Stakeholder Update Building A New Trauma Registry Registry Solution Work Group (RSWG) May, 2011

What I’ll be presenting today… Stakeholder involvement RSWG purpose, objectives & composition Texas Trauma System Assessments National Data Standards RSWG recommended data elements How to obtain more information How to provide input and feedback

Stakeholder Involvement Trauma Registry Improvement System Assessment (TRISA) by MTG Management Consultants Arose from stakeholder and agency concerns about current system Stakeholder needs assessment To identify requirements for new system Best Practices assessment from other states Recommended Agency and Stakeholder Coordination to build new registry

RSWG Purpose To Provide A means for stakeholders to communicate subject matter expertise to DSHS The interface with other Stakeholder groups to ensure new registry meets the stakeholder needs The formation of the RSWG is a result of the acknowledgement of the importance of stakeholder involvement in discussions pertaining to the functioning of the trauma registry and thus provides the opportunity to partner with DSHS to work on specific goals.

Composition of RSWG and Stakeholder Groups Represented Hospitals EMS GETAC TETAF RACs DSHS TXDOT NEMSIS (Invited for data element consultation) Hospitals – Adult and Pediatric Trauma Centers, EMS Rural and Urban EMS Providers, GETAC (Governors EMS Trauma Advisory Council), TETAF (Texas EMS Trauma and Acute Care Foundation), RACs (Regional Advisory Councils), DSHS (Department of State Health Services TXDOT: (Texas Department of Transportation) They have partnered with DSHS to provide funding for the creation of the new system because of our shared goals to prevent motor vehicle injuries. Our objective is to be able to combine information collected by TXDOT pertaining to the details of the event with information collected by DSHS pertaining to the patients injuries. As you may know, the NEMSIS is a system of the National Highway Traffic Administration. NEMSIS (National EMS Information System)

RSWG Objectives Initial Objective Assist with the creation of the RFO (Request For Offer) for new trauma registry Recent Objective Recommend data elements for the new trauma registry system Future Objective Serve as a continued means for stakeholder involvement in the development and operation of new trauma registry system

RSWG Meetings The RSWG has been meeting since January of 2011 to discuss data elements for the new trauma registry Weekly conference calls Use of ‘Go to Meeting’ to view files together

National Data Standards NEMSIS & NTDB The MTG Assessment (Stakeholder Needs) NEMSIS* and NTDB* be the accepted standards for the new system The American College of Surgeons (ACS)# Recommended the Texas Trauma Registry collect NEMSIS and NTDB data elements The RSWG recommends the Texas Hospital Trauma Data Set following the NTDB’s required data elements as listed within the National Trauma Data Standards. This recommendation is the result of several evaluations and feedback received from the Stakeholders. MTG Management Consultants held 10 Stakeholder meetings across the State with over 200 EMS and Hospital participants. The meetings took place during the months of June and July 2009. In addition to the meetings MTG sent out a registry needs survey to the stakeholder group. After completing a review of stakeholders needs in August 2009 MTG issued the Stakeholder Survey Results and within the TOP 10 Findings and within the top 10 was the requirement for the registry to be NTDB complaint. *NEMSIS – National EMS Information System NTDB – National Trauma data Bank #ACS – Trauma System Consultation Report to Texas

RSWG NTDB Recommendations All NTDB data elements currently submitted to NTDB by Level I and Level II hospitals be available in the trauma registry for customer use

RSWG NEMSIS Recommendations All NEMSIS data elements be available in the trauma registry for customer use NEMSIS data elements, required by NEMSIS for national and state benchmarking, be reported to the trauma Registry. The RSWG was fortunate to have Karen Jacobson, TAC Director for NEMSIS join us on several conference calls to discuss the data elements. NEMSIS Version 3 compliance means that the software will go through a testing and certification process by the NEMSIS Technical Assistance Center which will include: Ability to export Demographic (Agency) XML (via test cases) All Version 3 elements National elements only (subset) EMS (Event) XML (via test cases) The NEMSIS standard today is Version 2.2.1 and EMS data will be accepted in this format by NEMSIS through 2014. NEMSIS Version 3 Dataset tentative public release date is scheduled for July 2011 as a Beta Release. Development by EMS software community 3 month window for any last suggested changes to the dataset

Current Trauma Registry Elements Current Trauma Registry Elements not included in the recommended NEMSIS or NTDB elements Were recommended if they pertained to System performance improvement Patient outcome evaluation The RSWG will meet with Stakeholders from Level III and Level IV hospitals to assess their needs for performance indicator data elements to be available in the trauma registry.

Next Steps DSHS will post documents pertaining to recommended data elements on website. DSHS will provide on-line mechanism to collect comments and questions pertaining to RSWG recommended data elements DSHS will provide Webinars for stakeholders to discuss RSWG recommended data elements DSHS will create a Frequently Asked Questions Document and post it on website DSHS will send email notification to stakeholders with information on the location of documents and how to provide feedback

Summary RSWG recommends all NEMSIS and NTDB data elements be available in the system for customer use RSWG recommends current Trauma Registry data elements pertaining to system performance improvement be available in the system for customer use RSWG will continue working with DSHS to build the new trauma registry DSHS is providing a website tool and webinars for stakeholders to provide feedback on the recommended data elements