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Virginia Hastings, Executive Director Inland Counties Emergency Medical Agency Inyo, Mono and San Bernardino Counties

South East Regional Trauma Coordinating Committee Funding Task Force. Bruce Barton, AdministratorRiverside County EMS AgencyVirginia Hastings, Executive DirectorInland Counties EMS AgencyRyan Kelley, AdministratorImperial County EMS AgencyMarcy Metz, AdministratorSan Diego County EMS

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Virginia Hastings, Executive Director Inland Counties Emergency Medical Agency Inyo, Mono and San Bernardino Counties

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    1. Virginia Hastings, Executive Director Inland Counties Emergency Medical Agency (Inyo, Mono and San Bernardino Counties)

    2. South East Regional Trauma Coordinating Committee Funding Task Force Bruce Barton, Administrator Riverside County EMS Agency Virginia Hastings, Executive Director Inland Counties EMS Agency Ryan Kelley, Administrator Imperial County EMS Agency Marcy Metz, Administrator San Diego County EMS Agency

    3. South East Regional Trauma Coordinating Committee Funding Task Force Funding for hospitals and physicians may be a key factor in successful regionalization of trauma systems A complete discussion of funding must include repatriation opportunities/responsibilities Traditional funding sources for uncompensated care generally come through counties Any reappropriation of county funding must be approved by our various Boards of Supervisors/Governing Boards

    4. South East Regional Trauma Coordinating Committee Funding Task Force PLAN: Work with county budget analysts to discuss current revenue streams that are generally used to pay for MIA/indigent/uncompensated care Using trauma registries, identify patients that cross county/state lines Identify payor source for those patients Identify county/state/country of incident when possible Aggregate patient charges when available

    5. South East Regional Trauma Coordinating Committee Funding Task Force EXISTING FUNDING SOURCES – SAN BERNARDINO COUNTY SB 110 – Disproportionate Share Hospital funding and the Safety Net Care Pool funds (disproportionate share of low income and uninsured) Maddy Fund 58% - physicians providing emergency care up to the 48th hour 25% - hospitals providing disproportionate trauma and ER 17% - EMS agencies/EMS programs ** Pediatric Trauma Care Realignment – sales tax, VLF transferred from State to counties Note: All these funds currently fully committed to support care within counties and are insufficient to cover current needs

    6. South East Regional Trauma Coordinating Committee Funding Task Force SURPRISE !!! OBSTACLES WE ALL DO THINGS DIFFERENTLY !

    7. South East Regional Trauma Coordinating Committee Funding Task Force Trauma Registry Data San Bernardino County Riverside County San Diego County By Location of Incident

    8. Trauma Volume by Initial Payor Source Calendar Years 2006 & 2007 Combined

    9. San Bernardino County Trauma Hospital Patients By Location of Incident, 2006 - 2007

    10. Riverside County Trauma Hospital Patients By Location of Incident, 2006 - 2007

    11. San Diego County Trauma Hospital Patients By Location of Incident, 2006 - 2007

    12. Out of County Patients by Initial Payor Source Incident Location Out of County, 2006 - 2007

    13. Initial Payor Source Comparison Out of County Patients vs In-County Patients By Incident Location, 2006 - 2007

    14. South East Regional Trauma Coordinating Committee Funding Task Force Trauma Registry Data San Bernardino County Only By Residence of Patient

    15. Out of County Patients by Discharge Disposition San Bernardino County Trauma Hospitals By Residence of Patient, 2006 - 2007

    16. Hospital Charges for Out of County Patients Loma Linda University Medical Center By Residence of Patient, 2006 - 2007

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