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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