July 11 th 2018

1. July 11th 2018

2. CTN Agenda

3. President: Mike Archuleta, Centura Trauma System • Vice President: Valerie Brockman, Castle Rock Adventist Hospital • Treasurer: Robbie Dumond, University of Colorado Hospital • Secretary: Wendy Hyatt, Swedish Medical Center 2017 Elected Officers

4. 2018 CTN • Goals • Direction • Meetings • Education • Registry • Injury Prevention 2018 Goals

5. Treasurer Report

6. Dues Collected (01/2018-Current) • $5018.50 • Current Balance- $26,425.29 • Awaiting invoice from STN for Optimal Course at RMTC CTN 2018 Q2 Financials

7. Income: Dues $2,500.00 TOTAL INCOME $2,500.00 Expenses: Mailings/ Postage $ 50.00 Safety Deposit Box $ 50.00 CTN Meeting Food $500.00 Spring Conference $600.00 Winter Conference $600.00 Other Course Fees and Expenses $700.00 TOTAL EXPENSES $2,500.00 NET- $0 • *Funds Available as of January 5, 2018- $24,519.86 CTN 2018 Annual Budget

8. Individual- • Per person- $60 • Facility- • 2 people- $100 • 3 people- $160 • 4 people- $200 • 5 people or greater- $285 Make checks payable to : COLORADO TRAUMA NETWORK, INC. Send payments to: Robbie Dumond, CTN Treasurer 11691 Pine Hill St. Parker, CO 80138 CTN Dues Structure-2018

9. Dues Received

10. Invoice to be sent via email • Also available on the CTN Website • Complete areas in red and submit with payment Fillable Invoice

11. CTN Education Committee Nancy Bartkowiak, chair Sherrie Peckham Robbie Dumond Wendy Hyatt Mike Archuleta Valerie Brockman

12. December 14, 2018-Rita Bass Conference Center • Agenda • Focus on registry and PI • Martin to speak about the new registry • P/P group to IRR (data validation on the top fields that can be tricky • Case Studies • Poster Presentations • Seeking posters that you have submitted and were accepted at conferences for presentation at the meeting • Booths • Invite all trauma registry vendors • No white elephant exchange Fall Conference

13. May 3, 2019- Swedish Medical Center • Lessons learned: • Shorter day- 0800-1530 • 30 min lunch • Breakout groups available via phone • Key topic: • Psych First Aid for you and your trauma teams • Potential other topics: • Government affairs- CO legislation • Trauma criteria • How to innovate your trauma program • Breakout groups according to job description instead of level of trauma center? Spring Conference 2019

14. CTN TPM/TNC PI/Registry Subcommittee

15. TPM/TNC PI committee • Chair :Stephanie Vega UC Health • Wendy Erickson St. Francis • Robbie Dumond UC Health • Valerie Brockman Castle Rock • Sherry Peckham Denver Health • Missy Sorensen Swedish • Christine Thorkildsen-MCR • Adriana Heins-PVH • Valorie Peaslee-Long’s Peak 

16. UCHealthMedical Center of the Rockies Level II PI

17. Registry Staff Run Daily Reports to identify Trauma Patients and Place in our Excel Log Book • Trauma Nurse Clinicians also identify patients from the daily patient list and enter into the Excel Log Book (Patient name and MRN number are in the first two boxes) Daily Work Flow

18. The Registrars are doing concurrent abstracting • Critique reports are run to identify critiques including clinical practice guidelines and complications to be reviewed • Trauma Nurse Clinicians then review at Level 1 • Example of Acute Kidney Injury Complication • Gg • If not able to close it moves to Level II review with TPM and TMD Trauma Base Entry

19. Level 1 Merge Document for Level II Review

20. Level 1 Document Continued

21. Level 1 Document Continued The discussion from each case is typed into Trauma Base at the Level II meeting in the PI Screens

22. A Level II merge document is then created • Cases are assigned to providers and or staff • These two documents are e-mailed to them securely • These are reference documents for Tertiary Review Meeting

23. Introductions • Old Business • Subcommittee Reports • TOPIC • Injury Prevention • Trauma Reports • Admission Volume • Admission with ISS > 15 • Full Teams from the Field • Under/Over Triage • Trauma Activations • Transfer In • Direct Admissions • Teams Not Admitted To Trauma • Non Surgical Admits • Attendance • Education • Case Reviews • New Business • Announcements ⃰ Minutes are then prepared and shared with our Quality Department Peer Review Committee-Cases ReviewedTertiary Review Meeting Agenda

24. PI at a Level IV

25. Document date of when secondary review occurs, and what was discussed Case summary and a timeline of events for patient’s hospital course Notes from discussion of case at peer review Summary as to why this was reviewed and what issues were noted by trauma coordinator, and whether this problem requires further review. All the ‘to-do’s’ and action items recognized during each step of the review process Summary of how each action item was addressed and the outcomes

26. Document, document, document! • Every conversation that is had regarding the case is documented. If the conversation was had in person, I inform that person that I am going to send them an email with a summary of what we spoke about. I then send the email, and save it in a folder with all the other information and communication about the specific patient visit. If there isn’t evidence the conversation was had, you can’t fall back on it. • In the loop closure, I reference the date of the email to check that is was completed. Quick summary

27. Injury Prevention Subcommittee

28. Chair:Darcy Martin Swedish Medical Center • Christina Norman Denver Health • Alison Weston UC Health • Angela Kedroutek Centura Penrose • Lauren Stenger Good Samaritan • Laurie Lovedale UC Health • Lori Morgan UC Health • Marilyn Johnson North Colorado Medical Center • Mike Archuleta Centura St. Mary Corwin • Robert Hayes St. Anthony • Robyn Wolverton UC Health Injury Prevention subcommitee

29. Who Responded: • Denver Health • Swedish Medical Center • St. Anthony Hospital • Colorado Plains Medical Center (Fort Morgan) • San Luis Valley Regional (Alamosa) • Gunnison Valley • Banner North (Greeley) • Montrose Memorial • Kit Carson County Memorial (Burlington) • St. Anthony Summit (Frisco) • Lutheran Medical Center • Littleton Adventist • North Suburban • Parker Adventist • St. Mary’s Medical Center (Grand Junction) • Telluride Regional • UC Health (North Region) Ft. Collins • Medical Center of Aurora • Colorado Canyons Hospital (Fruita) • AAH, SANHC, 84th NHC (Louisville) Centura • Pagosa Springs Medical Center • Children’s Hospital Colorado • Porter Adventist • Lincoln Community (Hugo) • Centennial Medical Plaza • Mercy Regional Medical Center (Durango) 70 surveys sent to Level l, ll and lll Trauma Centers28 responses received

30. Response to questions (28 responses) • 89% CTN Members • 100% participate in Injury Prevention Activities • 50% have designated IP coordinator/specialist • Top 5 risk areas: • Motor Vehicle • Falls • Bike • Winter sports • Assault and Suicide Results

31. 21 different IP programs (Stop the Bleed, Stepping On and Helmet programs most common) • 59% hospital funded • Multiple challenges in supporting IP programs (time, resources, staff, funding etc.) Results (cont.)

32. Collaboration/ idea sharing • Mentorship • Introduction of new programs • Create online group and mass email list • Develop annual or biannual state prevention campaign • Assist with funding sources Suggestions for CTN’s IP subcommitee

33. Thursday July 19,2018 10am-11am Denver Health Pavilion H Public Health Dept. bldg. (corner of Bannock and 6th) 3rd floor conference room Next meeting

34. Valerie Brockman Castle Rock Adventist • Jodi Greenwood St. Mary’s Webpage Master

36. Trauma Registry