The East Baton Rouge Parish Department of Emergency Medical Services (EMS) serves 800,000 people, answers 48,000 emergency calls annually and processes 200-500 reports and medical records every day. After 11 years of operation, the EMS billing department had more than 150,000 paper records in boxes stacked in every corner of the office and more records spread across three different locations. Locating information was a scavenger hunt, and the records system had become another emergency to manage.

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