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A state’s trauma registry is not only the repository for data about trauma in its state, but it exists to improve outcomes for injured patients. The registry uses data to measure and analyze all aspects of the system to ensure the highest quality care is provided to all. The ISDH operates the Indiana Trauma Registry and is responsible for instituting processes to evaluate the performance of all aspects of the system, from the EMS provider to the trauma center/acute care hospital and the rehabilitation provider. The ISDH Trauma Registry has been operational since 2008.