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IL - Illinois

Contact Name: Dan Lee
  Lead, Information Management Systems
  Illinois Department of Public Health
  122 South Michigan Avenue
  Chicago IL  60603
Phone: (312) 814-0056
Email: Daniel.Lee@illinois.gov
EMS Website: Illinois Department of Public Health, Division of Emergency Medical Services and Highway Safety (EMS)

This version of the State EMS Forms was posted on this site on 7/31/2007, and revised by the state on 7/26/2009. Last updated 7/29/2009.

Illinois Department of Transportation Division of Traffic Safety Traffic Records Coordinating Committee states in their June 5th, 2006 Strategic Plan for Traffic Records Improvement:

EMS transport providers are required to submit all pre-hospital care reports to the state data repository. We do not maintain data from EMS agencies licensed as non-transport providers. About 40 percent of the reports are submitted in a scannable paper format (bubble form) and the remaining data are collected using EMS field collection software. The EMS Division has not adopted the new data dictionary for the National Emergency Medical Services Information System (NEMSIS).

The 2006 NHTSA Traffic Records Assessment reports the following information on data quality:

Timeliness

EMS providers are required to submit all pre-hospital patient care reports to the state quarterly, but this is not measured.

Consistency

The state has not adopted the standard NEMSIS data dictionary and data collection protocol.

Completeness and Accuracy

There is no tracking of EMS providers’ compliance with reporting requirements to the state data repository. No penalties are levied against providers that are not compliant.

Click on the thumbnails below to view a full sized image.

       Illinois Patient Care Report page 1Illinois Patient Care Report page 2

Select the following to view a printable Acrobat (.PDF) version.  pdf_acrobat_logo

Illinois EMS Report  2/2002(.PDF,1954.25k)

Illinois Pre-Hospital Care Instruction Manual 7/2002(.PDF,12180.87k)

Click on the following links to view the corresponding files:

Resources for Converting from Paper-Based to Electronic Submission of EMS Pre-Hospital Data

Data Plan:  
Reporting Website: Illinois Department of Public Health EMS Reporting System
EMS Data Dictionary: Illinois Department of Public Health EMS Reporting System - Prehospital Data Dictionary
Reporting Procedure Manual:  
EMS Run Statistics: Illinois Department of Public Health EMS Reporting System - Prehospital Query
Trauma System: Illinois Department of Public Health EMS Reporting System - Trauma Registry Database

NOTE:  You will need Acrobat Reader to view much of the catalogue content.  If you need the current version of Acrobat Reader, you may download it for free from: 
http://www.adobe.com/products/acrobat/readstep2.html

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Last edited:09/01/2009

 

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