San Luis Obispo Trauma Center Santa Barbara Ventura Los Angeles Orange SW RTCC Southwest Regional Trauma Coordinating Committee: Representing the Counties of:San Luis Obispo – Santa Barbara Ventura – Los Angeles – Orange
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
Fire Services Hospitals Critical Care Pediatrics Specialty Care Physicians Injury Prevention Ambulance Transport Rehabilitation Services Emergency Medical Services Trauma Centers Critical Care Transport Air Transport Dispatch Each Thread in the Safety Net is Critical It’s Essential to Work Together to Prevent Trauma Victims from Falling Through the Net
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
SW RTCC 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
Southwest RTCC • Conducted Survey of LEMSA’s • Conducted Survey of Hospitals • Developed Mission/Value Statement • Identified 4 Focus Areas to Target
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
Southwest RTCC Structure • Stakeholders Meeting • 3 Break Out Sessions • Discuss Organization Structure • Focus Areas
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.”
Vision Statement “All patients needing trauma services receive high quality, readily, accessible and well coordinated trauma care.”
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 “I never thought it could happen to my daughter” “I never thought it could happen to my dad” “I never thought it could happen to me” “I never thought it could happen to my sister” SW RTCC Steering CommitteeSouthwest Regional Trauma Coordinating Committee
Project Charters • Access to Care • Quality Improvement • Data • MCI/Disaster
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 Access to Care The Big Picture Trauma care for every patient.
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 QI The Big Picture Assess, monitor and assume quality of trauma care.
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 Data The Big Picture Objective analysis of performance. Ensure validated state data drives the regional PI process.
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 MCI/Disaster The Big Picture Ensure regional trauma plan serves mass. casualty events.
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