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Trauma System Goals. Decrease the incidence and severity of traumaEnsure optimal, equitable
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1. South East Regional Trauma Coordinating Committee Meeting Raul Coimbra, MD, PhD, FACS
Professor of Surgery
Chief, Division of Trauma, Surgical Critical Care, and Burns
University of California San Diego School of Medicine
2. The goals of the trauma system are not dissimilar to those previously listed for the public health system. It is also about promoting a life style that is free from injury and/or returning a person who has sustained an injury to his or her pre-injury status. The goals of the trauma system are not dissimilar to those previously listed for the public health system. It is also about promoting a life style that is free from injury and/or returning a person who has sustained an injury to his or her pre-injury status.
3. CA state trauma system implementation Strengthening State Trauma Leadership
Central Trauma Office
State Trauma Advisory Committee
Regional Trauma Coordinating Centers
Develop Statewide Trauma Registry
Trauma Systems Local Assistance Funding
Developing trauma capacity to enhance regional trauma care
Stabilizing existing trauma centers by assisting with the cost of uncompensated care
4. RTCC’s Address gaps and inconsistencies and improve surge capacity within a region.
Break large state into more manageable pieces, while ensuring better local coordination.
Coordinate to improve trauma care resources including financial concerns and patient flow.
5. RTCC’s Geographic Access
Transportation
Specialty care availability
Quality of care
Data collection
Training and Education
Disaster Planning
6. Meeting on July 24, 2008Sacramento, CA – UC Davis History
Process
Plan
Breakouts
Model trauma plan objectives
Trauma data & QI connection
California State Trauma System Development
Map Approval
7. State Regions
9. How did we start out? Who we are
What we have
Systems Similarities
Systems Differences
10. Specific Agenda -1 Gap Identification
Resources
Specialty Care
Rehabilitation
Acute Care Facilities
11. Specific Agenda -2 Access
Triage
Out of County Transfers
Repatriation
Inter-county
Inter-facility
12. Specific Agenda -3 Data
Minimum registry
Dataset Based on State Registry work group
Best Practices
Identification
Dissemination
13. Specific Agenda -4 Performance Improvement
Local
Regional
Standardized Definitions?
Statewide
When?
How Often?
How?
14. Specific Agenda - 5 Research
Epidemiology
PI based
Outcomes
Integration with rest of State
15. What have we done? “Steering” Committee
Monthly Conference calls
Creation of 3 subcommittees
Trauma Triage
Lead: Cynthia Marlin-Stoli
Quality Improvement
Lead: Sharon Pacyna / Dorothy Kelly
Funding / Repatriation
Lead: Virginia Hastings, Les Gardina, Ryan Kelley