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Indiana State Department of Health

Trauma System/Injury Prevention Program Home Trauma System/Injury Prevention Program Home

ISDH Mission: Promoting and providing essential public health services to protect Indiana communities

ISDH Vision: A healthier and safer Indiana

Trauma and Injury Prevention Division Mission: Develop a state-wide trauma system to protect Hoosier communities

Trauma and Injury Prevention Division Vision: Prevent injuries in Indiana

 

Trauma Registry Rule

Gov. Mike Pence signed the Trauma Registry rule into law, which took effect Sunday, November 24, 2013.  The rule mandates that all pre-hospital providers, hospitals with Emergency Departments, and rehabilitation facilities report specific data to the trauma registry. Please take the opportunity to review the rule here.

Trauma Registry Data Requests

The division of trauma and injury prevention has been collecting trauma data from hospitals and trauma centers since 2008. As of August 2014, the trauma registry has more than 115,000 incidents. The division has also started collecting EMS data and now has more than 430,000 records from 133 providers located all over the state.

If you are interested in de-identified, statewide data, fill out the division data request form and return it to the ISDH Division of Trauma and Injury Prevention. Please allow at least 3 business days for the request to be processed.

If you are interested in patient level data or variables that could lead to individual identification, it will need administrative approval. Please submit to the Division of Trauma and Injury Prevention:

All completed forms can be emailed to indianatrauma@isdh.in.gov

"In The Process"

Please note: to be considered for "in the process of ACS verification", please submit your application to IDHS 30 days prior to the next Indiana State Trauma Care Committee (ISTCC) meeting.  Click here to see the dates of ISTCC meetings for 2014.

The EMS Commission’s Triage and Transport Rule requires the most severely injured patients to be taken to a trauma center.  For the purposes of the rule, a trauma center is defined as a hospital that is verified by the American College of Surgeons (ACS), a hospital that is state designated as a trauma center – such as in Illinois who doesn’t use the ACS to verify trauma centers, or a hospital that is “in the process” of becoming a trauma center.  This last phrase was added to allow hospitals that want to become trauma centers the opportunity to receive the patients necessary to show a track record of excellent trauma care required for the ACS verification process.

The EMS Commission has posted the forms necessary to apply to become an “in the process” hospital.  By filling out these forms and submitting them to the EMS Commission, members of the Indiana State Trauma Care Committee will review these documents and make a recommendation to the State Health Commissioner who will make the final recommendation to the EMS Commission who will then respond to the applicant regarding their “in the process” designation.  Approval by the EMS Commission will define a hospital as a Trauma Center for purposes of the Triage and Transport Rule allowing any EMS Provider to take trauma patients to your facility.

The form can be found on their web site, located here.

Please mail complete packet to:

    ATTN: Mara Snyder
    Legal & Code Services
    Indiana Department of Homeland Security
    302 West Washington Street, Room W246
    Indianapolis, IN 46204

      Updated: 45-Minute Map

      June 2014: Community Hospital of Anderson and Good Samaritan Hospital are now considered a trauma center for the purposes of the triage and transport rule.  The 45-minute map has been updated. Data sources and algorithms used to create the map were updated in January, 2014. The new data should provide a more accurate measurement. However, the ISDH has not attempted to confirm the accuracy in the field. Maps developed prior to January, 2014 cannot be directly compared to the current map.

      February 2014: IU Health Arnett is now considered a trauma center for purposes of the triage and transport rule.

      January 2014: St. Vincent Anderson Hospital and St. Elizabeth East Hospital are now considered a trauma center for purposes of the purposes of the triage and transport rule.

      August 2013: IU Health - Ball Memorial Hospital is now considered a trauma center for purposes of the triage and transport rule. 

        Key highlights of trauma and injury prevention for the state of Indiana are:

        • Injury is the No. 1 killer of Hoosiers under the age of 45 and the No. 5 killer of Hoosiers of all ages.
        • Problems posed by injury are most acute in our rural areas.
        • A major way that states address the problem of trauma is through the design, implementation and oversight of a statewide trauma system. The ISDH has that statutory responsibility in Indiana.
        • Bad things happen where state trauma systems are not in place; where trauma systems exist, they save lives. Trauma systems lower preventable death rates by as much as 25-30 percent.
        • Indiana has in place several elements of a statewide trauma system, but we don’t yet have what can honestly be described as a “system.” Other challenges with our current approach to trauma include:
          • We don’t have enough EMS providers, especially in rural areas.
          • There aren’t enough trauma centers.
          • At the state level, not all components of the trauma system are located in the same state agency.

         

        See the Trauma White Paper for more information about the trauma system in Indiana.

         

         

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