ePCR

LPCCN ePCR Application - Updated on 08/30/2017
Prior to implementing an electronic data collection product for the submission of PCR data, each Agency must receive written approval from the WREMAC and NYS DOH Bureau of EMS. Additionally, if you are currently using an ePCR system and your agency has decided to change vendors, you must re submit this with the only exception being that your letter submission from # 2 must indicate that this is a change as opposed to your intent to go electronic. 

In order to be considered for ePCR approval, the Agency must:
1. Ensure vender is NEMSIS v3 compliant. *
2. Complete a letter on Agency Letterhead requesting your intent of going to electronic data submission.
3. Be in compliance will all applicable sections of Article 30 and Part 800.
4. Complete Lake Plains Community Care Network ePCR Policy. (Attachment 1)
5. Complete Agency Contact Information. (Attachment 2)
6. Make sure to complete DOH form 5136.
7. Send ALL completed paperwork to LPCCN. **
8. Receive approval from WREMAC and BEMS.

*Note: If your software vendor indicates that you will be the first agency in NYS I urge you to contact me first before purchasing the software. While LPCCN, Big Lakes, WREMAC, or the DOH can not endorse any one particular vendor, they ask that you ensure that the vendor is NEMSIS v3 compliant. A list may be found at: NEMSIS v3 software compliant vendors

**LPCCN will forward completed paperwork to WREMAC and NYSDOH for approval.

Send all completed paperwork to or call with questions:

Lake Plains Community Care Network 
ATTN: ePCR Application 
575 East Main St. 
Batavia, NY 14020
585-345-6110
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12-03.pdf
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Lake Plains Admin,
Aug 30, 2017, 9:09 AM
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