This form has been temporarily disabled. For enrollment questions, please contact Tiara Sinkfield at tiaracares@emory.edu with the subject "myCares Enrollment Questionnaire"
Please include answers to the following questions in your email:
- Question 1:Please provide your name, job title, and contact information (e-mail and phone number)
- Question 2: What is the official name of your organization?
- Question 3: What is your call volume? How many cardiac arrests do you respond to monthly?
- Question 4: We require that all arrests be confined to a defined geography boundary/area. What is your geographic boundary?
- Question 5: CARES requires all transporting agencies within this defined boundary to participate. Are you the sole transporting agency in this boundary? If not, who are the other providers?
- Question 6: How many hospitals do you transport to? What are the names of these hospitals?
- Question 7: CARES prefers that you establish a contact at each hospital. Once a contact is established, we will train them on CARES data entry. Do you have established contacts at these hospitals?
- Question 8: Are you current collecting any cardiac arrest data? If so, how?
- Question 9: Do you utilize an ePCR (Electronic Patient Care Record) system? Who is your vendor?
