Current Trauma Status Report - Southern Nevada Health District

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Other Potential Sources Surcharges One approach is increasing or adding surcharges or fees to products or activities that frequently contribute to the need for trauma care services. Consideration of adding additional surcharges for traffic fines is often a challenge as courts levying such fines may not be willing to add to the surcharges or to see those funds go outside the criminal justice system. Some states (Oregon, Washington) have attached surcharges to the fee for each motor vehicle license registration issued in the state, including motorcycles. Automobile collisions are growing as the number of miles traveled annually increases. Similar proposals in other states have added a $5 surcharge on motor vehicle registrations, with estimates that this would generate an estimated $100 to $150 million per year. Another option is to establish a surcharge to automobile insurance policies. Pennsylvania has implemented this approach to supplement funding. Another consideration is to require automobile insurance policies to provide $50,000 in personal injury protection for trauma care, with the auto policy coverage paying the trauma center costs first, and health insurance being a secondary payer. This is common practice in some states (Connecticut and Oregon) with higher than average health coverage on their auto policies and state statutes that require the auto insurance policy to be the first source of payment for auto collision injuries. Another option is to provide an assessment on the illegal discharge and/or sale of firearms and ammunition. The State of Illinois has in the past introduced legislation to levy a fine on the illegal discharge of firearms and add a tax to the sale of firearms, which in 1997 would have resulted in $5 million in annual revenue. Such fines and taxes were proposed in an effort to offset trauma costs associated with violent crimes. There is significant opposition that would need to be overcome for this concept to be successful. Another concept would be to add to the 9-1-1 surcharge on phone bills in the state. This could be a potent revenue source as the number of telephone lines and cell phone lines increase. Page 81
Chronology of Trauma Care in Southern Nevada January 1988 September 1, 1988 First American College of Surgeons (ACS) consultation review at UMC as a Level II trauma center. Certificate for Level II trauma center issued to UMC. Expiration date December 31, 1988. January 1, 1989 Certificate to UMC for Level II trauma center expiring December 31, 1989. September 1989 October 19, 1989 December 13, 1989 December 22, 1989 October 15, 1991 November 8, 1991 November 25, 1991 December 17, 1991 April 2, 1992 October 23, 1992 November 3, 1992 Site verification visit conducted by ACS at UMC. Certificate for Level III trauma center issued to Humana Hospital Sunrise. Expiration date October, 18, 1991. Letter from ACS verifying UMC as a Level II trauma center. Effective December 7, 1989 through December 7, 1992. Humana Hospital Sunrise contracts with the Nevada State Health Division to provide Level III trauma center for two years. Contract was later amended to extend one month. Expiration of contract, January 22, 1992. Verification survey conducted by ACS at Humana Hospital Sunrise. The reviewers unanimously recommend that a certificate of verification be withheld at this time and that a focused review be accomplished in six to twelve months or sooner if requested by the hospital for the purpose of correcting the major criteria deficiencies. Certified letter to Allan Stipe, Humana Hospital Sunrise, from Myla Florence, Administrator, Nevada State Health Division. Letter informs that application for renewal as a Level III trauma center is denied. Expiration date remains December 22, 1991. Hand delivered letter from Humana Hospital Sunrise to Myla Florence. Letter cites numerous inconstancies relating to regulations and ACS standards. Request is made that Nevada State Health Division reconsider application for renewal as a level III trauma center. Certificate renewal issued to Humana Hospital Sunrise for Level III trauma center. Expiration date January 22, 1992. Humana Hospital Sunrise renews Level III trauma center. Expiration date April 1, 1995. UMC re-verification of Level II trauma center site visit. Humana Hospital Sunrise files name change. Name of facility is now listed as Sunrise Hospital. Level III trauma center remains in place. Expiration date April 1, 1995. Page 82
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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
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on an average length of stay of 3.4
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Exhibit 8 - Projected Population Ch
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Trauma Stakeholder Interview Result
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three years, and felt that a Level
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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: Los Angeles County, CA Los Angeles
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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