEMS in near
real-time.
Security –
•
Best practices I.T. security policy management includes the incorporation of HIPAA
best practices to assist in compliance with administrative, technical, and physical
safeguards of protect Protected Health Information (PHI).
•
Administratively, all Sansio employees must abide by our Privacy and Security
Policies and those who violate our Privacy and Security Policies are subject to
corrective action, up to and including termination.
•
Technically, Sansio uses Secure Socket Layer (SSL) encryption technology in
transmitting Protected Health Information to our servers to help ensure the integrity
and privacy of the Protected Health Information provided to us via the Internet.
Encryption involves systematically scrambling numbers and letters, so that even if
someone managed to intercept the information, they would not be able to make
sense of it. In order to take advantage of this encryption technology, customers need
to have an Internet browser that will support 128-bit encryption, (ideally 256-bit
encryption). As an additional security measure, Protected Health Information is also
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kept physically separate on separate servers where passwords are encrypted and
stored in databases.
•
Physically, data is protected by a state-of-the-art electrical backup system, a series
of uninterruptible power sources, redundant data storage, and redundant pathways
to access data. The entire system is protected by cutting edge fire protection, and
off-site data archiving to assure data integrity even in the event of a catastrophe.
Compliance –
•
Sansio’s HealthEMS solution will support Alameda County compliance efforts,
conforming to CMS (Centers for Medicare and Medicare), NEMSIS (National EMS
System), NHTSA (National Highway Traffic Safety Administration, NFIRS (National
Fire Incident Reporting System), and CEMSIS guidelines for EMS data collection and
reporting
The solution supports regulatory compliance while meeting the clinical management,
operations management, billing, and regulatory / reporting needs of Alameda County.
Sansio will assist Alameda County to successfully implement HealthEMS, an electronic
solution that combines mobile pre-hospital data collection with remote-hosted, web-enabled
centralized quality and data management.
County of Alameda ROI
County of Alameda benefits in both
HealthEMS. Sansio’s remote-hosted,
significant return on investment for
volume, demonstrates time savings in




pricing and functionality by choosing to implement
web-based subscription model is able to provide a
customers. Sansio’s ROI calculator, based on run
the following areas:
Field data entry
Manual QA (quality assurance) tasks
Billing data entry
State and Federal reporting data entry
Primary system features/benefits include:

Remote-hosted, web-based solution:
o The monthly subscription requires no capital outlay for the back-office system
 Eliminates the need of the EMS organization to invest time and money
in the procurement, installation, and maintenance of servers
o Provides equipment redundancy and housing necessary to ensure security,
reliability, and scalability; data is stored across multiple datacenters
o Reduces customer IT staff requirements
 Sansio takes responsibility for installation and maintenance
 Deployment time shorter as typical IT implementation tasks are
eliminated
o The application is available at anytime from any PC with an Internet
connection using browser technology
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
HealthEMS Flex POS Choices:
o Data collection method is based on user specific needs:
devices, desktop PC, or intelligent scannable forms
mobile hardware

Increased billing efficiencies:
o More accurate billing, due to medical necessity and ICD-9 algorithm
o Increased compliance – ensures the correct service level is billed
o Services are billed correctly the first time with less personnel
o Increased revenues – provides proper reimbursement for services rendered
o Reduced A / R days - the system has the ability to generate an invoice the
same day services are rendered
o Improved cash flow – timely invoices are paid more quickly

Regulatory reporting:
o HealthEMS solution will support compliance efforts, conforming to CMS
(Centers for Medicare and Medicare), NEMSIS (National EMS System), NHTSA
(National Highway Traffic Safety Administration, NFIRS (National Fire Incident
Reporting System), and CEMSIS guidelines for EMS data collection and
reporting.
HealthEMS Functionality and Features Summary
Sansio has gained success in the markets its serves as a result of “Thinking Customer First”
by fully integrating exceptional service with powerful web-based applications. Sansio’s
HealthEMS solution is considered a market leader in pre-hospital data collection.
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eChart Management
The HealthEMS industry-leading, Java based ePCR is the foundation of the HealthEMS
eChart. Combined with import/export capability to CAD, EKG, and billing systems, the
HealthEMS ePCR supported Sansio being one of the first three vendors initially selected in
the United States to achieve “Gold” status with NEMSIS transmissions. Sansio EMS
customers can be assured that data collected complies with regulatory reporting, including
NEMSIS reporting requirements. The solution supports meets the requirements supporting
HIPAA compliance.
This Java based software can be installed on as many devices as necessary to support the
organization’s needs, which includes mobile and desktop devices running locally or with an
internet connection. Intuitive logic and scripting that is defined by the organization ensures
that data collected is accurate and complete. The ability to import CAD data into the ePCR
assures that the data is consistent and correct. Organizations have the ability to securely
pull down frequent patient encounter information, decreasing the amount of entry time by
the crew and improving overall compliance. The user-friendly design layout decreases the
amount of time required to complete the ePCR.
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Once an EMT/paramedic completes the HealthEMS ePCR; 1) a copy is wirelessly provided to
the Emergency Room or transport site, or 2) designated hospital staff can log in and
retrieve the ePCR information at their convenience, having access only to information on
patients transferred to their facility. HealthEMS also allows users to store ancillary images
(hospital face sheets, insurance information, pictures of the scene, etc…), and information
immediately available via the Web can be viewed or printed on demand.
HealthEMS Technical Solution
Sansio proposes its COTS, remote-hosted, web-based solution for the EMS industry,
HealthEMS. HealthEMS, at inception, was developed as a secure, scalable, comprehensive,
remote-hosted, web-based EMS data collection, management, and reporting solution,
proven to provide the most dependable and accurate point-of-service pre-hospital field data
capture system in the industry. HealthEMS simplifies operations and would allow Alameda
County to concentrate on core competencies, offloading much of the cost and complexity of
I.T. management including upgrades, backups, database administration, scalability,
security, remote accessibility, and infrastructure management. Web-based application
delivery combined with the aforementioned services is referred to as a Software as a
Service model, or SaaS. The SaaS model also enables secure collaboration and transparent
interoperability with other complimentary applications.
All HealthEMS administrative, operational, reporting, data exchange and billing interface
functionality are available via a web-based interface which supports current versions of
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HealthEMS is current compatible with: Internet Explorer, Firefox, and Google Chrome.
Sansio has some customers utilizing Safari, but the extent isn’t known. No customers are
utilizing Opera, so we would consider this non-compatible. All browser communication is
encrypted using standard SSL technologies.
HealthEMS Software/Hardware Requirements
HealthEMS requires minimal configuration to ensure quick, reliable access. Sansio provides
EMS organizations with the Licensed Software and Data Center Services as defined in the
HealthEMS Subscription Agreement.
Customer Site Requirements
Workstation Requirements
•
•
Minimum 800 MHz processor with 128 MB RAM
Minimum display resolution should be 800 x 600, recommended resolution 1024 x 768
Browser Requirements
•
•
•
Firefox 2.0 or Microsoft Internet Explorer 6.2 or higher with current Service Packs and updates applied
Cipher Strength 128/256 Bit. This setting can be viewed and Updated from IE Help
For Internet Explorer, verify the following settings under Tools -> Internet Options:
o General tab -> Browsing History -> Settings button: Check for Newer Versions of Stored Pages =
Every time I visit the webpage
o
Security tab -> Internet Zone -> Security level for this zone -> Set to Medium-high
Bandwidth Requirements
•
Reliable, adequate access to the Internet with latency not to exceed 500 milliseconds. Minimum burstable
bandwidth of 256 kbps per location with an average throughput range of 50 kbps to 100 kbps bandwidth
per concurrent user. The average per user varies on application module being accessed
Router, Firewall and Proxy Requirements
•
Allow TCP/IP packets on HTTP ports 80 and 443 to the 70.13.177.0 network with no restriction or
password authentication (if required). This IP subnet is reserved for HealthEMS
•
Exclude any pages from the HealthEMS.com (http and https) domain from being cached on proxy servers
Named Users
•
Sharing HealthEMS usernames or passwords among users is strictly prohibited. It is your responsibility to
ensure compliance to this policy, as it could expose your agency to HIPAA liability.
HealthEMS Mobile Requirements
•
•
•
Minimum 1.60 GHz processor with 1 GB RAM; Recommended: 1.60 GHz processor with 2 GB RAM
Java 1.5 or most current version
Full control permissions set for all users on the following folders and sub-folders:
o
o
o
•
•
•
C:\HealthEMS
C:\Program Files\HealthEMS
C:\Program Files\Java
Minimum display resolution should be 800 x 600, recommended resolution 1024 x 768
Minimum 10” monitor, recommended 12”
Windows XP, Windows Vista 32 bit, Windows Tablet OS
Mobile Bandwidth Requirements
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•
Reliable, adequate access to the Internet with latency not to exceed 500 milliseconds. Minimum upload
bandwidth of 20kbps is required for reasonable sync times. Minimum download bandwidth of 200kbps is
required for reasonable reference table downloads.
Mobile Router, Firewall and Proxy Requirements
•
Allow TCP/IP packets on HTTP ports 80 and 443 to the 70.13.177.0 network with no restriction or
password authentication (if required). This IP subnet is reserved for HealthEMS
•
Exclude any pages from the HealthEMS.com (http and https) domain from being cached on proxy servers
Mobile Named Users
Sharing HealthEMS usernames or passwords among users is strictly prohibited. It is your responsibility to ensure
compliance to this policy, as it could expose your agency to HIPAA liability.
HealthEMS Connectivity Options
HealthEMS is a web-deployed solution comprised of two application components, each
having a different bandwidth requirement/impact. Within these two components, actual
Alameda County usage patterns will also have a unique affect on bandwidth requirements,
thus we have provided an estimate on bandwidth based on information provided in the RFP.
HealthEMS Mobile – Typically runs on independent, device-based connections via cellular
“air-cards”, such as Sprint and Verizon or other broadband wireless options. HealthEMS
Mobile utilizes secure server connectivity for continuous data syncing, promptly exporting
ePHI (electronic Patient Health Information) data stored on local devices, retrieve reference
data updates, CAD system integration, and other communication services. When ePHI
needs to be stored locally, all data is encrypted to meet industry standard procedures.
HealthEMS Mobile automatically saves the data both locally and centrally (if online) as the
call is being filled out and therefore assures no loss of data in event of a communication
failure. When Online, ePCR data is continually synchronized with HealthEMS. Should the
device not be able to transmit data due to communication failure, ePCRs will continue to
write to the device, and transmit when the system is available again. HealthEMS Mobile
Sharing functionality enables a crew member to complete an ePCR from a different device,
thereby eliminating the need to obtain data from the hard drive of a damaged unit, should
that occur.
Minimum upload bandwidth of 20kbps is required for reasonable sync times. Minimum
download bandwidth of 200kbps is required for reasonable reference table downloads. A
fraction (estimate of 10%) of Mobile use may exist on the primary connection to HealthEMS
for the purposes of modifying ePCR’s when field connectivity is limited or field staff working
with ePCR’s in the facility. It is anticipated that the majority of HealthEMS Mobile data
traffic will be distributed across the device-based connections.
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HealthEMS (Admin Website) - Typical user activity involves simple queries, reporting, and
data analysis. HealthEMS is a native web application with bandwidth usage inherent to
burstable, https IP traffic. Average user session requires 25k but requires burstable
environment to 256k. Bandwidth requirements are minimum burstable bandwidth of 256
kbps per location with an average throughput range of 50 kbps to 100 kbps bandwidth per
concurrent user. This burstable environment is scalable and can be shared across users;
The average per user varies on application module being accessed.
Sansio detail of HealthEMS major system components / interoperability, data relationships
and architectural schematics of Sansio’s remote-hosted, web-based solution will be provided
upon Award of Contract. The HealthEMS product is a web-based solution with server
components hosted in Sansio’s datacenters and multiple client modules / options from
browser-based access to stand-alone client applications. Summary information is included
here.
The HealthEMS Mobile client module for POS field data collection is a centrally managed and
deployed Java application. Due to its Java-based architecture, HealthEMS Mobile can be
deployed on a variety of hardware devices and operating systems. HealthEMS Mobile is
designed to minimize the time needed for setup and maintenance of the software and offers
centralized configuration to control the primary functions (e.g. security, functionality and
software updates). When Internet access is available, typically provided by wireless cards,
(HealthEMS Mobile typically runs on independent, device-based connections via wireless
cards such as Sprint and Verizon or other broadband wireless options) HealthEMS Mobile
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utilizes secure server connectivity for continuous data syncing, promptly exporting ePHI
(electronic Patient Health Information) data stored on local devices, retrieve reference data
updates, CAD system integration, and other communication services. When ePHI needs to
be stored locally, all data is encrypted to meet industry standard procedures.
Data uploaded to Sansio’s delivery (data) centers includes specific run data from the patient
encounter and provides an accurate report of pre-hospital assessment, care and treatment,
including narrative summaries. This electronic copy is considered a legal copy of the ePCR
and is securely stored within the application’s database. This copy can be instantaneously
retrieved and printed for various managerial purposes. This electronic storage function
eliminates the necessity for physical storage of hard copy patient care reports. Sansio’s
hosted data center components are designed to offer secure and highly available services
using enterprise level technologies. Examples of technologies used for the HealthEMS
solution are:
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Oracle Database
Redhat Enterprise Linux
Apache HTTP Server
Other Java-based software from Apache.org for web services
Application layer security gateways
SAN Storage
All critical services are designed with redundancy at the hardware and software level. Sansio
datacenters utilize redundant ISP connections, UPS and generator power, redundant
cooling, and secured access. Data backups are performed at a variety of levels from nightly
tape backup to real time backups to multiple storage devices in multiple locations. Careful
attention is made to maintain the security of the data in all locations and during the transfer
of data. Audits of the backup data are routinely performed to ensure its integrity. At all
times, ownership of patient data and Provider information will remain the property of the
County.
The redundancies and load balancing that exist allow Sansio to add additional servers as
required without impacting customers. Redundancies and load balancing occurs across all
potentially impactful areas, and includes things like: ISPs, firewalls, switching, web servers,
report servers, database servers, SAN and physical database locations. System engineers
monitor system performance and end user experiences on an ongoing basis.
HIPAA
Sansio has Privacy and Security Policies and Procedures that define the administrative,
technical, and physical safeguards that are deployed to ensure the availability, integrity and
security of electronic Protected Health Information (ePHI). Protection of Sansio Customer’s
ePHI is of utmost concern to Sansio; it is Sansio’s goal to use “best practices” in supporting
Customer compliance with HIPAA:

Encryption
Sansio utilizes a 256-bit encryption certificate, but most up-to-date browsers will
only utilize up to 156-bit of that encryption. The encryption is in-stream in the
transport layer utilizing pre-agreed passwords. Transmission of client data upload is
performed utilizing at least 156-bit Secure HTTPS encryption. Remote access to and
from any of Sansio's Internet servers for administrative purposes also uses
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encrypted connections using industry standard safeguards and limited to trusted
networks only. With the most up-to-date browsers, Internet access to Sansio’s EMS
applications is obtained using at least 156-bit software based SSL encryption.

Authentication
o
o
o
o
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Identification
o
o
o

Formal Certificate Authority-based digital certificate
The web sites are protected with a 256-bit Thwate Certificate
All web-based authentication occurs in an encrypted session using SSL
All passwords sent are encrypted
Identification and password exchange is via telephone
End users credentials are stored in a separate server
All passwords are sent encrypted at all times
Additional Security
o
o
Load balanced redundant firewalls packet filter all unauthorized services
All servers are on internal IP addresses.
Sansio Privacy and Security Policies and Procedures are available upon request.
HealthEMS Mobile Functionality
HealthEMS will provide access to the web-enabled electronic records / patient care reporting
system on mobile devices, at ambulance stations and other locations identified by County of
Alameda. Pre-hospital data will be remotely hosted by Sansio at its enterprise-level
datacenters for centralized data access, storage and retrieval.
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The HealthEMS web application will be accessible 24/7 at the service level described in the
sample HealthEMS Subscription Agreement herein. HealthEMS requires minimal assistance
from the County of Alameda for installation. HealthEMS provides multiple data collection
methodology choices for customers at the point-of-service (POS). EMS organizations collect
data with any mix of mobile devices, desktop PC-based entry or intelligent scannable
documents. HealthEMS equips EMS leaders with timely, accurate information enabling them
to make informed decisions leading to improved patient care.
HealthEMS Mobile can be installed on any PC that supports Java, including mobile PCs
(ruggedized or not, tablet or laptop) and / or desktops. This solution supports both “online”
and “offline” functionality, and the ability to start on one device and finish another.
HealthEMS Mobile also provides the ability to have supervisors monitor the completeness of
the report in “snapshot views” as the crew fills it out. HealthEMS Mobile will be integrated
with the CAD system, so when a crew member initiates a new form (ePCR), HealthEMS will
populate the form with all of the available CAD data. The HealthEMS Java-based software
can be installed on as many devices as necessary to support County of Alameda needs,
which includes mobile and desktop devices running local or with an Internet connection.
County of Alameda system administrators will define specific user level access dependent on
its own operational protocols; system administrators assign the necessary permission levels
(A/R, Billing, Clinical, Operations, etc.) to the appropriate users which determines access to
information that each member will be granted. There is no limit to the number of users who
may access the system; users can be added, changed, or deleted by the system
administrator. HealthEMS utilizes the functionality of the Internet for sharing of data.
Again, dependent upon user access as defined above, data and reports can be accessed
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24/7 by anyone, anywhere, with appropriate credentials and an Internet connection. There
is no limit to the number of users of the application or its functions at any given time.
Intuitive logic and scripting that is defined by the organization ensures that data collected is
accurate and complete. The ability to import CAD data into the ePCR assures that the data
is consistent and correct and decreases the amount of manual data entry by the crew.
HealthEMS will integrate with the County’s EKG monitors to capture EKG information.
Alameda County will have the ability to securely pull down frequent patient encounter
information, again decreasing the amount of entry by the crew and improving overall
compliance. The user-friendly design layout decreases the amount of time required for crew
members to complete the ePCR. Redundant back-up includes Desktop PC-based entry or
intelligent scannable ePCR forms. HealthEMS Mobile key functionality includes:
HealthEMS FlexFields
•
FlexFields is an application functionality unique to HealthEMS, and in fact is the only
point of service data collection software to offer this kind of flexibility. EMS
organizations are able to add their own customized data fields to HealthEMS Mobile
and to the ePCR edit page in HealthEMS - these customized data fields, called
FlexFields, can only be set up by users with System Administrator security rights;
this functionality is unmatched in the industry, and not only allows users to add
needed / necessary fields to customize the HealthEMS ePCR to meet the individual
needs of EMS organizations, but also allows the ability to create and replace
additional forms like Refusals, Intubation, and IV forms, supporting total flexibility in
data captured at point of service for QA/CQI purposes.
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HealthEMS “Sharing”
•
An information "sharing" feature allows first responders to report their data directly
to the emergency transport agency as patient information can be “shared” between
two hardware devices, allowing for continuation of care using the power of the
Internet; HealthEMS “sharing” assists integrated data capture, supporting overall
improvement in quality of data captured and care provided to the patient at POS
HealthEMS Mobile Sessions
•
Functionality allows for repetitive information (vehicle, paramedic, etc.) to be stored
once at the beginning of a shift and used throughout the day while documenting
PCRs; this functionality eliminates manual entry of redundant crew/shift/vehicle,
etc. data
Protocols by Branch
•
Functionality supports fastest way to document a call with all of the appropriate
treatments and medications for the specific condition being treated; assures crew
members following the orders and direction provided by the EMS organization’s
Medical Director; this supports improvement in quality of care to the patient
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“Quick Vital” Entry
•
“Quick Vital” entry configuration options allow field staff to quickly enter data
(Systolic BP, Diastolic BP, Respiration, etc.) into the “Vitals” section of the ePCR;
reduces manual entry time required in collecting this information and supports
assurance of protocols documents correctly
HealthEMS Mobile Barcode
•
HealthEMS Mobile tool to capture data from the following items: 1) Driver’s license,
2) Triage tags, 3) Supplies, and 4) patient medications; this functionality supports
quick entry of such data into the PCR, eliminating manual entry of the data
HealthEMS SanFax™
•
Faxing functionality is embedded within the HealthEMS Mobile solution and is
designed to provide secure, integrated ePCR delivery services through faxing; the
functionality eliminates the need for printers in the back of ambulances as PCR data
can be faxed directly from an ambulance to the receiving facility
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Triage Data Capture
•
This feature allows for quick entry of strategic information such as Call Number, Tag
Number, Last Name and DOB if known, vitals taken and treatments initially
provided, etc. to support rapid entry in situations such as Mass Casualty incidents
xChangER™ - Emergency Room Integration
HealthEMS provides the hospital Emergency Department and other facilities as determined
by Alameda County to access and print ePCRs and reports based on “Facility Rights”.
xChangER is a Java application that can be installed on as many computers as necessary,
allowing for multiple configurations per hospital setting based on the different needs of each
floor or unit of the receiving facility. Information that is viewed is logged and recorded for
reporting. Additionally, receiving facilities can add comments and hospital information
through xChangER: Bed #, Registration #, bed assign and transfer time, and assumed care
name.
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Pre-hospital data from the mobile hardware device can be made available to the
receiving facility either during creation of the call or when the call is finalized
supporting continuity of care from transporting agency to receiving facility
The hospital/receiving department can view in real time HealthEMS ePCR data with
functionality to integrate pre-hospital data with their own ER medical record
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xChangER supports the "paperless" medical record, supporting wireless transfer of
data from the ambulance to the hospital supporting overall improvement in care
provided to the patient; the hospital is able to import the data in XML format
HealthEMS Messaging
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Integrated, two-way messaging tool allows users to send messages, assign tasks,
and link ePCRs to messages for QA review; HealthEMS messaging supports the total
electronic medical record – information is sent and retrieved within the HealthEMS
application
“Send Back” to Mobile
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HealthEMS configuration option allows HealthEMS users to send a patient care report
back to Mobile for editing by the crew; this functionality allows supervisors to
wirelessly request review, editing, and completion of the report by field staff in realtime in ePCR native format
HealthEMS Integration Functionality
Sansio is an integration expert, with experience developing interfaces to multiple IT vendor
products / legacy systems. Sansio has created a proprietary software tool called xChangER
for the expressed purpose of ease of integration / interfacing to other systems. Seamless
interfacing is achieved by installing xChangER on the customer’s network to monitor local
systems and securely transmit data at a user-defined frequency to HealthEMS. xChangER
query building options are simple for commonly used interfaces, but flexible enough to
handle custom requirements. Typically, interfaces can be setup and running in an hour or
two compared to days or weeks when developing an interface without the xChangER tool.
HealthEMS has the capability to export data in several different formats, i.e. XML, XLS,
TXT and various billing software formats for import into other applications, for state /
regulatory reporting requirements, and QA/CQI or research purposes. HealthEMS builds the
required data file using appropriate fields/values extracted from the HealthEMS database
and exports the completed file to the local workstation’s hard drive. The file can be
transferred within the networked environment or outside the network through established
data transfer protocols. The solution has the ability to send / export data to external
warehouses or other repositories for indexing and reporting purposes, and will be able to
replicate data back to a County of Alameda on-premises owned server.
Sansio has a great deal of expertise at exchanging data with other systems and expects to
have no difficulty developing interfaces to those systems identified by Alameda County:
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HealthEMS has the functionality to interface with Alameda County CAD systems
HealthEMS has the functionality to interface with a variety of billing solutions
HealthEMS integrates with top-tier KG monitors to capture EKG information
HealthEMS will automatically generate EMS reporting required by the NEMSIS and
the State (CEMSIS)
Sansio will develop an interface from HealthEMS to the Firehouse system, supporting
NFIRS compliance
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HealthEMS CAD Integration
HealthEMS functionality includes ability to integrate with Top Tier Computer Aided Dispatch
(CAD) systems; HealthEMS history includes successful integration with various CAD
systems, allowing for real-time comparison of CAD incidents to ePCR data, ensuring timely
and accurate capture of all ambulance runs. With HealthEMS Mobile, CAD data will pre-fill all
available fields either upon entry of the ePCR or during the call (updates are applied as they
become available). EMS provider agency field staff will document the complete information
that is unique to each patient.
Electronic Patient Care Reports (ePCRs) can be started with or without CAD data, but will
automatically synchronize the CAD data as connectivity allows. Using CAD times, means
CAD data will match ePCR times regardless of the mobile device system time. When CAD
data is not available at the time the ePCR is completed, users can enter the CAD times
manually. Electronic matching (CAD vs ePCR) and “dashboard” items are displayed when no
CAD records matches to the ePCR. HealthEMS daily QA Process reporting includes, for
example, a “CAD Without PCR” report. Sansio is an integration expert, and will work with
the County of Alameda to successfully integrate with various CAD systems used in the
Alameda County environment.
HealthEMS Billing Integration
As previously stated, a key component of the HealthEMS solution is successful integration to
third party billing systems. Utilizing the essential POS data collected with the HealthEMS
Mobile application, HealthEMS functionality supports seamless integration to billing systems,
ensuring seamless integration from field data collection to billing.
HealthEMS functionality automatically generates accurate and timely claims information for
electronic processing. Unique features of the HealthEMS application are the automated
establishment of appropriate ICD-9 codes, Service Level Determination and Medical
Necessity Determination. Using point-of-service run data including crew member
certifications, treatments / medications provided, and patient assessment data, HealthEMS
compares the data from the patient encounter to the current “Medicare Blueprint” for Level
of Service. From this analysis, the system completes: 1) a Billing Review Report for review
by the County Billing staff, and 2) a Medical Necessity documentation report. Within this
unique report, HealthEMS returns Provider-defined ICD-9’s and recommends Service Level
with supporting documentation for Medical Necessity based on the run analysis. If accepted,
this Service Level is immediately recorded and incorporated into the generation of a claim.
However, if the ICD-9’s and Level of Service recommended do not meet billing staff
recommendations, HealthEMS gives the billing staff the ability to edit these
recommendations prior to generation of the claim.
HealthEMS Reporting Functionality
HealthEMS reporting functionality provides ad hoc reporting / filtering throughout the
website. The system provides a near infinite combination of querying/ filtering abilities.
comprehensive grouping of data reports for use in clinical, quality and productivity analysis
to support review of operational performance. With HealthEMS, Alameda County will have
the ability to analyze ePCR data in summary or detail format. Standard report formats have
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been developed to facilitate regular reviews of information and increase system
performance; the application automatically generates specific pre-built reports in numerous
categories. Access to these reports is limited to select users. Users have the ability to find,
select, run, view, and print standard reports. Filter criteria is able to be stored for each user.
Reports all print/export to PDF, XML, Excel, or HTML for 100% custom evaluation. Where
applicable, HealthEMS “drill down” functionally exists. Frequently used reports can be
pushed to the user through either "myReports" or on Dashboard items (small tables, pie
charts, line charts or Bar charts). HealthEMS allows for the ability to run pre-defined
tabular reports that may be refreshed on-demand. Standard reports are executable on
demand and report generation options are selectable from an easy to navigate menu. Also,
Sansio has capability to provide a near real time export of the data to Alameda County for
ad hoc SQL query ability.
comprehensive grouping of data reports for use in clinical, quality and productivity analysis.
The application automatically generates specific pre-built reports in many different
categories. As the needs of Alameda County evolve, changes to treatment, supply, and
medication codes in addition to enhancement requests will allow for a variety of reporting to
meet the needs of various types and levels of staff.
The application uses a report writer which gives the user the functionality to print or export
the data from each of the reports, with the click of a button. This function gives the user
the ability to export the report data into a standard spreadsheet or database format for
additional manipulation of the data outside the application at a local level. This functionality
is particularly useful for large municipal providers like County of Alameda who are interested
in monitoring POS surveillance metrics.
HealthEMS Report (Filter) Capabilities
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Customized ability to manage content/presentation of data in reports
Create “custom” report filters, displaying specific information when needed
Save the custom filter for future use or add to the “myReports” list
HealthEMS Integrated QA/CQI
HealthEMS supports continuous monitoring and improving the usefulness of area wide EMS
information systems. Effective data management begins during the process of determining
what data should be collected. The process of transforming data into useful information
must be evaluated and improved. Careful consideration of the effectiveness of information
distribution for the work force must occur. For example:
The assessment of time intervals in the context of the continuum of emergency care
is an important process results measure. Such intervals would include: activation
time interval (time of call dispatched to time of vehicle response), overall scene
response time interval (time of call received at dispatch to arrival at patient); and
time and success rate of field interventions (e.g. airway management). Process of
care also includes the delivery of clinical services. Of particular importance are those
services that are essential for patient survival, such as airway management,
defibrillation, or pharmacological treatment.
The HealthEMS ePCR documents the patient encounter and supports evaluating how well an
EMS organization fulfills its key performance tasks; for example: pre-hospital response,
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treatment and transport time intervals, adherence to established treatment protocols, and
changes in patient health status. Through its reporting capabilities, HealthEMS provides
access to the run report images, narrative information, and key reports to help accomplish
this goal. Functionality includes an integrated QA/CQI module that allows each organization
the ability to customize which QA Metrics are monitored. This decreases the amount of time
it takes to manually select runs for review and ensures that the correct runs that meet
reviewing criteria get reviewed.
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QA Metrics: HealthEMS offers 100+ combinations of QA metrics to be setup
and then assigned to a specific user(s); Security permissions may be assigned
to “QA” reviewers.
FlexFields makes this functionality virtually
limitless.
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QA Categories: QA Categories may be setup and assigned to user-generated
QA Tasks; The categories can then be used to report/trend QA scores for
ePCRs. FlexFields makes this functionality virtually limitless.
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QA Scoring Reasons: QA Scoring Reasons may be setup to standardize the
reasons to indicate why a particular QA score was given to an ePCR; A
separate documentation score is assigned for each QA item; The scores of
each QA item are averaged to calculate an overall ePCR score
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QA Detail Reporting Page: The QA Detail page lists the ePCRs that meet the
selected QA criteria. From this page, users can view the QA message, view
ePCR, add a new message, score an ePCR, and add or edit scoring reasons; A
'View QA Summary' hyperlink is available as well as the 'Send results to' drop
down list.
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An integrated, secure messaging feature provides the means to asynchronously
communicate between staff members and the Medical Director allowing follow-up to QA/CQI
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activity. Facilitation of this process creates an opportunity for real improvement to occur.
This takes pre-hospital care reporting beyond merely gathering data for billing purposes to
improving the quality of care. HealthEMS reporting provides an Audit Trail in regards to the identity and time the user
logged in. HealthEMS tracks what records are viewed, edited, or deleted. The reports are
called the “ePCR Activity Log” and the “Login Information”. The solution includes an audit
trail report detailing changes made to patient records and includes date, time, and user
information.
The role of managers in today’s EMS organization is not easy. HealthEMS will support the
County of Alameda key players in identification of potential areas for improvement of its
EMS system, suggest training opportunities, highlight outstanding clinical performance,
audit compliance with treatment protocols, and provide information about specific illnesses
or injuries along with their associated treatments. HealthEMS will provide the means for
medical treatment protocols, early warning for disease outbreaks and possible terrorist
attacks, reporting of medical supplies and the development of management strategies to
improve response to emergency situations.
HealthEMS Dashboard Features
HealthEMS integration features a “myDashboard” homepage that pushes role-based
information to users. “myDashboard” is configurable by user, creating a customized view of
the critical indicators needed by individuals in the EMS organization to make informed
decisions in their areas of responsibility. Based on specific security permissions, users will
have the ability to review HealthEMS pre-set reporting for clinical, protocol compliance and
outcome analysis, or export ePCR information to spreadsheet or database format for custom
evaluation.
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HealthEMS Dashboard Builder
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“myDashboard”, configurable by user, pushes role-based information
Creates customized view of critical indicators for review
Page-sensitive “viewlets” graphically demonstrate how to use certain functionality
CARES
myCares.NET is a web-based solution that Sansio created as part of the CARES (Cardiac
Arrest Registry to Enhance Survival) project; partners include Emory University, the Center
for Disease Control (CDC) and the American Heart Association (AHA). The opportunity was
presented to Sansio as a result of the relationship established with Emory University, which
provides medical direction oversight to Grady EMS, a HealthEMS customer for several years.
Sansio provides the engine behind CARES: providing the healthcare information services
expertise, including field data capture, centralized data management, collection of hospital
outcome data and healthcare data analysis for the CARES project.
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Part 5 - Alameda County Public Health Department

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