Trauma System 080502
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  • 1. Exploring an Arkansas Trauma System Paul K. Halverson, DrPH, FACHE Director, Arkansas Department of Health State Health Officer
  • 2. Injury in Arkansas
    • Injury is the leading cause of death in Arkansans 1 – 44 years old.
    • Arkansas has the 3 rd highest motor vehicle death rate in the country.
    • Arkansas has the 7 th highest unintentional injury death rate in the country.
    • 2006: 2,168 trauma deaths (6 per day)
  • 3. Trauma System Components
    • Injury Prevention
      • Public Health Education
      • Public Policy
      • Hometown Health and Community-Based Initiatives
        • Automobile Safety and Seat Belt Use
        • ATV, Motorcycle, and Watercraft Safety
        • Farm Safety
        • Falls
        • Violence
        • Unintentional Poisoning
    • Trauma Registry
      • Assessment Tool for Evaluating and Improving System of Care
      • Appropriately Target Injury Prevention Programs
    • Pre-Hospital Care
      • EMS Triage
      • System Readiness
    • Acute Hospital Care and Rehabilitation
      • Access
      • Hospital Transfer Agreements
      • Hospital Personnel: Doctors, Nurses, and Staff
      • Facilities and Resources
  • 4. Trauma System Costs
    • Major Cost Areas
      • Capacity Building
        • Developing a Trauma Registry
        • Hospital Transfer Agreements
        • Identifying Trauma Centers’ Locations and Levels
          • Certification Administration
          • Facility Staffing and Equipment
        • Working with Partners (Other Bordering Trauma Centers)
      • Implementation
      • Maintenance
        • Professional Training for Trauma Workers (EMS, Hospital Staff)
        • Facility Readiness
  • 5. Trauma System RoI
    • Return on Investment
      • Decreased Mortality
        • 10-30% decrease
        • 200-600 fewer Arkansans would die.
      • Increased Economic Output from Saved Lives
        • Estimated $219 million for reducing mortality alone.
      • Decreased Morbidity
        • Estimates unknown.
  • 6. Where is the Process?
    • Legislation Passed in 1993 Establishing the Governor’s Advisory Council on Trauma
    • Initial Rules and Regulations Promulgated in March 2000
    • Governor’s Advisory Council on Trauma Initiated Rule Change with the Board of Health – Public Comment to Begin May 11, 2008
    • Governor’s Advisory Council on Trauma Currently Exploring Adequate, Appropriate Trauma System Funding Mechanism