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Build a Trauma System To Be Proud Of 2020 Annual Report
Enough Trauma
Peer Support?
_________
Initiatives to Meet
Pediatric Demand
_________
Missing Registry
Fields
__________
Injury Prevention
areas to focus on
this fall
INSIDE
1.
2
The Kansas Trauma System represents a
Continuum of care starting with injury prevention
advocates all the way to rehabilitation specialists.
Why Trauma? Because injury causes physical
debilitation and death and it has surpassed
disease as a leading public health concern (prior
to the pandemic that is). In 1999, the Advisory
Committee on Trauma (ACT) was established by
Kansas statute to address this public health
concern. That’s right, we just had our 21st birthday.
We like to think our program is entering its “college
years” and that means making those life-defining
decisions all 21-year-olds have to make.
What Decisions? The ones that affect your
working life, of course. That’s why we need your
opinions, feedback, and all-hands-on-deck
research abilities. We want to see an immediate
impact to patients lives, and so do you. So we
have to make decisions on best practices,
resource availability, ensuring quality training and
recruitment efforts, performance improvement and
patient safety (PIPS), transfer protocols, disaster
preparation, and so much more.
Where do I fit in? Attend the executive
committee meetings and serve on a
subcommittee, attend the regional symposiums
every year, listen to the podcast and email your
questions. Join the User Group for registry tips
and tricks. Download the free materials and put
them up in your facility. Partner with your local
trauma program and local health department to
host injury prevention events. Share our social
media posts or pin us on Pinterest. Be a part of
policy discussions at ACT. Write to your local
newspaper in support of your local trauma system.
“UPDATE YOUR WEBSITE IF YOU WANT
ME TO HELP!” So, we did. In 2019, we overhauled our website. Like massively. Gone are outdated forms and dead links. Gone are the weird 80s graphics. If you haven’t been to our website recently, go check it out. There’s a trauma calendar that tells you when everything is happening and how to join. Meeting schedules, funding information, and podcast episodes.
(Clear browsing history and refresh your browser to see changes).
New to the Kansas Trauma System?
Wendy O’Hare Director
(785) 296 – 1210
“I am part of the
Kansas Trauma System”
2.
3
12 Representatives
Which ones represent you?
You chose them from among your peers. They are here to listen and bring your concerns
forward.
In 2020, the general members (pssst that’s YOU) voted to expand the executive committee to
encompass the entire trauma continuum. The Physician seat was opened to include advanced
practitioners. You’ll now have rehabilitation specialists at the table. These seats are 4-year
terms.
Local Health
Kandy Dowell
Elk County
Rebecca Adamson
Crawford County
Rehabilitation
Physician/AP
EMS
Hosp. Admin
Nurse
VACANT
Timothy Stebbins
Crawford County EMS
Naomi Powers
Ascension Pittsburg
Brett Dunbar
Ascension Pittsburg
Tereasa DeMeritt
Labette
VACANT
Courtney Harrison
Med-Trans
Misti Bond
Labette
Mark Wendt
Neosho Memorial
Tawny Sandifer
Ascension Pittsburg
3.
4
Call to Action: Regional funding makes your regional system stronger. You know best where your regional trauma system needs financial support. In SFY 2021, you can help decide where funding is allocated. Will it be: 1. Training, 2. Equipment 3. Collaborations Let’s dream big and make it a reality.
3 Out of 12 Counties applied for funding
0 Local Departments applied for funding
Your region has 4 trauma centers and 1 who has expressed interest in designation. That’s 1 trauma center for every 3 counties.
Congratulations! Nearly all your trauma centers have passed their site surveys with flying colors. Only 1 of your trauma centers expired with non-renewal. All your trauma program managers are active in the system (meeting/event attendance, applications, and passion to become stronger). In short, you’re awesome!
facilities in your region are not trauma centers. Would these facilities benefit from becoming trauma centers and contribute to your peer-support network?
Do you
have
enough
trauma
program
peers to
support
you?
4 1 8
Ren Morton Regional Trauma
Coordinator
[email protected] (785) 296 – 0604
4.
State Fiscal Year 2020 in Review
Ways to Spend
Trauma Funds
in SFY 2021
5
Brittney Nichols EMSC Coordinator [email protected] (785) 296 – 8433
2 Initiatives to
Meet Your Pediatric Demands Kids are demanding. Pediatric trauma care is demanding. And in high demand. Two initiatives you can start today? Designated a Pediatric Emergency Care Coordinator (PECC) and add pediatric equipment demonstration to your training schedule.
EMS agencies submitted
data to the survey
4 EMS agencies have a PECC
5 EMS agencies have an
interest in/plans to recruit a
PECC
1 EMS agencies regularly demonstrate pediatric
equipment that meets the performance
measure standards
For additional information and resources, please visit the Kansas EMS for Children PECC Page,
or the EMSC Innovation and Improvement Center PECC Resource Toolkit.
Our mission:
To reduce child and youth mortality and
morbidity resulting from severe illness or
trauma and ensuring that pediatric
emergency care is integrated into the
larger emergency medical services
system in our state.
5.
11 out of 16
6
Danielle Sass Senior Epidemiologist
(785) 296 – 0613
Focus on these 3 Injury
Prevention Areas this Fall Injury Prevention Needs for SE Kansas Residents
SE Kansas had a traumatic injury rate of 544 per 100,000 residents in 2019.
45% of serious injuries are older adult (65+) falls which is a
rate of 1,299 per 100,000. Women constituted 63% of
these cases.
Transport related events comprised 24% of traumatic
injuries. With a majority (64%) being occupants of cars,
trucks, and vans at a rate of 84 per 100,000 residents.
Motorcycles made up almost 10% and ATV/Off-Road 12%
of these injuries.
Traumatic brain injuries (TBIs) impact residents at rate of
almost 106 per 100,000 residents. Falls were the
mechanism of injury for 68% of TBIs.
1,041
Hospitals in this region treated 1,041
patients with traumatic injuries and had
20 deaths.
About 40% of these patients were
transferred to a higher level of care.
About 39% of these patients were
discharged to either a home, home with
services, nursing home, or correctional
facility.
What you
need to
know about
2019 trauma
cases in the
SE Region 6.
7
Missing these 3 Registry Fields? Of the 35 fields assessed, the average completion rate is 68% or above by the hospitals and
trauma centers in your trauma region. This is a decent baseline, but leaves some room for
improvement. After all, who doesn't want a perfect score card?
These 3 important data fields could use some attention:
How Do We Get 90%? Or better yet, 100%?
Where to begin? Trauma Program Managers and Trauma Medical Directors run registry reports or EMS can request them for each of their PIPS meetings to assess why these fields were missed.
Need focused education for the documenter?
Need to take it your EMS partners?
Need to change a form?
Sounds like a
Performance Improvement (PI) project.
PRO TIP All fields in the registry should have a value in it. Remember, our ability to affect change in the system is entirely dependent on the completeness of our data. We are counting on you.
Jill Cavender Trauma Registry Coordinator
[email protected] (785) 296 – 5459
Late
Referral
Field
Team
Lead
Timely
Airway
Field
68%
90%
Goal Current
90%
90%
Goal
Goal
55%
11%
Current
Current
7.
8
REFERENCES
8.
GLOSSARY • Advanced Trauma Life Support (ATLS)
• Advisory Committee on Trauma (ACT)
• Course Attendance (Course Att.)
• Injury Prevention (Injury Prev.)
• Performance Improvement (PI)
• Performance Improvement & Patient Safety (PIPS)
• Prehospital Trauma Life Support (PHTLS)
• Trauma Nurse Core Course (TNCC)
• Regional information can be found at www.kstrauma.org
• Financial data derived from the SFY 2020 Regional Budget published in the agenda packets on
www.kstrauma.org>Trauma Regions
• Trauma Designation data derived from Kansas Trauma Program records for the year 2019—2020.
• EMSC Data derived from the 2020 Annual EMS for Children EMS Agency Survey, a national data
collection initiative designed to learn more about our progress in pediatric emergency care and target
areas for further promotion.
• Injury data derived from 2019 data from the Kansas Trauma Registry, housed at the Kansas
Department of Health and Environment in the Bureau of Community Health Systems.
• For additional injury prevention resources, visit www.kstrauma.org > Injury Prevention or Kansas Injury
& Violence Prevention Programs.
