Current Trauma Status Report - Southern Nevada Health District

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• I had a heart attack and Henderson Fire Department and St. Rose saved my life. I wouldn’t be here right now if it weren’t for them. • We need health care for the people. • We need assistance programs for younger people. There is low unemployment, but a large number of uninsured. • There are three things that need to be addressed: 1. Reform the tort laws to help physicians; 2. Address the uninsured issue. At St. Rose 18 cents out of every dollar is paid for by someone else; and 3. Address staffing issues. We need to attract and keep them. • Q. How has malpractice played into this A. [A physician in the audience responded] We had a $15,000 increase in our malpractice insurance bill. Has the new legislation helped No. • Q. Would tort reform help the situation A. Yes. Page 71
Mesquite Town Hall Meeting The following comments, input, questions and answers were provided during the Mesquite Town Hall meeting on trauma in Southern Nevada held on April 13, 2004. People attending the Town Hall included residents of Mesquite plus stakeholders from the following: Mesquite Fire Department, Mesa View Hospital (set to open on July 6, 2004), Clark County Health District, University Medical Center, Sunrise Hospital and Medical Center, St. Rose-Dominican Hospital. Public Education/Awareness: • Education and outreach are needed in the trauma system. Trauma Resources/Policy/Configuration: • I don't have a preference where the trauma center is located. • I think bed availability is critical. I also think it's critical that the trauma center stay open, we have problems when UMC won't accept patients. • Mesquite has a role in Clark County's EMS system; we have place on the Medical Advisory Board and one of our councilwomen sits on the Clark County Health District Board of Health. • We are diverse and it does not matter to us what the EMS protocols are. • We would like a quality improvement (QI) feedback loop. For example, something that would tell us how we are doing intubations, but HIPAA has put up a wall on QI since it's inception. • We need accountability in the trauma system. It's not just about protocols, but we need an organization that can do QI and provide feedback. Funding: • Clark County has an indigent fund and only Las Vegas area hospitals have access to it. • There is probably some funding in property taxes that could be diverted to trauma. • We would not support any new taxes • Maybe with a focus on terrorism we could get some federal funding, especially for the rural cities that are gateways to large metropolitan areas. • What about going after funding from the Department of Transportation and Commercial Transport. The Transport Efficiency Act of the 21st Century has $228 billion to use. • The culture of Nevada is no taxes. People live here because there is no state tax. Patient Care/Access: • We generally like to take patients to St. George, Utah. However, if they are seriously injured we will fly them to Las Vegas. Sometimes we meet the helicopter between mile marker 93 to 100. • Mesquite used to have a helicopter based here. It was great. Only lasted for about one year. It just wasn't feasible. • It's complicated to give a family driving directions to St. Rose or Sunrise, and very easy to give driving directions to UMC. • Geographic isolation needs to be considered. • Mesquite definitely exceeds the 30 minute rule. • Access is key. We should set up something so that you only need to make one phone call for medical direction and to transfer/transport a patient. Like the EMS system in Seattle with their 800 #. Page 72
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SOUTHERN NEVADA CURRENT TRAUMA STAT
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Table of Contents Executive Summary
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Chronology of Trauma Care in Southe
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Exhibit 33 - Map Displaying Trauma
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• From January through April 2004
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Clearly trauma center staffing and
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A series of focus groups was also c
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• Information Management • Fina
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(This study did not attempt to meas
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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: • Instead of calling it a tax, we
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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