Kansas Trauma Program Kansas Trauma Program UpdateUpdate

Paul B. Harrison, MD, FACSPaul B. Harrison, MD, FACS

ChairChair

Governor’s Advisory Committee on TraumaGovernor’s Advisory Committee on Trauma

Trauma Program Update Trauma Program Update 20032003

Where we’ve beenWhere we’ve beenWhere we’re goingWhere we’re going

Trauma FactsTrauma Facts

Injuries remain a leading cause of Injuries remain a leading cause of death in Kansasdeath in Kansas

Major public health problemMajor public health problem MVC and firearms account for over MVC and firearms account for over

half of all injury deathshalf of all injury deaths Average of 4 people a day die in Average of 4 people a day die in

Kansas from traumaKansas from trauma

What is a Trauma System?What is a Trauma System? DefinitionDefinition

…….an organized, coordinated .an organized, coordinated approach to facilitating & approach to facilitating & coordinating a multi-disciplinary coordinating a multi-disciplinary system response to injured patientssystem response to injured patients

Seamless transition between each Seamless transition between each phase of carephase of care

Involves public & private partnershipsInvolves public & private partnerships

What Is A Trauma System?What Is A Trauma System? Characteristics Characteristics

Regionalized, making efficient use of Regionalized, making efficient use of facilities/resourcesfacilities/resources

Based on unique requirements of the Based on unique requirements of the populationpopulation

Emphasizes prevention as part of Emphasizes prevention as part of community healthcommunity health

Ability to expand to meet the medical Ability to expand to meet the medical needs of the community from man-needs of the community from man-made or natural disastermade or natural disaster

Continuum of Care:Continuum of Care: Injury PreventionInjury Prevention EMS fieldEMS field Surgical Surgical ICU/ In-PatientICU/ In-Patient Mental HealthMental Health Social ServicesSocial Services Primary CarePrimary Care RehabilitationRehabilitation

Kansas Milestones in Kansas Milestones in Trauma:Trauma:

1993: KDHE Injury Program funded1993: KDHE Injury Program funded 1994: NHTSA assessment done in 1994: NHTSA assessment done in

KSKS 1995: Partnership formed; KDHE, 1995: Partnership formed; KDHE,

KHA, KMS & EMSKHA, KMS & EMS 1995: KHF provides funding for 1995: KHF provides funding for

trauma plantrauma plan 1996-97: Kansas EMS/Trauma Plan 1996-97: Kansas EMS/Trauma Plan

writtenwritten

Kansas Milestones in Kansas Milestones in Trauma:Trauma:

1999: Legislation passed 1999: Legislation passed authorizing development of a state authorizing development of a state trauma systemtrauma system

2000: Members appointed to the 2000: Members appointed to the State Advisory Committee on State Advisory Committee on Trauma “ACT”Trauma “ACT”

2001: Kansas Trauma Plan is 2001: Kansas Trauma Plan is presented to the legislaturepresented to the legislature

Kansas Trauma System: Kansas Trauma System: 20022002

Trauma Registry- data collectionTrauma Registry- data collection Trauma EducationTrauma Education Regional Trauma CouncilsRegional Trauma Councils

Plans for 2003:Plans for 2003: Trauma Registry:Trauma Registry:

Continued training/education on Continued training/education on registry softwareregistry software

All hospitals reporting data 2/04All hospitals reporting data 2/04 Trauma Education:Trauma Education:

Increase number of trauma education Increase number of trauma education classesclasses

Regional Trauma Councils:Regional Trauma Councils: Address local issuesAddress local issues Identify resources/needs within regionIdentify resources/needs within region

Trauma Registry: Trauma Registry:

Trauma Registry software & training Trauma Registry software & training provided free to hospitalsprovided free to hospitals

First download of data to state registry: First download of data to state registry: 2/032/03

All hospitals to be reporting data by 2/04All hospitals to be reporting data by 2/04 Data Dictionary PublishedData Dictionary Published Registry subcommittee formed 3/03Registry subcommittee formed 3/03 Sherry Davis, CoordinatorSherry Davis, Coordinator

Trauma Education:Trauma Education:

Contract with the “Consortium for Contract with the “Consortium for Improvement of Trauma Education”Improvement of Trauma Education”

ATLS, PHTLS, TNCC classes ATLS, PHTLS, TNCC classes subsidizedsubsidized 201 Health care professionals trained in 201 Health care professionals trained in

20022002 Kay Swietek, Coordinator Kay Swietek, Coordinator

785-233-7436785-233-7436 Kswietek@kha-net.orgKswietek@kha-net.org

Regional Trauma Councils: Regional Trauma Councils:

6 regional trauma councils 6 regional trauma councils establishedestablished

Kendra Tinsley, Regional Trauma Kendra Tinsley, Regional Trauma Council Coordinator hired 8/02Council Coordinator hired 8/02

Priorities have been to establish: Priorities have been to establish: SubcommitteesSubcommittees BylawsBylaws Assessment of regional needsAssessment of regional needs

Current Status: otherCurrent Status: other

Kansas awarded EMS/Trauma System Kansas awarded EMS/Trauma System GrantGrant

Statewide needs assessment survey for Statewide needs assessment survey for emergency medical dispatchemergency medical dispatch

Survey to be distributed in May, 2003Survey to be distributed in May, 2003 Regional reports will be developedRegional reports will be developed

Regional Trauma Councils: Regional Trauma Councils:

Fundamental QuestionsFundamental Questions What are the causes of trauma & how What are the causes of trauma & how

can they be prevented? can they be prevented? Is the region’s trauma system readily Is the region’s trauma system readily

accessible?accessible? Is the system efficient & effective?Is the system efficient & effective? What is needed to improve the What is needed to improve the

system?system?

Advisory Committee on Advisory Committee on Trauma: Trauma:

24 member committee 24 member committee representing both urban & rural representing both urban & rural areasareas

Appointed by the GovernorAppointed by the Governor Advise KDHE on development & Advise KDHE on development &

implementation of a trauma systemimplementation of a trauma system Meet at least 4 times/ yearMeet at least 4 times/ year

2003 Meeting dates:2003 Meeting dates:

Open to the publicOpen to the public February 19, 2003February 19, 2003 May 28, 2003May 28, 2003 August 27, 2003August 27, 2003 November 19, 2003November 19, 2003

Visit the Kansas Trauma Program on the Web at:

www.kdhe.state.ks.us/olrh

Or

http://krhis.kdhe.state.ks.us/

                                                     

Trauma Program

  

•Program Overview •State Trauma Plan

•Trauma Plan (.pdf) •Advisory Council •Regional Councils

•North West Council •North Central Council •North East Council •South West Council •South Central Council •South East Council

•Trauma Education •Education Courses Available

•Trauma Links •Trauma Registry

•Registry Overview •Registry Case Criteria Registry Case Criteria •Data Dictionary (pdf) Data Dictionary (pdf) •State Required Data Elements (pdf) State Required Data Elements (pdf) •Kansas Trauma Registry Subcommittee Kansas Trauma Registry Subcommittee •Kansas Collector Users Group Kansas Collector Users Group •Registry Reports Registry Reports •Helpful Forms and Documents Helpful Forms and Documents

Trauma Systems do Trauma Systems do save livessave lives

Thank you!Thank you!