Current Trauma Status Report - Southern Nevada Health District

More documents

Recommendations

Info

Injury Prevention There is no formalized system-wide injury control coalition. However, there are two community coalition programs in Clark County – the Clark County Safe Kids Coalition and the Clark County Safe Communities. In addition to these injury prevention coalition programs, UMC has several trauma programs including Traumaroo, ENA ENCARE, Take Care, Buckle Up Bear, Learning to Care, and Child Passenger Safety. A key participant in the trauma injury prevention arena is the Trauma Institute. It is a freestanding non-profit organization that is associated with the University of Nevada School of Medicine Department of Surgery. The Trauma Institute receives private funding and applies for grant awards to develop population based studies of injuries and their presentation. They have completed many research projects and have several they are currently investigating. These include: • CODES (Crash Outcome Data Evaluation System) 10/97-07/03 • Domestic Violence 9/97-9/01 • Suicide Prevention Research Center 10/98-09/04 • EMS-C 3/98-2/06 • Trauma – EMS System 9/02-9/05 As well, the Henderson Fire Department has a program called Risk Watch sponsored by the National Fire Protection Association that addresses car safety, fire, poison, bicycle safety, fire arms, water, suffocation and falls. The Clark County Safe Kids program is in the process of developing a strategic plan for its organization. One of the goals of the strategic plan will be to focus on broader coalition development and funding. Data While there is no central injury prevention data repository for Clark County, there are several sources of injury data including: the State’s Injury Data Surveillance Project maintained by the Nevada State Health Division, motor vehicle crash data collected by the Nevada Department of Transportation, and all hospitals must submit Uniform Billing 92 data on hospital discharges. In addition, the Trauma Institute engaged in a multiyear CODES (Crash Outcome Data Evaluation System) study from 10/97-07/03 designed to link various injury databases together within the state. The State maintains a trauma registry that includes data not only from the two trauma centers, but from all hospitals in the state which must report cases that meet the trauma patient criteria. UMC maintains a very robust trauma registry on all trauma patients treated in the trauma center, the State EMS section maintains the Nevada Electronic EMS Data System (NEEDS), and the Office of Vital Records collects vital statistics. Databases specific to Clark County include a pediatric drowning database maintained by the Clark County Health District and a traffic crash and assault database maintained by the Las Vegas Metropolitan Police Department. Page 57
Clark County Health District has identified a significant problem with drownings of children aged 1 - 4, motor vehicle crashes and suicides. All three high-risk groups have prevention programs in place that were identified through data screening processes using various existing databases. Evaluation The Clark County Health District is responsible for the prehospital component of care in Clark County and the Nevada State Health Division’s EMS section has the responsibility of overseeing trauma. There are mechanisms in place for evaluation of trauma in Southern Nevada that include the ACS verification process UMC must complete every three years, the EMS training requirements set forth in state law, and the oversight provided by the Medical Advisory Board (members of the MAB are representatives from all hospitals, prehospital providers, the Nevada Division of Mental Health and Development Services, and the Clark County Health District). There is no overall quality improvement committee for the current trauma program. However, UMC does have a trauma center focused quality improvement committee that meets weekly. The UMC quality improvement committee focuses on deaths and other serious adverse events. All deaths are reviewed by the trauma center peer review/performance improvement committee and if necessary are presented to a monthly multidisciplinary committee at UMC, then to the hospital performance improvement committee. If the case involves a prehospital component, then it is forwarded to the Clark County Health District EMS Department. The UMC trauma registry is used to help direct process improvement by reviewing data generated from the registry. For example, trauma treatment protocols have been developed based on identified trends in the trauma registry and recommendations for the trauma activation criteria have been made based on data contained in the trauma registry. In addition to the oversight provided by UMC, the MAB provides oversight for the EMS portion of trauma. Research UMC conducts a vast amount of research as part of its level I trauma center requirements. Their trauma registry is used to research topics identified by surgery residents, resulting in numerous posters and presentations. In addition, the surgery residents participate in the ACS Committee on Trauma annual Residents Trauma Paper Competition. Another significant research entity of trauma in Southern Nevada is the Trauma Institute, which was established with private funding in 1997. The Trauma Institute obtains its data from several sources. Its primary source is the Uniform Billing 92 Hospital Discharge data set collected by the Nevada State Health Division. The Trauma Institute also has a working agreement with a local EMS transport agency to obtain prehospital data. Funding for the Trauma Institute is obtained via grant funding from several entities including: the National Highway Transportation Safety Administration (NHTSA), Nevada Attorney General’s Office, Centers for Disease Control, Health Resources and Services Administration (HRSA), and Emergency Medical Services for Children (EMSC). The Trauma Institute also receives private funding. Page 58
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 and 12: Clearly trauma center staffing and
Page 13 and 14: A series of focus groups was also c
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: Exhibit 43 - Specialty Physician Co
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
show all

Current Trauma Status Report - Southern Nevada Health District

Create successful ePaper yourself

Delete template?

Save as template?