Southwest Regional Trauma Coordinating Committee: Representing the Counties of: San Luis Obispo Santa Barbara Vent

1. Southwest Regional Trauma Coordinating Committee:  Representing the Counties of:San Luis Obispo – Santa Barbara Ventura – Los Angeles – Orange

2. Southwest RTCC Diverse Large Urban & Rural Areas Well Developed Trauma Systems No Trauma System 14,607 Sq. Miles 14 million Total Population 25,306 Trauma Patients

3. Each Thread in the Safety Net is Critical Need to remove Marion Medical Center Need to remove , Marian Medical Center, Lompoc Hospital, Cottage Hospital System etc, Trauma Sub Special Care and ADD Dispatch, Fire Services, Ambulance Transport, Air Transport, Critical Care Transport, Hospitals, Trauma Centers, Specialty Care Physicians, Rehabilitation Services, Injury PreventionNeed to remove Marion Medical Center Need to remove , Marian Medical Center, Lompoc Hospital, Cottage Hospital System etc, Trauma Sub Special Care and ADD Dispatch, Fire Services, Ambulance Transport, Air Transport, Critical Care Transport, Hospitals, Trauma Centers, Specialty Care Physicians, Rehabilitation Services, Injury Prevention

4. Southwest RTCC Getting Started Formed a Leadership Group Bi-Monthly Conference Calls Planned Stakeholder Meeting 1-18-09 Over 80 Participants Good Representation Formed into Work Groups to Flush Out Issues

5. Interim Leadership: Southwest Regional Trauma Coordinating Committee Gil Cryer, MD, PhD Cathy Chidester Tim Ernst, EMT-P Barry Fisher Heidi A. Hotz, RN David Hoyt, MD, FACS Johnathan Jones, RN, BSN Nancy Lapolla, MPH Jennifer Shay Connie Stalcup, RN,MN Samuel Stratton, MD, MHP Jeffery S, Upperman, MD, FACS, FAAP

6. Southwest RTCC Conducted Survey of LEMSA’s Conducted Survey of Hospitals Developed Mission/Value Statement Identified 4 Focus Areas to Target

7. Survey 145 Hospitals Received the Survey 47 (31%) Completed the Survey 12 Designated Trauma Centers 35 Non-Trauma Center Purpose: Get a General Overview of Regional Trauma System Where Are the Gaps/Barriers Level 1= 2 Level 2=9 No Level 3 Level 4=1Level 1= 2 Level 2=9 No Level 3 Level 4=1

8. Southwest RTCC Structure Stakeholders Meeting 3 Break Out Sessions Discuss Organization Structure Focus Areas

9. Structure

10. Mission Statement “To promote a coordinated region-wide trauma system that reduces overall morbidity and mortality through coordinated prevention, comprehensive quality pre-hospital and hospital trauma care services that is cost-effective to individuals in Orange, Los Angeles, Ventura, Santa Barbara and San Luis Obispo Counties.”

11. Vision Statement “All patients needing trauma services receive high quality, readily, accessible and well coordinated trauma care.”

12. Steering CommitteeSouthwest Regional Trauma Coordinating Committee Nancy Lapolla, MPH Gil Cryer, MD, PhD Barry Fisher Heidi A. Hotz, RN David Hoyt, MD, FACS Gerry Arcuri Angelo Salvucci, MD Tom Hale, MD Greg Boswell, RN Samuel Stratton, MD, MPH Jeffery S, Upperman, MD, FACS, FAAP Steve Fellows

13. Project Charters Access to Care Quality Improvement Data MCI/Disaster

14. Access to Care Clinical/System Case Expected Improvements No Preventable Deaths for trauma Right Patient to right center Team Members Steve Fellows, Angelo Salvucci, Gill Cryer, David Hoyt, Tom Hale Objectives Develop trauma system infrastructure (SLO, VTA & SB) Assure adequate resources in LA & Orange Inter-county triage & transfer agree Metrics Prepare gap analysis/needs assessment Process measurement Outcome measurement Create state outcome measurement

15. QI Objectives Establish regional PI process Catalogue existing data sources Establish mechanism to review deaths Verify trauma centers Regional PI Committee Assess current QI process Metrics Prepare gag analysis/needs assessment Identify QA activities and indicators Clinical/System Case Expected Improvement Appropriate level of trauma team activations Team Members Heidi Hotz, Kelly Kam, Connie Stalcup, Gil Cryer,Stephanie Lush,Christy Preston, Mike Lekawa

16. Data Objectives Ensure validated data collection at hospital level Participation in State Trauma Registry Adherence to data dictionary AIS trauma registrar training standardization Metrics Prepare gag analysis/needs assessment Clinical/System Case Not yet defined Team Members Greg Boswell, Lead, other not identified yet

17. MCI/Disaster Objectives Region-wide approach to large scale event Triage determination & transport protocols Review LEMSA plans for Mass Events Metrics Prepare Gag analysis needs assessment Clinical System Case Not yet defined Team Members Sam Stratton, Jeff Upperman, Barry Fisher, Bryan Hanley, Ryan Burgess Developing MCI Plan that mirrors Region 1 response plan Coordinate patient distribution across multiple jurisdictions through the LA Co. Medical Alert Center. Currently collecting MCI plans from each LEMSA & integrating responses based on gap/needs Include use of Ambulance Strike teams to move large numbers of MCI victims throughout the region if required.Developing MCI Plan that mirrors Region 1 response plan Coordinate patient distribution across multiple jurisdictions through the LA Co. Medical Alert Center. Currently collecting MCI plans from each LEMSA & integrating responses based on gap/needs Include use of Ambulance Strike teams to move large numbers of MCI victims throughout the region if required.

18. Southwest RTCC What's working Wealth of experience Willingness to share expertise Great people Dedicated to improving trauma care & access Challenges Busy Schedule Distance for face-to-face meetings Keeping groups motivated not having previous experiences/guidance to draw from