Trauma System 080502

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Trauma System 080502

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

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