Choose the type of report you'd like to submit. Submissions feed directly into the CENTEX RAC quality programs.
EMS-agency submission for PHWB events. Captures incident timeline, vitals, blood administration, and outcomes.
Open PHWB Form →Receiving-facility companion to the PHWB report. Captures ED/OR vitals, MTP activation, blood products, length of stay, and hospital outcome.
Open Hospital Form →Whole blood submissions feed the aggregate program metrics page.
Cardiac and stroke case reporting now live in the member portal. Stroke reporting additionally requires a facility sign-in. Existing QR codes still work.
Each facility has dedicated QR stickers that link directly to the appropriate form. Scan the QR code on your facility's information sheet to skip this selector.
Contact the CENTEX RAC office at (254) 770-2316 or programspecialist@centraltexasrac.org.