Current Trauma Status Report - Southern Nevada Health District

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Introduction to the Study The Abaris Group was retained by the Clark County Health District to perform an assessment of the need for a trauma system in Southern Nevada. This assessment has included conducting an inventory of the trauma components currently in place in Southern Nevada and will also include a set of recommendations to develop and implement a comprehensive trauma system for the future. The study has involved extensive trauma stakeholder and public input via one-on-one interviews, focus groups and town hall meetings, as well as an in-depth analysis of data provided by the hospitals, EMS providers and the UMC trauma registry. Supportive to and in addition to the work of The Abaris Group, the ACS is conducting a consultative review of the trauma system in Southern Nevada. In order to assure an objective and unbiased approach to the study, the Clark County Health District Board of Health created a Citizens Trauma Task Force. The task force is comprised of business and community leaders in the Las Vegas region. The ACS and The Abaris Group studies will dovetail into a set of recommendations, which will be presented to the Clark County Health District Board of Health through the Citizen’s Trauma Task Force. The Clark County Health District Board of Health will then present its recommendations to the Nevada State Health Division Administrator. Purpose The purpose of this document is to provide a “snapshot” of trauma care as it exists today in Southern Nevada. This report discusses each of the NHTSA components, as well as the history of trauma systems and specific concerns such as diversion and physician specialty coverage. In addition, summaries are provided of the many comments and input provided by system stakeholders. The Southern Nevada Current Trauma Status Report will be used as a springboard for The Abaris Group’s recommendations for the system as a whole. Methods As part of the Southern Nevada Trauma Assessment study, The Abaris Group conducted site visits at the UMC Trauma Center, all 12 adult emergency departments (EDs), and the 2 pediatric EDs. The purpose of the site visit was to meet with each hospital’s ED management team to obtain baseline inventory and resource data on each facility and to obtain input on the needs of the trauma system. In addition to the site visits, The Abaris Group also interviewed greater than 100 key stakeholders in a variety of venues to obtain their input. These stakeholders included: • air ambulance providers • ambulance providers • fire departments • hospital CEOs • insurance payers • Nevada State Health Division staff • Trauma Institute staff Page 11
A series of focus groups was also conducted. The purpose of the focus groups was to obtain information in a group setting and to help cull out ideas and allow the exchange of different perspectives. The following focus groups were held: • Clark County Health District staff • ED medical directors • ED nurse managers • EMS supervisors (two held) • Hospital CEOs And finally, a series of Town Hall meetings was also held. The purpose of these meetings was to enable the public to learn about the study and provide input. Town Hall meetings were held in: • Boulder City • Clark County • Henderson • Las Vegas • Mesquite • North Las Vegas Using these several avenues (interviews, surveys, Town Hall Meetings, etc.), The Abaris Group was able to inventory the resources relevant to trauma in Southern Nevada.\ Page 12
Page 1 and 2: SOUTHERN NEVADA CURRENT TRAUMA STAT
Page 3 and 4: Table of Contents Executive Summary
Page 5 and 6: Chronology of Trauma Care in Southe
Page 7 and 8: Exhibit 33 - Map Displaying Trauma
Page 9 and 10: • From January through April 2004
Page 11: Clearly trauma center staffing and
Page 15 and 16: • Information Management • Fina
Page 17 and 18: (This study did not attempt to meas
Page 19 and 20: County Health District Board of Hea
Page 21 and 22: on an average length of stay of 3.4
Page 23 and 24: Exhibit 8 - Projected Population Ch
Page 25 and 26: Trauma Stakeholder Interview Result
Page 27 and 28: three years, and felt that a Level
Page 29 and 30: EMS providers ranked Acute Care Fac
Page 31 and 32: Town Hall Meeting Comments A series
Page 33 and 34: (CAAS) and the air ambulance provid
Page 35 and 36: Triage Criteria The determination o
Page 37 and 38: With the exception of the year 2000
Page 39 and 40: Exhibit 20 - Trauma Patients by Age
Page 41 and 42: The following chart shows that abou
Page 43 and 44: Exhibit 27 - Trauma Ground Transpor
Page 45 and 46: E codes enable the classification o
Page 47 and 48: The day of the week with the greate
Page 49 and 50: A different view of the 2002 trauma
Page 51 and 52: As part of The Abaris Group’s tra
Page 53 and 54: The table below summarizes the key
Page 55 and 56: All EMS and ED stakeholders appear
Page 57 and 58: Exhibit 43 - Specialty Physician Co
Page 59 and 60: Clark County Health District has id
Page 61 and 62: Trauma Center Standards by Level Th
Page 63 and 64:
Nevada Trauma Registry Submission R
Page 65 and 66:
Trauma Center Capacity Benchmark Da
Page 67 and 68:
ED Diversion Hours by Hospital ED D
Page 69 and 70:
• This region would not pass a ta
Page 71 and 72:
• Instead of calling it a tax, we
Page 73 and 74:
Mesquite Town Hall Meeting The foll
Page 75 and 76:
North Las Vegas Town Hall Meeting T
Page 77 and 78:
Las Vegas Town Hall Meeting The fol
Page 79 and 80:
Trauma Center Funding Comparison St
Page 81 and 82:
Los Angeles County, CA Los Angeles
Page 83 and 84:
Chronology of Trauma Care in Southe
Page 85 and 86:
January 22, 1999 December 10, 2001
Page 87 and 88:
List of Trauma System Assessment St
Page 89 and 90:
Southern Nevada Trauma System Asses
Page 91 and 92:
to hospitals that accept Medicare r
Page 93 and 94:
ehabilitation - services that seek
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Current Trauma Status Report - Southern Nevada Health District

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