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2 Trauma Center Background The EMS Agency’s trauma plan is expected to seek designation of a single Trauma Center in San Joaquin County If no hospitals apply for or meet criteria designation, the EMS Agency’s Trauma Plan is expected to direct the transport of major trauma patients to designated trauma centers in neighboring counties
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Trauma Center Recommendation
San Joaquin General HospitalFrench Camp, California
May 31, 2009
San Joaquin General HospitalFrench Camp, California
December 6, 2011
2
Trauma Center Background
The San Joaquin County Emergency Medical Services (EMS) Agency has indicated it will draft a Trauma Plan for Board of Supervisors approval in 2012
San Joaquin County currently has no designated Trauma Center
Currently trauma patients are treated at hospitals in San Joaquin County or taken to Level I or II Trauma Centers in Stanislaus or Sacramento Counties
3
Trauma Center Background
The EMS Agency’s trauma plan is expected to seek designation of a single Trauma Center in San Joaquin County
If no hospitals apply for or meet criteria designation, the EMS Agency’s Trauma Plan is expected to direct the transport of major trauma patients to designated trauma centers in neighboring counties
4
Trauma Center Levels
Overview of Key Attributes of the Levels of Trauma Designation (California)Attribute Level I Level II Level III Level IVTeaching Program XResearch XTrauma Surgeon (inhouse) X XNeurosurgeon (promptly available) X XED Physician (inhouse) X X XTrauma Nurse Coordinator X X X XTrauma Registry X X X XTrauma Prevention Program X X X XSource: CA Code of Regulations
5
Trauma Study Background
January 2011: San Joaquin General Hospital commissioned a Trauma Center Level II Study
The study was completed by The Abaris Group in September 2011 Estimated annual volume: 1,247 – 1,525 cases
Based on California average of 2.4 cases per 1,000 residents Initial start-up costs approximately $6 million Estimated annual positive operating margin: $800,000 -
$2.4 million
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Trauma Program Evaluation
Interim Board of Trustees and Executive and Finance Committee Reviewed Report
The EMS Agency’s Trauma Plan is expected to include a phased approach to achieve a Level II Trauma Center in the County by first designating a Level III trauma center with a commitment to achieve Level II at a future time
San Joaquin General Hospital currently meets most Level III criteria Additional requirements can be achieved in 12 – 18
months May be consistent with San Joaquin County Emergency
Medical Services Agency timetable for Trauma Plan implementation
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Trauma Center Level III Designation
New financial analysis completed reflecting Level III Trauma Center status
Recommendation by the Interim Board of Trustees to obtain Level III designation, then proceed to Level II status
Annual Volume: 800 Admissions, 200 Outpatients Start up investment: $2.0 Million Net revenue: $19.3 Million Expenses: $16.8 Million Operating margin: $2.5 Million Estimated start up time: 12 – 18 Months
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Level III Resources Required
Additional Staff: Trauma medical director/surgeon Trauma nurse coordinator Trauma registrar and case managers
Additional Capital: Surgical instrumentation Emergency department equipment ICU beds
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SJGH Trauma Center Recommendations
Recommendations: Start activities at SJGH to prepare to obtain designation
as Level III Trauma Center by June 2013 Report to the Interim Board of Trustees and the Board
of Supervisors a timeline for designation of SJGH as Level II Trauma Center
Provide periodic reports to Interim Board of Trustees and Board of Supervisors about meeting Level III and Level II Trauma Center Designations
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