working together to save lives lynne sears, rn, ms, pnp university of wisconsin hospitals and...
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Working Together to Save LivesWorking Together to Save Lives
Lynne Sears, RN, MS, PNPUniversity of Wisconsin Hospitals and ClinicsSouth Central Regional Trauma Advisory Council
Working Together to Save LivesWorking Together to Save Lives
“ If a disease were killing our children in
the proportions that injuries are, people would be outraged and demand that this killer be stopped”
C. Everett Koop –former U.S. Surgeon General
“ If a disease were killing our children in
the proportions that injuries are, people would be outraged and demand that this killer be stopped”
C. Everett Koop –former U.S. Surgeon General
Mission StatementMission Statement
Wisconsin Trauma Care System is dedicated to reducing the death, disability and suffering that results from traumatic injuries and mass casualty events by providing a comprehensive and integrated system of statewide prevention and trauma care resources throughout the continuum of care.
Wisconsin Trauma Care System is dedicated to reducing the death, disability and suffering that results from traumatic injuries and mass casualty events by providing a comprehensive and integrated system of statewide prevention and trauma care resources throughout the continuum of care.
Traumatic Injuries: A Major Public Health ProblemTraumatic Injuries: A Major Public Health Problem
Trauma: Leading Cause of Death in the First Four Decades of LifeTrauma: Leading Cause of Death in the First Four Decades of Life
3,231 people died of injury alone in Wisconsin in 2003*
4,119 in 2006
25% of all Emergency Department visits are related to traumatic injuries*
3,231 people died of injury alone in Wisconsin in 2003*
4,119 in 2006
25% of all Emergency Department visits are related to traumatic injuries*
*Wisconsin Department of Health and Family Services
Trauma: Leading Cause of Death in the First Four Decades of LifeTrauma: Leading Cause of Death in the First Four Decades of Life
24%14%
14%
25%3%2% 2% 8%
8%
Causes of Death in Wisconsin: Ages 1-44, 1998(Data from CDC NCIPC WISQARS System)Causes of Death in Wisconsin: Ages 1-44, 1998(Data from CDC NCIPC WISQARS System)
Motor Vehicle CrashesFallsFirearmsPoisoningSuffocationNon-traffic bikes and motor vehiclesDrowningFire and BurnsAll others
Trauma: Leading Cause of Death in the First Four Decades of LifeTrauma: Leading Cause of Death in the First Four Decades of Life
For every 2 people who die of traumatic injuries, another six are permanently disabled*
For every 2 people who die of traumatic injuries, another six are permanently disabled*
* Injury Deaths Profile 1996-1998 DHFS: CDC State Injury Profile
Traumatic Injuries: Beyond the Human CostTraumatic Injuries: Beyond the Human Cost
Traumatic Injuries: Beyond the Human CostTraumatic Injuries: Beyond the Human Cost
21%
12%
16%4%
47%
InjuryOtherCirculatoryCancerInfections
Causes of Death in Wisconsin: Ages 1-44, 1998(Data from CDC NCIPC WISQARS System)Causes of Death in Wisconsin: Ages 1-44, 1998(Data from CDC NCIPC WISQARS System)
Traumatic Injuries: Beyond the Human Cost Traumatic Injuries: Beyond the Human Cost
Injury causes more years of lost productivity than cancer and heart disease combined
Injury causes more years of lost productivity than cancer and heart disease combined
The Total Impact of Traumatic Injuries on Victims, Families, Friends, Employers and the Community at Large is Immense
The Total Impact of Traumatic Injuries on Victims, Families, Friends, Employers and the Community at Large is Immense
The Solution is a Statewide SystemThe Solution is a Statewide System
74Lives Saved
74Lives Saved
The Solution is a Statewide SystemThe Solution is a Statewide System
Statewide Trauma Systems have been shown to decrease mortality from major motor vehicle crashes by 9%*
Statewide Trauma Systems have been shown to decrease mortality from major motor vehicle crashes by 9%*
*National Safety Council
2003 - 820 Motor Vehicle Deaths
2006 – 765 Motor Vehicle Deaths
2003 - 820 Motor Vehicle Deaths
2006 – 765 Motor Vehicle Deaths
Wisconsin Trauma Care System
The Solution is a Statewide SystemThe Solution is a Statewide System
Wisconsin Trauma Care System has the potential for preventing up to 15%* of injury deaths, saving 485 lives in one year
Wisconsin Trauma Care System has the potential for preventing up to 15%* of injury deaths, saving 485 lives in one year
* Based on reported experience of states with mature Statewide Trauma Care Systems
2003 - 3,231 Deaths
2006 – 4,119 Deaths
2003 - 3,231 Deaths
2006 – 4,119 Deaths 617 Lives Saved
617 Lives Saved
Wisconsin Trauma Care System
Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation
Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation
Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through RehabilitationWisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation
Transport the injured patient to the appropriate trauma care facility as quickly as possible
Return the patient to the community at the highest level of function possible
Transport the injured patient to the appropriate trauma care facility as quickly as possible
Return the patient to the community at the highest level of function possible
Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through RehabilitationWisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation
Create the infrastructure for handling natural disasters, domestic and/or international acts of terrorism
Provide injury awareness, prevention and education
Create the infrastructure for handling natural disasters, domestic and/or international acts of terrorism
Provide injury awareness, prevention and education
Statewide Collaboration Benefits Patient CareStatewide Collaboration Benefits Patient Care
Statewide Collaboration Benefits Patient CareStatewide Collaboration Benefits Patient Care
The major components of Wisconsin Trauma Care System depend on voluntary involvement of the state’s EMS agencies, hospitals, Health Departments, and other healthcare providers and partners
The major components of Wisconsin Trauma Care System depend on voluntary involvement of the state’s EMS agencies, hospitals, Health Departments, and other healthcare providers and partners
Trauma Hospital DesignationTrauma Hospital Designation
Define trauma care resources and capabilities of each hospital*
Designate hospitals with the most comprehensive trauma care facilities as Level I or Level II
Request Level III and Level IV Hospitals to submit self-designation checklist based on ACS-COT standards
Provide site visits for education and validation
Define trauma care resources and capabilities of each hospital*
Designate hospitals with the most comprehensive trauma care facilities as Level I or Level II
Request Level III and Level IV Hospitals to submit self-designation checklist based on ACS-COT standards
Provide site visits for education and validation
*Designation criteria based on American College of Surgeons Committee on Trauma verification process and standards
Emergency Medical Services GuidelinesEmergency Medical Services Guidelines
Regional & local protocols for dispatch centers
Education guidelines for dispatchers
Regional & local protocols for dispatch centers
Education guidelines for dispatchers
Enhanced 911 SystemEnhanced 911 System
Emergency Medical Services GuidelinesEmergency Medical Services Guidelines
Quickly identify traumatic injuries at scene
Provide highest possible level of care at the scene
Triage and transport patients according to severity of injury
Transport each patient to facility with appropriate level trauma resources and capabilities
Quickly identify traumatic injuries at scene
Provide highest possible level of care at the scene
Triage and transport patients according to severity of injury
Transport each patient to facility with appropriate level trauma resources and capabilities
EMS Field Triage, Treatment and Transport GuidelinesEMS Field Triage, Treatment and Transport Guidelines
Wisconsin Trauma RegistryWisconsin Trauma Registry
Injury trends
Overall quality of care
Injury trends
Overall quality of care
Types of DataTypes of Data
Identify and overcome barriers to optimum care
Assess need for public awareness and education
Make System improvements and enhancements
Identify and overcome barriers to optimum care
Assess need for public awareness and education
Make System improvements and enhancements
Uses of DataUses of Data
Wisconsin Trauma RegistryWisconsin Trauma Registry
Wisconsin provides state data to the National Trauma Data Bank
Wisconsin regions use national data to establish benchmarks
Wisconsin provides state data to the National Trauma Data Bank
Wisconsin regions use national data to establish benchmarks
Injury Prevention, Education, TrainingInjury Prevention, Education, Training
Providing relevant information and training to primary audiences
Building public awareness of Wisconsin Trauma Care System benefits
Partnering with public- and private-sector partners to provide injury awareness, prevention and education
Providing relevant information and training to primary audiences
Building public awareness of Wisconsin Trauma Care System benefits
Partnering with public- and private-sector partners to provide injury awareness, prevention and education
Injury Prevention, Education, TrainingInjury Prevention, Education, Training
Responding to the needs of state lawmakers and the public with information about System activities and achievements
Documenting the benefits of the System
Keeping policymakers informed of budgets required to maintain and enhance a high quality system
Responding to the needs of state lawmakers and the public with information about System activities and achievements
Documenting the benefits of the System
Keeping policymakers informed of budgets required to maintain and enhance a high quality system
Meeting Local NeedsMeeting Local Needs
Meeting Local NeedsMeeting Local Needs
1. Lake Superior2. North Central3. Northeast4. North/Northwest5. West Central6. Fox Valley7. Southwest8. South Central9. Southeast
1. Lake Superior2. North Central3. Northeast4. North/Northwest5. West Central6. Fox Valley7. Southwest8. South Central9. Southeast
Regions are based on existing patient referral and transfer patternsRegions are based on existing patient referral and transfer patterns
Wisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the StateWisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the State
11
223344
55
6677
8899
Meeting Local NeedsMeeting Local Needs
Each Regional Trauma Advisory Council (RTAC) has an Executive Council and RTAC Coordinator
RTAC Members include: Healthcare providers, EMS providers, Health Departments, service organizations and others interested in improving local care of trauma patients
Each Regional Trauma Advisory Council (RTAC) has an Executive Council and RTAC Coordinator
RTAC Members include: Healthcare providers, EMS providers, Health Departments, service organizations and others interested in improving local care of trauma patients
Wisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the StateWisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the State
Meeting Local NeedsMeeting Local Needs
1. Establish Regional Trauma Care Plans
2. Identify Regional trauma care resources
1. Establish Regional Trauma Care Plans
2. Identify Regional trauma care resources
RTAC ResponsibilitiesRTAC Responsibilities
3. Educate hospitals, EMS responders and all stakeholders to RTAC’s role
4. Increase membership
5. Regionalize and promote consistent implementation of triage, transport and care guidelines
3. Educate hospitals, EMS responders and all stakeholders to RTAC’s role
4. Increase membership
5. Regionalize and promote consistent implementation of triage, transport and care guidelines
Meeting Local NeedsMeeting Local Needs
6. Provide up-to-date and current education and training to regional EMS responders and hospitals
7. Support injury prevention education and training for the public
8. Develop a coordinated Regional Plan for Disaster Response
6. Provide up-to-date and current education and training to regional EMS responders and hospitals
7. Support injury prevention education and training for the public
8. Develop a coordinated Regional Plan for Disaster Response
RTAC ResponsibilitiesRTAC Responsibilities
Meeting Local NeedsMeeting Local Needs
RTACs… Direct hospitals and EMS management in data collection
Analyze data, recommend and promote adoption of regional improvements
Assess regional needs
Involve Regional hospitals and EMS providers in ongoing improvement and enhancement of trauma care
RTACs… Direct hospitals and EMS management in data collection
Analyze data, recommend and promote adoption of regional improvements
Assess regional needs
Involve Regional hospitals and EMS providers in ongoing improvement and enhancement of trauma care
Local Focus Enhances QualityLocal Focus Enhances Quality
We All BenefitWe All Benefit
We All BenefitWe All Benefit
Reduced death, disability and suffering from traumatic injury
Integrating all hospitals ensures consistent guidelines for quickly transporting trauma patients to the most appropriate facility
Seamless response to both rural and urban incidents
Reduced death, disability and suffering from traumatic injury
Integrating all hospitals ensures consistent guidelines for quickly transporting trauma patients to the most appropriate facility
Seamless response to both rural and urban incidents
People of WisconsinPeople of Wisconsin
We All BenefitWe All Benefit
Better preparation for natural disasters, domestic and/or international acts of terrorism
More aggressive efforts targeted at preventing injury
Collaborations with local agencies to identify and reduce major causes of injury
Better preparation for natural disasters, domestic and/or international acts of terrorism
More aggressive efforts targeted at preventing injury
Collaborations with local agencies to identify and reduce major causes of injury
People of WisconsinPeople of Wisconsin
We All BenefitWe All Benefit
All hospitals are important components of the statewide System
Definition of major trauma helps ensure clients are not sent to Level I or Level II hospitals unnecessarily
Bypassing the nearest hospital with major trauma patients involves a small number of patients with little effect on the facility’s bottom line
All hospitals are important components of the statewide System
Definition of major trauma helps ensure clients are not sent to Level I or Level II hospitals unnecessarily
Bypassing the nearest hospital with major trauma patients involves a small number of patients with little effect on the facility’s bottom line
Wisconsin HospitalsWisconsin Hospitals
We All BenefitWe All Benefit
Facilitate more Advanced Life Support intercepts
Quicker identification of the most appropriate facility for trauma patient
More positive outcomes
Facilitate more Advanced Life Support intercepts
Quicker identification of the most appropriate facility for trauma patient
More positive outcomes
Wisconsin EMS RespondersWisconsin EMS Responders
We All BenefitWe All Benefit
More effective use of healthcare resources
Reduction in financial impacts of traumatic injuries
Critical component of homeland security and emergency preparedness
Infrastructure for handling natural disasters, domestic and/or international acts of terrorism
More effective use of healthcare resources
Reduction in financial impacts of traumatic injuries
Critical component of homeland security and emergency preparedness
Infrastructure for handling natural disasters, domestic and/or international acts of terrorism
The State of WisconsinThe State of Wisconsin
What’s a Life Worth?What’s a Life Worth?
What is a Life Worth?What is a Life Worth?
617 Lives in a year
617 Lives in a year
$545,000 SAVES
2006 Budget for the entire Wisconsin Trauma Care System is less than $545,0002006 Budget for the entire Wisconsin Trauma Care System is less than $545,000
What is a Life Worth?What is a Life Worth?
$65 Million in economic
costs
$65 Million in economic
costs
2006 Budget for the entire Wisconsin Trauma Care System is less than $545,0002006 Budget for the entire Wisconsin Trauma Care System is less than $545,000
$545,000 SAVES
What’s a Life Worth?What’s a Life Worth?
Small cost forSmall cost for
enormous benefitsenormous benefits
Wisconsin Trauma System in CrisisWisconsin Trauma System in Crisis
No secure funding
Support a State Trauma Program Coordinator
Continue the work in the RTAC’s
Continue the Hospital Designation Reviews
Support a State Registry
No secure funding
Support a State Trauma Program Coordinator
Continue the work in the RTAC’s
Continue the Hospital Designation Reviews
Support a State Registry
Please contact your Legislature Representative
AS SOON AS YOU GET HOME!
Google “Contact Your Wisconsin State Senators”
Let them know that you value a system of care that lets you do the best that you can do for each trauma patient.
Please contact your Legislature Representative
AS SOON AS YOU GET HOME!
Google “Contact Your Wisconsin State Senators”
Let them know that you value a system of care that lets you do the best that you can do for each trauma patient.
Working Together to Save LivesWorking Together to Save Lives
Joe M. SmithRegional Trauma Care Coordinator
Southeast Region