A Partnership For Saving Lives

Transcription

1 KANSAS Trauma System A Partnership For Saving Lives ANNUAL REPORT 2009

2 Regional Trauma System Injury Emergency Medical Services (Pre-hospital) Triage Stabilization Communication Transportation Trauma Center Typical Patient Injuries Treated: Multiple Fractures Paralysis Punctured Lung Stab Wound Brain Injury Interfacility Transport if injuries can not be addressed by resources at hospital emergency department. Stabilize & Transport Hospital Emergency Department Typical Patient Injuries Treated: Broken Leg Back Sprain Broken Rib Laceration Concussion Rehabilitation Home 2

3 The Kansas Trauma Program Integrates Trauma Care Statewide The Trauma Program provides leadership for the trauma system The trauma system is comprised of all hospitals, EMS agencies and health departments. The Trauma Program was established in 1999 as a result of legislation, and CHEYENNE KDHE was authorized to SHERMAN serve as the lead agency. Components of the Trauma Program The Governor appoints members to the Advisory Committee on Trauma (ACT) to provide input and guidance to KDHE on developing a comprehensive, statewide trauma system. There are 4 subcommittees of the ACT: the Kansas Trauma Registry subcommittee, the Public information subcommittee, the Regional Trauma Plan subcommittee, and the Hospital Designation subcommittee. To address issues related to trauma care and training at the local and regional level, there are 6 regional trauma councils. WALLACE GREELEY HAMILTON STANTON KEARNEY GRANT MORTON STEVENS SEWARD RAWLINS DECATUR NORTON PHILLIPS SMITH JEWELL THOMAS SHERIDAN GRAHAM ROOKS OSBORNE LOGAN GOVE TREGO ELLIS RUSSELL WICHITA SCOTT LANE NESS RUSH BARTON FINNEY HASKELL GRAY MEADE HODGEMAN FORD CLARK PAWNEE EDWARDS KIOWA COMANCHE STAFFORD PRATT BARBER Want to make a difference?... Get involved The six regional Trauma Councils provide regional leadership and training opportunities at the local level. MITCHELL LINCOLN ELLSWORTH RICE The regional trauma councils invite your participation in state and local life-saving efforts. Trauma teams at every level provide the RENO KINGMAN HARPER REPUBLIC CLOUD OTTAWA SALINE McPHERSON HARVEY SEDGWICK SUMNER WASHINGTON MARSHALL NEMAHA DICKINSON MARION BUTLER COWLEY MORRIS CHASE LYON ELK CHAUTAUQUA BROWN POTTAWATOMIE JACKSON CLAY RILEY JEFFERSON LEAVENWORTH WYANDOTTE GEARY SHAWNEE WABAUNSEE DOUGLAS JOHNSON OSAGE FRANKLIN COFFEY ANDERSON GREENWOOD WOODSON ALLEN WILSON MONTGOMERY DON PHAN ATCHISON NEOSHO LABETTE MIAMI LINN BOURBON CRAWFORD CHEROKEE opportunity for those interested in trauma system development to get involved, whether it s planning for trauma education, providing community education, identifying solutions to address the needs of the trauma patient, analyzing data to target injury prevention efforts or updating regional trauma plans. Why not contact your regional trauma council today to see how you can get involved and make a difference in the lives of those injured in Kansas? For more information contact the State Trauma Office at or visit our web site at: The Trauma Program supports development of community trauma centers statewide Regulations established in 2006 give KDHE the authority to designate Kansas hospitals as either a Level I, II or III trauma center based on trauma care resources. The next step in the development of the trauma system is the establishment of Level IV trauma centers. Level I trauma centers provide a full range of medical procedures 24 hours a day, 7 days a week and conducts research on trauma care. Level II trauma centers provide the same level of treatment as Level I trauma centers but does not have the same research responsibility. Level III trauma centers are regional trauma hospitals with general surgery capability to care for trauma patients. They transfer only the most severely injured patients. Level IV trauma centers are community hospitals that commonly serve to stabilize the most severely injured patients and transfer them to a higher level of care. The Kansas Trauma Registry The Kansas Trauma Registry is a statewide data collection system that gathers information on severely injured patients from all Kansas hospitals that treat trauma patients. Findings from the Trauma Registry data are used to recommend system enhancements and modifications and to develop evidence based injury prevention strategies. Regional level data drives regional performance improvement, regional system improvement and regional injury prevention programs. Why should trauma care be limited to a location or two in the rural parts of Kansas that can perform at this level when we can expand it and provide that level of care to everybody. Dr. Craig Concannon M.D., F.A.C.P. Mitchell County Hospital 3

4 Trauma Program Timeline State designated trauma centers: Stormont-Vail HealthCare, Via Christi Regional Medical Center, Wesley Medical Center, University of Kansas Hospital, and Overland Park Regional Medical Center Trauma Regulations approved for trauma center designation The remainder of the regional trauma councils are established. Legislation passed giving the state the ability to develop regulations for facility designation Levels I, II, III. Data Dictionary developed. Regional Coordinator Hired. Phased in hospital trauma registry training. 1st Benchmark Report released. Web based version of registry becomes available. Inclusion Criteria for registry was changed to include all children. Stakeholder Strategic planning meeting held. Data linkage committee established. Grant funds for EMD training awarded st Level III trauma center grant distributed. BIS assessment. 1st annual report released. Public information campaign implemented. 1st TOPIC class held. 1st Regional Plans developed and approved. 1st trauma registry sub-committee meeting. 1st download of data from hospitals to central site. 1st annual meeting of RTC executive councils. Program director hired Kansas Trauma Plan approved by legislation. State Trauma registrar hired. Trauma Systems Plan was developed by KHA, KMS, and KDHE Kansas Version of Collector distributed to participating hospitals (9 hospitals). First Regional Trauma Council Meeting. Legislation enacted authorizing the Kansas Trauma system. Governor appoints 1st Advisory Committee on Trauma NHTSA EMS/Trauma System Assessment was completed. 4

5 Trauma Affects All Kansans Data from the State Trauma Registry contains information about the serious injuries treated in Kansas hospitals. It shows that trauma occurs in all parts of the state urban and rural and that no age, social or economic group is spared. Each day, approximately 25 Kansans are injured severely enough to require the services of a trauma center. Injuries in Kansas are a leading cause of death for people 1-44 years old and are life altering events for the elderly. The Centers for Disease Control and Prevention estimates that for every two people who die of traumatic injuries, another six are permanently disabled. Trauma in Kansas is primarily unintentional Percent Distribution of Trauma by Intent and Type, Kansas Assault 7% Falls 49% Self Inflicted 1% Other/Unknown 1% Unintentional Injuries 91% MVC Occupant 23% Other Traffic 7% Non-Traffic Transport 8% Other Unintentional 13% Almost 1/2 of unintentional trauma in Kansas is fall-related, followed by motor vehicle crash occupant trauma. Falls are the leading cause of unintentional trauma. While fall-related trauma affects all ages, a disproportionate number of those needing trauma care are 65 years old or older. Women are twice as likely to sustain fall traumas as their male counterparts. Motor vehicle occupant injury is the second most common unintentional injury in Kansas. In 2006 alone, 416 people died on Kansas roads. 71% were killed in rural areas of the state. Trauma related hospitalizations for young occupants (15-24 year olds) are almost twice that of any other age group. Percent Distribution of Falls by Age 0-14, 10% 15-24, 4% 25-34, 3% 35-44, 5% 75+, 45% 45-54, 9% Rates per 100, MVC Occupant Rates, Kansas , 13% 55-64, 11% Age Note: rates should be used for comparison purposes only. 5

6 A Success Story: Lee and Denise Miller know first hand how important it is to have a functioning trauma system. In July, 2008, their 16 year old son, Wyatt was involved in a head-on collision while returning home from the county fair. As soon as the ambulance got Wyatt to the emergency room at the Santanta Hospital, they realized he had a brain injury and immediately airlifted him to Wesley Medical Center, a Level I trauma center, in Wichita about 200 miles away, said Denise. If Santanta had not acted as aggressively in getting him stabilized and transferred, he likely would not have made it through the day. Because Wyatt received the treatment he did, he is back at school today. Advisory Council on Trauma Members Name Dr. Paul Harrison (Chairperson) Dr. Craig Concannon Dr. Scott Sellers Mr. Saad Ehtisham Mr. Terry Siek Mr. Leslie Lacy Ms. Darlene Whitlock Ms. Debra Pile Mr. Robert Prewitt Mr. Kerry McCue Mr. Dennis Mauk Ms. Pam Kemp organization, Member City Location KS Medical Society, Wichita KS Medical Society, Beloit KS Association of Osteopathic Medicine, Hutchinson KS Hospital Association, Wichita KS Hospital Association, Hays KS Hospital Association, St. Francis KS Nurse Association, Silver Lake KS Nurse Association, Haysville KS Emergency Medical Technician Association, Garden City KS Emergency Medical Services Association, Hays Urban EMS Administrator, Wichita Rural EMS Administrator, Clay Center Name (Cont.) organization, Member City Location Ms. Cathy Heikes SW RTC Rep., Dodge City Ms. Kris Hill SC RTC Rep., Peck Mr. Chris Way SE RTC Rep., Parsons Ms. Kimberla Nutting NW RTC Rep. Bogue Dr. Pamela Steinle NC RTC Rep. Smith Center Dr. James Longabaugh NE RTC Rep. Sabetha Designees Dr. Dennis Allin Board of EMS, Lenexa (Vice Chairperson) Legislators Senator Susan Wagle District 30 Senator David Haley District 4 Representative Brenda Landwehr District 91 Representative Geraldine Flaharty District 98 6

7 Regional Trauma Councils North Central Kansas Regional Trauma Council South Central Kansas Regional Trauma Council Kris Canfield, MD, FACS Pamela Steinle, MD, FACS Kim Davis, RN (Secretary) Emma Doherty, RN, MSN (Chairperson) Patrick Eastes Don Lieb (Treasurer) Ron Bender Charlie Grimwood (Vice-Chairperson) Suzette Brotton, RN Patricia Dowlin, RN, BSN Northeast Kansas Regional Trauma Council Mitchell County Hospital Smith County General Surgery Clay County Medical Center Salina Regional Health Center Smith County EMS Republic County EMS Clay County Medical Center Salina Regional Health Center Salina-Saline County Health Department Mitchell County Health Department James Haan, MD, FACS William Waswick, MD, FACS (Chairperson) Kris Hill, RN (Treasurer) Daryl Patrick, RN (Secretary) Randy Easter Randall Miller Terri Griffiths, RN, BSN Sam Serrill Rita Flickinger, RN, BS Judy Seltzer, RN, MS Via Christi Regional Medical Center Wesley Medical Center & Via Christi Regional Medical Center Burn Center Via Christi Regional Medical Center Memorial Hospital McPherson EMS Promise Regional Medical Center- Hutchinson-Reno County EMS Anthony Medical Center Wesley Medical Center Harvey County Health Department Reno County Health Department W. Christopher Bandy, MD, FACS (Chairperson) Stormont-Vail Healthcare James Longabaugh, DO (Vice-Chairperson) Sabetha Community Hospital Dan Murray, RN St. Francis Health Center Darlene Whitlock, RN Stormont-Vail Healthcare Jeanette Hornung (Treasurer) Life Star of Kansas Natalie Hartig Johnson County Med Act Elizabeth Carlton, RN, MSN, CCRN University of Kansas Hospital Lois Towster, RN, MSN, ARNP, CCRN (Secretary) Overland Park Regional Medical Center Patricia Hunter, RN Junction City-Geary County Health Department Brett Starbuck Shawnee County Health Agency Northwest Kansas Regional Trauma Council Southeast Kansas Regional Trauma Council Sonya Culver, DO Robert Dodson, MD (Vice-Chairperson) Tereasa DeMeritt, RN (Secretary) Janelle Dimond, RN (Treasurer) Rod Pace Christopher Way (Chairperson) Sharon Gonzales, RN, MSN Drew Talbott Betha Elliott, BS Teresa Star Labette Health St. John s Maude Norton Memorial Hospital Labette Health Mount Carmel Regional Medical Center MedFlight-ARCH Air Medical Labette Health EMS Coffeyville Regional Medical Center Mount Carmel Regional Medical Center Cherokee County Health Neosho County Health Department Michael Machen, MD Charles Schultz, MD Carol Groen, RN (Treasurer) Annie Staats, RN Deborah Kaufman (Secretary) Kimberla Nutting, RN (Chairperson) Shelley Boden (Vice-Chairperson) George Stover Marilyn Gamblin, RN Cheryl Goetz, RN Gove County Medical Center Hays Medical Center Hays Medical Center Sheridan County Hospital Sheridan County EMS Graham County EMS Russell Regional Hospital Rush County Memorial Hospital Decatur County Health Department Gove County Health Department Southwest Kansas Regional Trauma Council Marie McEntee, PA Jim Moffitt, MD Nicki Klein, RN (Secretary) Ashley Rich, RN (Vice-Chairperson) Jerry Jo Deckert Eliz Snoke Lance McGowan (Chairperson) Robert Ohlen Rosemary Bachman, RN (Treasurer) Kristi Schmitt, RN Wichita County Health Center Family Practice Associates Hodgeman County Health Center St. Catherine Hospital Grant County EMS Lane County EMS Lane County Hospital Bob Wilson Memorial Hospital Kearny County Health Department Finney County Health Department 7

8 Kansas Trauma Centers Prospective Trauma Centers Level I Trauma Center The University of Kansas Hospital 3901 Rainbow Boulevard Kansas City, KS (913) Coffeyville Regional Medical Center 1400 W 4th Coffeyville, KS Level I Trauma Center Via Christi Regional Medical Center 929 N. St. Francis Wichita, Kansas (316) Hays Medical Center 2220 Canterbury Hays, KS Level I Trauma Center Wesley Medical Center 550 N. Hillside Wichita, KS (316) Level II Trauma Center Overland Park Regional Medical Center Quivira Road Overland Park, KS (913) Level II Trauma Center Stormont-Vail HealthCare 1500 SW 10th Avenue Topeka, KS (785) Labette Health 1902 S US Highway 59 Parsons, KS Mt. Carmel Medical Center 1102 E Centennial Dr Pittsburg, KS Promise Regional Medical Center 1701 E 23rd Ave Hutchinson, KS Salina Regional Health Center 400 S. Santa Fe Ave. Salina, KS