SWRTCC

Southwest Regional Trauma Coordinating Committee:

Representing the Counties of:San Luis Obispo – Santa Barbara Ventura – Los Angeles – Orange

Santa BarbaraVentura

Los Angeles

San Luis Obispo

Orange

Southwest RTCC

• Diverse Large Urban & Rural Areas

• Well Developed Trauma Systems

• No Trauma System

• 14,607 Sq. Miles

• 14 million Total Population

• 25,306 Trauma Patients

Each Thread in the Safety Net is Critical

Ped

iatric

s

DispatchAir Transport

Critical Care Transport

Ambulance Transport

Trauma Centers

Fire ServicesHospitals

Sp

ecia

lty C

are

Ph

ysic

ian

s

Reh

ab

ilitatio

n S

erv

ices

Injury Prevention

Em

erg

en

cy M

ed

ical S

erv

ices

Critic

al C

are

It’s Essential to Work Together to Prevent Trauma Victims

from Falling Through the Net

Southwest RTCC• Getting Started

• Formed a Leadership Group

• Bi-Monthly Conference Calls

• Planned Stakeholder Meeting 1-18-09

• Over 80 Participants Good Representation

• Formed into Work Groups to Flush Out Issues

Interim Leadership: Southwest Regional Trauma Coordinating Committee

Gil Cryer, MD, PhD Cathy Chidester Tim Ernst, EMT-P Barry Fisher Heidi A. Hotz, RN David Hoyt, MD, FACS Johnathan Jones, RN, BSN Nancy Lapolla, MPH Jennifer Shay Connie Stalcup, RN,MN Samuel Stratton, MD, MHP Jeffery S, Upperman, MD, FACS, FAAP

SWRTCC

Southwest RTCC

• Conducted Survey of LEMSA’s

• Conducted Survey of Hospitals

• Developed Mission/Value Statement

• Identified 4 Focus Areas to Target

Survey

• 145 Hospitals Received the Survey

• 47 (31%) Completed the Survey– 12 Designated Trauma Centers – 35 Non-Trauma Center

• Purpose: Get a General Overview of Regional Trauma System – Where Are the Gaps/Barriers

Southwest RTCC Structure

• Stakeholders Meeting

– 3 Break Out Sessions

• Discuss Organization Structure

• Focus Areas

Structure

Steering Committee

Access to Care QI & Data MCI Disaster

Mission Statement

“To promote a coordinated region-wide trauma system that reduces overall morbidity and mortality through coordinated prevention, comprehensive quality pre-hospital and hospital trauma care services that is cost-effective to individuals in Orange, Los Angeles, Ventura, Santa Barbara and San Luis Obispo Counties.”

Vision Statement

“All patients needing trauma services receive high quality, readily, accessible

and well coordinated trauma care.”

Steering CommitteeSouthwest Regional Trauma

Coordinating Committee

• Nancy Lapolla, MPH• Gil Cryer, MD, PhD

• Barry Fisher• Heidi A. Hotz, RN

• David Hoyt, MD, FACS

• Gerry Arcuri

• Angelo Salvucci, MD• Tom Hale, MD• Greg Boswell, RN

• Samuel Stratton, MD, MPH

• Jeffery S, Upperman, MD, FACS, FAAP

• Steve Fellows

SWRTCC

“I never thought it could happen to my

daughter”“I never thought it

could happen to my sister”

“I never thought it could happen to my

dad”

“I never thought it could happen to

me”

Project Charters

• Access to Care

• Quality Improvement

• Data

• MCI/Disaster

Access to Care

• Clinical/System Case– Expected Improvements– No Preventable Deaths for

trauma– Right Patient to right center

• Team Members– Steve Fellows, Angelo

Salvucci, Gill Cryer, David Hoyt, Tom Hale

• Objectives– Develop trauma system

infrastructure (SLO, VTA & SB)– Assure adequate resources in LA

& Orange– Inter-county triage & transfer

agree

• Metrics– Prepare gap analysis/needs

assessment– Process measurement– Outcome measurement – Create state outcome

measurement

The Big Picture

QI• Objectives

– Establish regional PI process– Catalogue existing data sources– Establish mechanism to review

deaths– Verify trauma centers– Regional PI Committee– Assess current QI process

• Metrics– Prepare gag analysis/needs

assessment– Identify QA activities and

indicators

• Clinical/System Case– Expected Improvement– Appropriate level of trauma

team activations

• Team Members– Heidi Hotz, Kelly Kam,

Connie Stalcup, Gil Cryer,Stephanie Lush,Christy Preston, Mike Lekawa

The Big Picture

Data

• Objectives– Ensure validated data

collection at hospital level

– Participation in State Trauma Registry

– Adherence to data dictionary

– AIS trauma registrar training standardization

• Metrics– Prepare gag analysis/needs

assessment

• Clinical/System Case– Not yet defined

• Team Members– Greg Boswell, Lead,

other not identified yet

The Big Picture

MCI/Disaster

• Objectives– Region-wide approach to

large scale event

– Triage determination & transport protocols

– Review LEMSA plans for Mass Events

• Metrics– Prepare Gag analysis

needs assessment

• Clinical System Case– Not yet defined

• Team Members– Sam Stratton, Jeff

Upperman, Barry Fisher, Bryan Hanley, Ryan Burgess

The Big Picture

Southwest RTCC• What's working

– Wealth of experience– Willingness to share expertise– Great people– Dedicated to improving trauma care & access

• Challenges– Busy Schedule– Distance for face-to-face meetings– Keeping groups motivated– not having previous experiences/guidance to draw from