STATEWIDE TRAUMA SYSTEM
Today, the nationally recognized resource for development of statewide trauma systems is Resources for Optimal Care of the Injured Patient by the American College of Surgeons (ACS) Committee on Trauma. This guidebook provides the detailed descriptions of the organization, staffing, facilities, and equipment needed to provide state-of-the-art treatment for the injured patient at every phase of trauma system participation. LERN is using this guidebook to develop an inclusive statewide trauma system in Louisiana.
The inclusive trauma system model recognizes the full continuum of injury severity and utilizes all acute care facilities to get the injured patient to the Right Place at the Right Time to receive the Right Care.
Inclusive Trauma System Model
Resources for the Optimal Care of the Injured Patient, 2014
A statewide trauma care system has many components – requiring a multidisciplinary team approach that allows all involved health care providers to function in pre-planned concert. Emergency care providers match patients, through protocols and medical supervision, with the medical facility equipped with the resources to best meet the patient’s needs – sometimes bypassing the closest medical facility.
See figure below, which illustrates the pre-planned, seamless flow of trauma care delivery for those experiencing severe injury. (Click image to see full-sized PDF)
Phases of a Pre-Planned Trauma Care Continuum
Resources for the Optimal Care of the Injured Patient, 2006
A trauma system’s purpose* is to minimize quality of care variations by:
- Managing, at the state level, the coordination and facilitation of statewide trauma system development;
- Establishing, consistently using, and maintaining common standards of trauma care;
- Assessing, planning, coordinating, monitoring, and ensuring consistent and optimal care;
- Applying scientifically evaluated injury prevention strategies that target specific at-risk populations, the mechanisms that wound them, and their injury environments;
- Using data systems to enhance care;
- Providing sustained funding for system maintenance;
- Setting priorities for injury prevention initiatives;
- Providing statewide ongoing technical assistance to all regions within a s; and
- Establishing effective evaluation processes to continuously improve trauma care performance.