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Statewide Trauma System Development

Statewide Trauma System Development. Arthur L. Logsdon, J.D. ASSISTANT COMMISSIONER Indiana State Department of Health. Trauma Facts. Injury—the No. 1 killer of Hoosiers under 45. For every trauma death in the United States …

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Statewide Trauma System Development

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  1. Statewide Trauma System Development Arthur L. Logsdon, J.D. ASSISTANT COMMISSIONER Indiana State Department of Health

  2. Trauma Facts Injury—the No. 1 killer of Hoosiers under 45. For every trauma death in the United States … Approximately 10 people are hospitalized and transferred to specialized medical care. Problems posed by injury are most acute in our rural areas: 60% of all trauma deaths occur in areas of the United States where only 25% of the population lives.

  3. Trauma Facts More than 32,000 Hoosiers are hospitalized every year from injuries, and more than 3,000 died in 2010. About 11 Hoosiers per day died from injuries (2007-2010). Indiana’s special injury challenge: We rank first in the nation for interstate highway miles per land area. When seriously injured patients taken to trauma centers-- Preventable death rate DROPS by as much as 30%

  4. Indiana’s Journey Indiana’s trauma system evolution: • 2004 - Trauma System Advisory Task Force formed • 2006 - Public Law 155 designated the ISDH the lead agency for the statewide trauma system • 2008 - American College of Surgeons conducted an evaluation of Indiana’s trauma system • Reported their findings in 2009

  5. Indiana’s Journey • 2010 - Gov. Daniels created by executive order the Indiana State Trauma Care Committee • 2011 - ISDH created the Trauma and Injury Prevention Division • 2012 – EMS Commission adopted the Triage and Transport Rule • 2013 – Preliminary ISDH adoption of the Trauma Registry Rule

  6. Where is Indiana? • Indiana does not have an integrated statewide trauma system—44 states have one. • Indiana has components of a system: • Emergency medical services (EMS) providers • Trauma centers (9) • A trauma registry • Rehabilitation facilities • How to become a trauma center?

  7. Indiana Trauma Centers (Level I & II) La Grange Elkhart Steuben La Porte St. Joseph Lake Porter De Kalb Noble Marshall Kosciusko Starke 9trauma centers 1 South Bend 2 Fort Wayne 4 Indianapolis 2 Evansville Allen Whitley Jasper Pulaski Fulton Newton Wabash Huntington Miami Wells Adams Cass White Benton Carroll Grant Tippecanoe Howard Jay Blackford Warren Clinton Tipton Madison Delaware Randolph Montgomery Hamilton Boone Henry Fountain Wayne Parke Ver- Marion Hancock Hendricks Putnam mil- lion Rush Union Fayette Shelby Johnson Clay Vigo Morgan Franklin Owen Decatur Bartholomew Brown Monroe Dearborn Sullivan Ripley Greene Jennings (By comparison, Ohio has 40+ trauma centers) Jackson Ohio Lawrence Switzerland Jefferson Knox Martin Daviess Washington Scott Orange Clark Pike Dubois Gibson Crawford Floyd Harrison Perry Warrick Posey Vander- Spencer burgh

  8. Trauma Center Access in Indiana

  9. Triage and Transport Rule/Trauma Registry Rule • Triage and Transport: Requires most seriously injured patients to be taken to trauma centers • Indiana trauma centers—verified by the ACS • “In the process” trauma centers • Trauma Registry: Requires these providers to report data to the ISDH trauma registry— • EMS providers • Hospitals with EDs • Rehabilitation hospitals

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