Kansas Trauma Program Update Paul B. Harrison, MD, FACS Chair Governor’s Advisory Committee on Trauma

Trauma Program Update 2003 Where we’ve been Where we’ve been Where we’re going Where we’re going

Trauma Facts Injuries remain a leading cause of death in Kansas Injuries remain a leading cause of death in Kansas Major public health problem Major public health problem MVC and firearms account for over half of all injury deaths MVC and firearms account for over half of all injury deaths Average of 4 people a day die in Kansas from trauma Average of 4 people a day die in Kansas from trauma

What is a Trauma System? Definition ….an organized, coordinated approach to facilitating & coordinating a multi- disciplinary system response to injured patients ….an organized, coordinated approach to facilitating & coordinating a multi- disciplinary system response to injured patients Seamless transition between each phase of care Seamless transition between each phase of care Involves public & private partnerships Involves public & private partnerships

What Is A Trauma System? Characteristics Regionalized, making efficient use of facilities/resources Regionalized, making efficient use of facilities/resources Based on unique requirements of the population Based on unique requirements of the population Emphasizes prevention as part of community health Emphasizes prevention as part of community health Ability to expand to meet the medical needs of the community from man-made or natural disaster Ability to expand to meet the medical needs of the community from man-made or natural disaster

Continuum of Care: Injury Prevention Injury Prevention EMS field EMS field Surgical Surgical ICU/ In-Patient ICU/ In-Patient Mental Health Mental Health Social Services Social Services Primary Care Primary Care Rehabilitation Rehabilitation

Kansas Milestones in Trauma: 1993: KDHE Injury Program funded 1993: KDHE Injury Program funded 1994: NHTSA assessment done in KS 1994: NHTSA assessment done in KS 1995: Partnership formed; KDHE, KHA, KMS & EMS 1995: Partnership formed; KDHE, KHA, KMS & EMS 1995: KHF provides funding for trauma plan 1995: KHF provides funding for trauma plan : Kansas EMS/Trauma Plan written : Kansas EMS/Trauma Plan written

Kansas Milestones in Trauma: 1999: Legislation passed authorizing development of a state trauma system 1999: Legislation passed authorizing development of a state trauma system 2000: Members appointed to the State Advisory Committee on Trauma “ACT” 2000: Members appointed to the State Advisory Committee on Trauma “ACT” 2001: Kansas Trauma Plan is presented to the legislature 2001: Kansas Trauma Plan is presented to the legislature

Kansas Trauma System: 2002 Trauma Registry- data collection Trauma Registry- data collection Trauma Education Trauma Education Regional Trauma Councils Regional Trauma Councils

Plans for 2003: Trauma Registry: Trauma Registry: Continued training/education on registry software Continued training/education on registry software All hospitals reporting data 2/04 All hospitals reporting data 2/04 Trauma Education: Trauma Education: Increase number of trauma education classes Increase number of trauma education classes Regional Trauma Councils: Regional Trauma Councils: Address local issues Address local issues Identify resources/needs within region Identify resources/needs within region

Trauma Registry: Trauma Registry software & training provided free to hospitals Trauma Registry software & training provided free to hospitals First download of data to state registry: 2/03 First download of data to state registry: 2/03 All hospitals to be reporting data by 2/04 All hospitals to be reporting data by 2/04 Data Dictionary Published Data Dictionary Published Registry subcommittee formed 3/03 Registry subcommittee formed 3/03 Sherry Davis, Coordinator Sherry Davis, Coordinator

Trauma Education: Contract with the “Consortium for Improvement of Trauma Education” Contract with the “Consortium for Improvement of Trauma Education” ATLS, PHTLS, TNCC classes subsidized ATLS, PHTLS, TNCC classes subsidized 201 Health care professionals trained in Health care professionals trained in 2002 Kay Swietek, Coordinator Kay Swietek, Coordinator

Regional Trauma Councils: 6 regional trauma councils established 6 regional trauma councils established Kendra Tinsley, Regional Trauma Council Coordinator hired 8/02 Kendra Tinsley, Regional Trauma Council Coordinator hired 8/02 Priorities have been to establish: Priorities have been to establish: Subcommittees Subcommittees Bylaws Bylaws Assessment of regional needs Assessment of regional needs

Current Status: other Kansas awarded EMS/Trauma System Grant Kansas awarded EMS/Trauma System Grant Statewide needs assessment survey for emergency medical dispatch Statewide needs assessment survey for emergency medical dispatch Survey to be distributed in May, 2003 Survey to be distributed in May, 2003 Regional reports will be developed Regional reports will be developed

Regional Trauma Councils: Fundamental Questions Fundamental Questions What are the causes of trauma & how can they be prevented? What are the causes of trauma & how can they be prevented? Is the region’s trauma system readily accessible? Is the region’s trauma system readily accessible? Is the system efficient & effective? Is the system efficient & effective? What is needed to improve the system? What is needed to improve the system?

Advisory Committee on Trauma: 24 member committee representing both urban & rural areas 24 member committee representing both urban & rural areas Appointed by the Governor Appointed by the Governor Advise KDHE on development & implementation of a trauma system Advise KDHE on development & implementation of a trauma system Meet at least 4 times/ year Meet at least 4 times/ year

2003 Meeting dates: Open to the public Open to the public February 19, 2003 February 19, 2003 May 28, 2003 May 28, 2003 August 27, 2003 August 27, 2003 November 19, 2003 November 19, 2003

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Trauma Program Program OverviewProgram OverviewProgram OverviewProgram Overview State Trauma PlanState Trauma PlanState Trauma PlanState Trauma Plan Trauma Plan (.pdf)Trauma Plan (.pdf)Trauma Plan (.pdf)Trauma Plan (.pdf) Advisory CouncilAdvisory CouncilAdvisory CouncilAdvisory Council Regional CouncilsRegional CouncilsRegional CouncilsRegional Councils North West CouncilNorth West CouncilNorth West CouncilNorth West Council North Central CouncilNorth Central CouncilNorth Central CouncilNorth Central Council North East CouncilNorth East CouncilNorth East CouncilNorth East Council South West CouncilSouth West CouncilSouth West CouncilSouth West Council South Central CouncilSouth Central CouncilSouth Central CouncilSouth Central Council South East CouncilSouth East CouncilSouth East CouncilSouth East Council Trauma EducationTrauma EducationTrauma EducationTrauma Education Education Courses AvailableEducation Courses AvailableEducation Courses AvailableEducation Courses Available Trauma LinksTrauma LinksTrauma LinksTrauma Links Trauma RegistryTrauma RegistryTrauma RegistryTrauma Registry Registry OverviewRegistry OverviewRegistry OverviewRegistry Overview Registry Case CriteriaRegistry Case CriteriaRegistry Case CriteriaRegistry Case Criteria Data Dictionary (pdf)Data Dictionary (pdf)Data Dictionary (pdf)Data Dictionary (pdf) State Required Data Elements (pdf)State Required Data Elements (pdf)State Required Data Elements (pdf)State Required Data Elements (pdf) Kansas Trauma Registry SubcommitteeKansas Trauma Registry SubcommitteeKansas Trauma Registry SubcommitteeKansas Trauma Registry Subcommittee Kansas Collector Users GroupKansas Collector Users GroupKansas Collector Users GroupKansas Collector Users Group Registry ReportsRegistry ReportsRegistry ReportsRegistry Reports Helpful Forms and DocumentsHelpful Forms and DocumentsHelpful Forms and DocumentsHelpful Forms and Documents

Trauma Systems do save lives Thank you!