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Current Trauma Status Report - Southern Nevada Health District

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Introduction to the Study<br />

The Abaris Group was retained by the Clark County <strong>Health</strong> <strong>District</strong> to perform an assessment of the<br />

need for a trauma system in <strong>Southern</strong> <strong>Nevada</strong>. This assessment has included conducting an inventory<br />

of the trauma components currently in place in <strong>Southern</strong> <strong>Nevada</strong> and will also include a set of<br />

recommendations to develop and implement a comprehensive trauma system for the future. The<br />

study has involved extensive trauma stakeholder and public input via one-on-one interviews, focus<br />

groups and town hall meetings, as well as an in-depth analysis of data provided by the hospitals, EMS<br />

providers and the UMC trauma registry. Supportive to and in addition to the work of The Abaris<br />

Group, the ACS is conducting a consultative review of the trauma system in <strong>Southern</strong> <strong>Nevada</strong>.<br />

In order to assure an objective and unbiased approach to the study, the Clark County <strong>Health</strong> <strong>District</strong><br />

Board of <strong>Health</strong> created a Citizens <strong>Trauma</strong> Task Force. The task force is comprised of business and<br />

community leaders in the Las Vegas region.<br />

The ACS and The Abaris Group studies will dovetail into a set of recommendations, which will be<br />

presented to the Clark County <strong>Health</strong> <strong>District</strong> Board of <strong>Health</strong> through the Citizen’s <strong>Trauma</strong> Task<br />

Force. The Clark County <strong>Health</strong> <strong>District</strong> Board of <strong>Health</strong> will then present its recommendations to the<br />

<strong>Nevada</strong> State <strong>Health</strong> Division Administrator.<br />

Purpose<br />

The purpose of this document is to provide a “snapshot” of trauma care as it exists today in <strong>Southern</strong><br />

<strong>Nevada</strong>. This report discusses each of the NHTSA components, as well as the history of trauma<br />

systems and specific concerns such as diversion and physician specialty coverage. In addition,<br />

summaries are provided of the many comments and input provided by system stakeholders. The<br />

<strong>Southern</strong> <strong>Nevada</strong> <strong>Current</strong> <strong>Trauma</strong> <strong>Status</strong> <strong>Report</strong> will be used as a springboard for The Abaris Group’s<br />

recommendations for the system as a whole.<br />

Methods<br />

As part of the <strong>Southern</strong> <strong>Nevada</strong> <strong>Trauma</strong> Assessment study, The Abaris Group conducted site visits at<br />

the UMC <strong>Trauma</strong> Center, all 12 adult emergency departments (EDs), and the 2 pediatric EDs. The<br />

purpose of the site visit was to meet with each hospital’s ED management team to obtain baseline<br />

inventory and resource data on each facility and to obtain input on the needs of the trauma system.<br />

In addition to the site visits, The Abaris Group also interviewed greater than 100 key stakeholders in a<br />

variety of venues to obtain their input. These stakeholders included:<br />

• air ambulance providers<br />

• ambulance providers<br />

• fire departments<br />

• hospital CEOs<br />

• insurance payers<br />

• <strong>Nevada</strong> State <strong>Health</strong> Division staff<br />

• <strong>Trauma</strong> Institute staff<br />

Page 11

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