trauma centers by gabe siegel. short anecdote example: us congressman bobby rush’s son was shot...
Post on 17-Dec-2015
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SHORT ANECDOTE
Example: US Congressman Bobby Rush’s son was shot and killed on the same block as a Hospital, yet he was driven 10.3 miles to the nearest trauma center.
STATE OF EMERGENCY MEDICINE
EMTALA and the ACAInsurance ≠ Access: shortage of
Primary Care physiciansACA increases demand for resources Poor reimbursements, uncompensated
care, and utilization issuesImportance of Trauma centers and
systemsUnder the ACA: $224 million in grants
for Trauma Centers
TRAUMA
Trauma-mostly severe and critical injuries.
Trauma is predictable
Injury is the leading cause of death for individuals from ages 1 to 44
Accounts for approximately 170,000 deaths each year and over 400 deaths per day
35 million people are treated annually for trauma -- one hospitalization every 15 minutes.
QUICK FACT
For every $3.51 the federal government spends on HIV research and $1.65 for cancer, trauma gets 10 cents. And this is true despite the fact that someone dies from a traumatic injury every three minutes in the United States. Compared to every 9.5 minutes someone is infected with HIV/AIDS in the U.S.
DEFINING THE PROBLEM
25 % of Trauma Centers have closed in the U.S
Disproportionately burdens vulnerable populations
46 million Americans lack access to a trauma center.
“Trauma Deserts”
Access to a trauma center reduces risk of death by 25%
The interests, individuals, ideas, institutions
TRAUMA SYSTEM COMPONENTS
911 Access
Pre-Hospital Providers
Hospital EDs
Trauma Centers
Rehabilitation Centers
Trauma Registry and Injury Prevention
TRAUMA CENTER LEVELS
Level 1- 24/7 emergency care capable of providing care for any injury. Leader as a research institution.
Level 2- 24/7 essential care.
Level 3- 24/7 emergency physicians, key services, prompt availability of surgery staff, and transfer agreements.
Level 4- 24/7 physician coverage. Transfer agreements.
POLICY PROPOSAL
Recognizing trauma systems as a public good
National Trauma System
Linking funds to Trauma center availability
Increased and new modes of funding for EMS and Trauma Centers
Changing reimbursement
Activation Fee
Alternative payment model that incentives quality outcomes and cost-effective care
Stopping “defensive medicine”
OUTCOMES AND OBSTACLES
Funding
Public and professional support and policy lightening
Lowering mortality rates
Maintain and improve cost, quality, access, and equity
Prevention of Trauma Center closures
Reducing “trauma deserts”
Preparation for a major terrorist attack or disaster
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