Trauma System Site Visit Presentation Template

1. Trauma System Site VisitPresentation Template • Use this template to build your presentation for the opening conference of your trauma hospital designation site visit. • Use as many or as few of the slides as you like. The more you use, the better the reviewers will understand your program. • Many slides suggest pasting a trauma registry report onto the slide. Follow the instructions and you’ll be a pro! • Contact the trauma system designation coordinators with questions about your presentation.

2. [Hospital Name] Level [3, 4] Trauma Site Visit Designation or Redesignation

3. Trauma Program Leadership • Trauma Medical Director • Trauma Program Manager/Coordinator • Trauma Registrar

4. About [HOSPITAL] • Approximate population of catchment area • Cities and towns within the catchment area

5. About [HOSPITAL] [INSERT MAP OF CATCHMENT AREA]

6. About [HOSPITAL] • # of physician and/or provider staff and specialty composition • # and composition (RN, LPN) of nursing staff

7. About [HOSPITAL] • List hospital players (other than trauma program leadership) that support the trauma program (e.g., administration, HIM, trauma registry, key department leaders, EMS, quality)

8. About [HOSPITAL] • List other specialties available at your hospital (e.g., OB, Critical Care, Surgery, Radiology)

9. About [HOSPITAL] • Note any changes in leadership or operations since the last site visit • Significant facility changes/equipment upgrades

10. Trauma Volumes (monthly trend) [Insert chart of trauma volumes for the most recent calendar year] Log into MNTrauma Report Writer >> Shared Reports folder >> Site Visit folder >> “18-01 Number of Trauma Registry Records” To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

11. Trauma Volumes (annual trend) [Insert chart of trauma volumes for the most recent calendar year] Log into MNTrauma Report Writer >> Shared Reports folder >> Site Visit folder >> “Number of Trauma Registry Records Trend” To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

12. Causes of Injury [Insert chart of mechanisms of injury for reporting year] Log into MNTrauma Report Writer >> Shared Reports folder >> Site Visit folder >> “18-02 Top 10 Causes of Injury” To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

13. Emergency Department Disposition [Insert chart of trauma patient ED dispositions for the reporting year] Log into MNTrauma Report Writer >> Shared Reports folder >> Site Visit folder >> “18-03 Emergency Department Discharge Disposition” To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

14. Trauma Transfers In (trend) [Insert chart of the # of transfers in to the facility during the reporting year (if applicable)] • Log into MNTrauma • Report Writer >> Shared Reports folder >> Site Visit folder >> “Transfers In” • To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

15. Trauma Transfers Out (trend) [Insert chart of the # of transfers out of the facility during the reporting year] • Log into MNTrauma • Report Writer >> All Reports folder >> Site Visit folder >> “Transfers Out” • To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

16. Length of Stay before Transfer (trend) [Insert chart of the Average LOS before Transfer for TTAs] • Log into MNTrauma • Report Writer >> All Reports folder >> Site Visit folder >> “Avg. LOS before Transfer for TTAs” • To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

17. Trauma Admits/Consults [Insert chart of the # of trauma patients admitted to each respective service during the reporting year] • Log into MNTrauma • Report Writer >> Shared Reports folder >> Site Visit folder >> “18-04 Admission Service” • To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint. And/Or [Insert chart of the # of trauma patients receiving a consult from each respective service during the reporting year] • Log into MNTrauma • Report Writer >> Shared Reports folder >> Site Visit folder >> “18-05 Consulting Service” • To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

18. Trauma Team Activations (trend) [Insert chart of the trauma team activations for the reporting year] • Log into MNTrauma • Report Writer >> Shared Reports folder >> Site Visit folder >> “Trauma Team Activations” • To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

19. Average ED Provider Response Time (trend) [Insert chart showing ED provider response times] Log into MNTrauma Report Writer >> SharedReports folder >> Site Visit folder >> “ED Avg. Provider Response Time” To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

20. General Surgeon Response Time (trend) [Insert chart showing general surgeon provider response times] Log into MNTrauma Report Writer >> SharedReports folder >> Site Visit folder >> “Avg. General Surgeon Response Time” To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

21. Surgeon Response Time For Level 3 trauma hospitals only [Insert data showing general surgeon response time compliance to the highest-tier trauma team activations for the reporting year] • 30 minute response time criteria • 60 minute response time criteria

22. Surgeon Involvement [Level 3 trauma hospitals only] • # of admitted cases with and without surgeon involvement for each of the following conditions • Hemothorax/pneumothorax • Pelvic fracture • Two or more rib fractures • Pulmonary contusion • Significant fall (>15 feet, >65 years old and fall from elevation or down stairs, Pediatric <10 years old: >2x patient’s height)

23. Trauma Program Leadership Networking • Outline Participation In: • Regional Trauma Advisory Committee (RTAC) • Statewide and/or Regional Trauma Program Manager Meetings • Statewide Trauma Advisory Committee (STAC)

24. Trauma Program Leadership Education • Outline Participation In: • RTAC Educational Offerings • Provided by any RTAC • State Trauma System Training • Trauma Program 101 • PI Education • Trauma Registry Training • Other?

25. Trauma Registry • [Insert chart showing the average record submission time] • Log into MNTrauma • Report Writer >> SharedReports folder >> Site Visit folder >> “18-06 Avg. Registry Record Submission Time” • To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint. • If greater than 60 days, address causes and solutions.

26. Current Criteria Issues • Essential criteria currently not being met, if any

27. Previous Visit Information • Prior site visit • Deficiencies and Opportunities for Improvement and actions taken to address • This list should include all of the summary recommendations from the previous site visit report.

28. Performance Improvement Current Initiatives • List current PI initiatives and status of those projects

29. Performance Improvement Past Initiatives • List PI initiatives from the recent past that have been successfully resolved

30. Injury Prevention • List any injury prevention activities that the hospital has led or was involved in over the past designation cycle • Describe how registry data is used to identify the need for injury prevention activities

31. Final • Anything else you would like the review team to know