Current Trauma Status Report - Southern Nevada Health District

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December 15, 1992 January 10, 1993 January 19, 1993 January 21, 1993 January 22, 1993 February 3, 1993 March 20, 1993 May 21, 1993 June 11, 1993 January 1, 1995 February 15, 1996 April 10, 1996 February 3, 1997 June 10, 1998 December 15, 1998 Letter from ACS to UMC lists major criteria deficiencies. ACS recommends UMC undergo extensive focused review within the next six to twelve months after the deficiencies have been corrected and the committee’s recommendations have been implemented. Contract amendment between UMC and Nevada State Health Division. UMC is to provide services for a Level II center for treatment of trauma for designation period from September 1, 1990 through January 25, 1993, not to exceed three years. Carson City Nevada Appeal newspaper article – “Trauma units at UMC and Washoe Medical Center fail review by ACS.” Nevada Board of Health initiates steps to give the two hospitals “provisional trauma designation” for up to one year. Letter from UMC to ACS – formal notice to appeal conclusions relative to the October 23, 1992 survey. Letter from ACS to UMC and Washoe Medical Center – ACS to honor appeal and schedule re-review for April 1993. Verifications as Level II trauma center automatically extended until appeal process is complete. Contract for designation as Level II trauma center is signed by UMC and Nevada State Health Division. UMC agrees to provide service as a Level II center for treatment of trauma from January 25, 1993 until UMC and Nevada State Health Division are notified by ACS of decision on UMC appeal. Verification survey conducted by ACS for UMC. Letter from ACS to UMC – indication of passing re-verification as a Level II trauma center. Letter from Nevada State Health Division to UMC designating as Level II trauma center. Health Facility certificate issued to Sunrise Hospital without notation of Level III trauma center. Appointment of John Fildes, MD as trauma medical director for UMC. UMC requests nine-month extension of Level II trauma center designation. UMC receives ACS re-verification as Level II trauma center. The site visit was conducted on December 19-20, 1996. UMC request Level I trauma center verification site visit by ACS. Review scheduled for December 14-15, 1998. ACS conducts verification visit at UMC for Level I trauma center. Page 83
January 22, 1999 December 10, 2001 January 31, 2002 July 3-13, 2002 October 9, 2003 October 30, 2003 November 2003 December 5, 2003 January 2004 January 2004 January 13, 2004 February 9, 2004 February 12, 2004 March 8, 2004 March 11, 2004 March 28-29, 2004 April 1, 2004 UMC receives verification as a Level I trauma center from ACS, effective dates February 1, 1999 through February 1, 2002. ACS conducts re-verification visit at UMC for Level I trauma center. UMC receives ACS re-verification as Level I trauma center with expiration date of February 1, 2005. UMC trauma center closes due to issues with medical staff malpractice concerns. Sunrise Hospital meets with the Nevada State Health Division and expresses its intent to develop a trauma center. St. Rose Dominican Hospital submits a letter to Nevada State Health Division stating interest in becoming a Level III trauma center. The Nevada State Health Division asks the Clark County Health District to facilitate a needs assessment for Southern Nevada. The Clark County Health District engages The Abaris Group to assist in conducting a needs assessment for Southern Nevada. The Clark County Health District engages ACS to conduct a trauma system consultation visit. The Clark County Health District establishes a Citizen’s Trauma Task Force to make recommendations to the Clark County Health District Board of Health on a trauma system for Southern Nevada. The Task Force’s recommendations will be presented to the Board of Health on June 24, 2004. The Clark County Health District Board of Health will then make its recommendations to the Administrator of the Nevada State Health Division. The first meeting of the Citizen’s Trauma Task Force is held. The Citizen’s Trauma Task Force meets. A Boulder City Town Hall meeting is held. The Citizen’s Trauma Task Force meets and the City of Las Vegas Town Hall meeting is held. A North Las Vegas Town Hall meeting is held. Sunrise Hospital has ACS conduct a consultative review to become a Level II trauma center. Sunrise Hospital informed the Nevada State Health Division of its request for a provisional trauma center designation, effective August 2004. The request is made because during the ACS consultation, ACS stated that in order to obtain Page 84
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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
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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: Chronology of Trauma Care in Southe
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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