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Ginger Floerchinger-Franks, Dr.P.H Director, Idaho Trauma Registry

Ginger Floerchinger-Franks, Dr.P.H Director, Idaho Trauma Registry. The Idaho Dataset and the National Trauma Data Standards. Idaho Trauma Registry Background. Established by Idaho Code §57-2003 All acute care hospitals All patients meeting inclusion criteria Injury surveillance system

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Ginger Floerchinger-Franks, Dr.P.H Director, Idaho Trauma Registry

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  1. Ginger Floerchinger-Franks, Dr.P.H Director, Idaho Trauma Registry

  2. The Idaho Datasetand theNational Trauma Data Standards

  3. Idaho Trauma Registry Background • Established by Idaho Code §57-2003 • All acute care hospitals • All patients meeting inclusion criteria • Injury surveillance system • At minimum identify • Access to care issues • Performance of emergency medical systems • Costs of trauma care • Outcomes for trauma victims

  4. Inclusion Criteria • Include: • Dislocations, sprains, strains, fractures • Open wounds / Crushing injuries • Internal injuries / Intracranial injuries • Drowning / nonfatal submersions • Asphyxiation / strangulation • Electric current • Additionally: • Admission as in-patient • Transfer between acute care hospitals by EMS • Death

  5. ITR Dataset and Data Dictionary • Developed by TRAC • Minimum dataset (147 items) • Hospitals – NTR (all common elements), TRAC (Idaho-specific elements) • EMS – PCR / NEMSIS • Transportation – VCR • Vital Statistics – death certificate

  6. Standardized Hospital Data Entry • Idaho Data Dictionary • NTR – for common data items • TRAC / other standard definitions for Idaho- specific data items • www.idahotrauma.org • Menu choices / reporting options • Injury coding software • Text • ICD-9 codes • ITR data entry QC

  7. Hospital Data Subset • Patient demographics • Injury demographics • Initial hospital assessment • Injury description • Patient outcomes

  8. Patient Demographics • Age • Gender • Race / ethnicity • Linking elements • Personal identifiers

  9. Injury Demographics • When • Where (county, type of location) • Cause (E-codes) • Safety equipment use • Linking elements • EMS agency • Injury county • Injury date and time • Transfer hospital(s)

  10. Initial Patient Assessment • In-hospital vital signs / time taken • GCS (all patients) to calculate RTS, P(s) • Procedures • Initial diagnostic radiology • Invasive procedures • FAQ

  11. Injury Description • Text description (detailed) • ICD-9 codes • Complications (ACS) • Co-morbidities (ACS)

  12. Outcomes • Proxy measures • Discharge location • Discharge GCS (all patients) • Disabilities scores

  13. For More Information • ITR Data Dictionary • www.idahotrauma.org • ITR FAQs • www.idahotrauma.org • Idaho Trauma Registry • 338-5100 extension 221 • gfranks@teamiha.org • National Trauma Data Standards • www.ntdsdictionary.org/dataElements/datasetDictionary.html

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