Working Together to Save Lives Lynne Sears, RN, MS, PNP University of Wisconsin Hospitals and Clinics South Central Regional Trauma Advisory Council Lynne Sears, RN, MS, PNP University of Wisconsin Hospitals and Clinics South Central Regional Trauma Advisory Council

Working Together to Save Lives “If a disease were killing our children in the proportions that injuries are, people would be outraged and demand that this killer be stopped” C. Everett Koop – former U.S. Surgeon General “If a disease were killing our children in the proportions that injuries are, people would be outraged and demand that this killer be stopped” C. Everett Koop – former U.S. Surgeon General

Mission Statement Wisconsin Trauma Care System is dedicated to reducing the death, disability and suffering that results from traumatic injuries and mass casualty events by providing a comprehensive and integrated system of statewide prevention and trauma care resources throughout the continuum of care.

Traumatic Injuries: A Major Public Health Problem

Trauma: Leading Cause of Death in the First Four Decades of Life  3,231 people died of injury alone in Wisconsin in 2003*  4,119 in 2006  25% of all Emergency Department visits are related to traumatic injuries*  3,231 people died of injury alone in Wisconsin in 2003*  4,119 in 2006  25% of all Emergency Department visits are related to traumatic injuries* *Wisconsin Department of Health and Family Services

Trauma: Leading Cause of Death in the First Four Decades of Life Causes of Death in Wisconsin: Ages 1-44, 1998 (Data from CDC NCIPC WISQARS System) Motor Vehicle Crashes Falls Firearms Poisoning Suffocation Non-traffic bikes and motor vehicles Drowning Fire and Burns All others

Trauma: Leading Cause of Death in the First Four Decades of Life  For every 2 people who die of traumatic injuries, another six are permanently disabled* *Injury Deaths Profile DHFS: CDC State Injury Profile

Traumatic Injuries: Beyond the Human Cost

Causes of Death in Wisconsin: Ages 1-44, 1998 (Data from CDC NCIPC WISQARS System)

Traumatic Injuries: Beyond the Human Cost  Injury causes more years of lost productivity than cancer and heart disease combined

The Total Impact of Traumatic Injuries on Victims, Families, Friends, Employers and the Community at Large is Immense

The Solution is a Statewide System

74 Lives Saved The Solution is a Statewide System  Statewide Trauma Systems have been shown to decrease mortality from major motor vehicle crashes by 9%* *National Safety Council Motor Vehicle Deaths 2006 – 765 Motor Vehicle Deaths Motor Vehicle Deaths 2006 – 765 Motor Vehicle Deaths Wisconsin Trauma Care System

The Solution is a Statewide System  Wisconsin Trauma Care System has the potential for preventing up to 15%* of injury deaths, saving 485 lives in one year *Based on reported experience of states with mature Statewide Trauma Care Systems ,231 Deaths 2006 – 4,119 Deaths ,231 Deaths 2006 – 4,119 Deaths 617 Lives Saved Wisconsin Trauma Care System

Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation

 Transport the injured patient to the appropriate trauma care facility as quickly as possible  Return the patient to the community at the highest level of function possible  Transport the injured patient to the appropriate trauma care facility as quickly as possible  Return the patient to the community at the highest level of function possible

Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation  Create the infrastructure for handling natural disasters, domestic and/or international acts of terrorism  Provide injury awareness, prevention and education  Create the infrastructure for handling natural disasters, domestic and/or international acts of terrorism  Provide injury awareness, prevention and education

Statewide Collaboration Benefits Patient Care

The major components of Wisconsin Trauma Care System depend on voluntary involvement of the state’s EMS agencies, hospitals, Health Departments, and other healthcare providers and partners

Trauma Hospital Designation  Define trauma care resources and capabilities of each hospital*  Designate hospitals with the most comprehensive trauma care facilities as Level I or Level II  Request Level III and Level IV Hospitals to submit self-designation checklist based on ACS-COT standards  Provide site visits for education and validation  Define trauma care resources and capabilities of each hospital*  Designate hospitals with the most comprehensive trauma care facilities as Level I or Level II  Request Level III and Level IV Hospitals to submit self-designation checklist based on ACS-COT standards  Provide site visits for education and validation * Designation criteria based on American College of Surgeons Committee on Trauma verification process and standards

Emergency Medical Services Guidelines  Regional & local protocols for dispatch centers  Education guidelines for dispatchers  Regional & local protocols for dispatch centers  Education guidelines for dispatchers Enhanced 911 System

Emergency Medical Services Guidelines  Quickly identify traumatic injuries at scene  Provide highest possible level of care at the scene  Triage and transport patients according to severity of injury  Transport each patient to facility with appropriate level trauma resources and capabilities  Quickly identify traumatic injuries at scene  Provide highest possible level of care at the scene  Triage and transport patients according to severity of injury  Transport each patient to facility with appropriate level trauma resources and capabilities EMS Field Triage, Treatment and Transport Guidelines

Wisconsin Trauma Registry  Injury trends  Overall quality of care  Injury trends  Overall quality of care Types of Data  Identify and overcome barriers to optimum care  Assess need for public awareness and education  Make System improvements and enhancements  Identify and overcome barriers to optimum care  Assess need for public awareness and education  Make System improvements and enhancements Uses of Data

Wisconsin Trauma Registry  Wisconsin provides state data to the National Trauma Data Bank  Wisconsin regions use national data to establish benchmarks  Wisconsin provides state data to the National Trauma Data Bank  Wisconsin regions use national data to establish benchmarks

Injury Prevention, Education, Training  Providing relevant information and training to primary audiences  Building public awareness of Wisconsin Trauma Care System benefits  Partnering with public- and private-sector partners to provide injury awareness, prevention and education  Providing relevant information and training to primary audiences  Building public awareness of Wisconsin Trauma Care System benefits  Partnering with public- and private-sector partners to provide injury awareness, prevention and education

Injury Prevention, Education, Training  Responding to the needs of state lawmakers and the public with information about System activities and achievements  Documenting the benefits of the System  Keeping policymakers informed of budgets required to maintain and enhance a high quality system  Responding to the needs of state lawmakers and the public with information about System activities and achievements  Documenting the benefits of the System  Keeping policymakers informed of budgets required to maintain and enhance a high quality system

Meeting Local Needs

1.Lake Superior 2.North Central 3.Northeast 4.North/Northwest 5.West Central 6.Fox Valley 7.Southwest 8.South Central 9.Southeast 1.Lake Superior 2.North Central 3.Northeast 4.North/Northwest 5.West Central 6.Fox Valley 7.Southwest 8.South Central 9.Southeast Regions are based on existing patient referral and transfer patterns Wisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the State

Meeting Local Needs  Each Regional Trauma Advisory Council (RTAC) has an Executive Council and RTAC Coordinator  RTAC Members include: Healthcare providers, EMS providers, Health Departments, service organizations and others interested in improving local care of trauma patients  Each Regional Trauma Advisory Council (RTAC) has an Executive Council and RTAC Coordinator  RTAC Members include: Healthcare providers, EMS providers, Health Departments, service organizations and others interested in improving local care of trauma patients Wisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the State

Meeting Local Needs 1.Establish Regional Trauma Care Plans 2.Identify Regional trauma care resources 1.Establish Regional Trauma Care Plans 2.Identify Regional trauma care resources RTAC Responsibilities 3.Educate hospitals, EMS responders and all stakeholders to RTAC’s role 4.Increase membership 5.Regionalize and promote consistent implementation of triage, transport and care guidelines 3.Educate hospitals, EMS responders and all stakeholders to RTAC’s role 4.Increase membership 5.Regionalize and promote consistent implementation of triage, transport and care guidelines

Meeting Local Needs 6.Provide up-to-date and current education and training to regional EMS responders and hospitals 7.Support injury prevention education and training for the public 8.Develop a coordinated Regional Plan for Disaster Response 6.Provide up-to-date and current education and training to regional EMS responders and hospitals 7.Support injury prevention education and training for the public 8.Develop a coordinated Regional Plan for Disaster Response RTAC Responsibilities

Meeting Local Needs  RTACs… Direct hospitals and EMS management in data collection  Analyze data, recommend and promote adoption of regional improvements  Assess regional needs  Involve Regional hospitals and EMS providers in ongoing improvement and enhancement of trauma care  RTACs… Direct hospitals and EMS management in data collection  Analyze data, recommend and promote adoption of regional improvements  Assess regional needs  Involve Regional hospitals and EMS providers in ongoing improvement and enhancement of trauma care Local Focus Enhances Quality

We All Benefit

 Reduced death, disability and suffering from traumatic injury  Integrating all hospitals ensures consistent guidelines for quickly transporting trauma patients to the most appropriate facility  Seamless response to both rural and urban incidents  Reduced death, disability and suffering from traumatic injury  Integrating all hospitals ensures consistent guidelines for quickly transporting trauma patients to the most appropriate facility  Seamless response to both rural and urban incidents People of Wisconsin

We All Benefit  Better preparation for natural disasters, domestic and/or international acts of terrorism  More aggressive efforts targeted at preventing injury  Collaborations with local agencies to identify and reduce major causes of injury  Better preparation for natural disasters, domestic and/or international acts of terrorism  More aggressive efforts targeted at preventing injury  Collaborations with local agencies to identify and reduce major causes of injury People of Wisconsin

We All Benefit  All hospitals are important components of the statewide System  Definition of major trauma helps ensure clients are not sent to Level I or Level II hospitals unnecessarily  Bypassing the nearest hospital with major trauma patients involves a small number of patients with little effect on the facility’s bottom line  All hospitals are important components of the statewide System  Definition of major trauma helps ensure clients are not sent to Level I or Level II hospitals unnecessarily  Bypassing the nearest hospital with major trauma patients involves a small number of patients with little effect on the facility’s bottom line Wisconsin Hospitals

We All Benefit  Facilitate more Advanced Life Support intercepts  Quicker identification of the most appropriate facility for trauma patient  More positive outcomes  Facilitate more Advanced Life Support intercepts  Quicker identification of the most appropriate facility for trauma patient  More positive outcomes Wisconsin EMS Responders

We All Benefit  More effective use of healthcare resources  Reduction in financial impacts of traumatic injuries  Critical component of homeland security and emergency preparedness  Infrastructure for handling natural disasters, domestic and/or international acts of terrorism  More effective use of healthcare resources  Reduction in financial impacts of traumatic injuries  Critical component of homeland security and emergency preparedness  Infrastructure for handling natural disasters, domestic and/or international acts of terrorism The State of Wisconsin

What’s a Life Worth?

What is a Life Worth? 617 Lives in a year $545,000 SAVES 2006 Budget for the entire Wisconsin Trauma Care System is less than $545,000

What is a Life Worth? $65 Million in economic costs 2006 Budget for the entire Wisconsin Trauma Care System is less than $545,000 $545,000 SAVES

What’s a Life Worth? Small cost for enormous benefits

Wisconsin Trauma System in Crisis  No secure funding  Support a State Trauma Program Coordinator  Continue the work in the RTAC’s  Continue the Hospital Designation Reviews  Support a State Registry  No secure funding  Support a State Trauma Program Coordinator  Continue the work in the RTAC’s  Continue the Hospital Designation Reviews  Support a State Registry

 Please contact your Legislature Representative  AS SOON AS YOU GET HOME!  Google “Contact Your Wisconsin State Senators”  Let them know that you value a system of care that lets you do the best that you can do for each trauma patient.  Please contact your Legislature Representative  AS SOON AS YOU GET HOME!  Google “Contact Your Wisconsin State Senators”  Let them know that you value a system of care that lets you do the best that you can do for each trauma patient.

Working Together to Save Lives Joe M. Smith Regional Trauma Care Coordinator Southeast Region Joe M. Smith Regional Trauma Care Coordinator Southeast Region