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Four Indiana hospitals, Indiana University (IU) Health Ball Memorial, Muncie, St. Elizabeth-East, Lafayette, St. Vincent-Anderson and IU Health Arnett, Lafayette (designated in blue on the map at right), have become trauma centers for purposes of the Triage and Transport Rule. The Triage and Transport Rule was adopted by the EMS Commission in mid-2012, requiring that seriously injured trauma patients be taken to trauma centers. The rule further defined “trauma centers” as including hospitals “in the process of American College of Surgeons (ACS)-verification.” The red areas on the map are those now within 45 minutes of a trauma center. It is estimated that now 71% of the population can access a trauma center within 45 minutes and 83% of Indiana interstate miles are within 45 minutes of a trauma center.
To be so considered for “In the Process” status, a hospital must apply to the Indiana Department of Homeland Security (IDHS) and then sufficiently convince the State Health Commissioner that the hospital will become ACS-verified within two years and secondly be approved by the EMS Commission as an “in the process of ACS verification” trauma center. The trauma center designation is only for the purposes of the Triage and Transport Rule and does not extend to reimbursement or other benefits for the hospital. Hospitals interested in being considered a “trauma center” for purposes of the Triage and Transport Rule must complete and submit forms that the EMS Commission has posted on its website (http://www.in.gov/dhs/2367.htm) The forms must be completed and submitted to IDHS. The Indiana State Trauma Care Committee and ISDH will review these documents, and the State Health Commissioner will make a recommendation to the EMS Commission, which makes the final decision on “in the process” status. For the most up-to-date information regarding "in the process of ACS-verification," visit: https://indianatrauma.org/.
The Trauma Registry rule, signed into law by Governor Pence on October 25, requires all EMS transport providers, hospitals with emergency departments and the State’s seven rehabilitation hospitals to report trauma cases to the ISDH trauma registry. The rule has been effective since November 24.
Trauma Registry Rule: Training Events
The Trauma Registry rule, signed into law by Governor Pence on October 25, requires all EMS transport providers, hospitals with emergency departments and the State’s seven rehabilitation hospitals to report trauma cases to the ISDH trauma registry. The rule has been effective since November 24.The full text of the Trauma Registry rule can be found here. The ISDH Trauma and Injury Prevention Division is planning statewide training events for all those required by the rule to submit data. To find out more about the training events, visit: http://www.in.gov/isdh/26127.htm.
The ISDH Division of Trauma and Injury Prevention hosted an International Classification of Diseases, 10th Revision (ICD-10) trauma-specific training event for trauma registrars in Indiana. The training took place at ISDH in Rice Auditorium on Thursday, February 27 and Friday, February 28. This two-day training event provided ICD-10-CM/PCS-specific training with an emphasis on trauma scenarios and was attended by 30 registrars from 24 hospitals across the state. The course was facilitated by a tenured Trauma Data Manager and taught by American Health Information Management Association approved ICD-10-CM/PCS trainers.
National Poison Prevention Week: March 16-22, 2014
National Poison Prevention Week was established by the United States Congress in 1961 to focus attention on the dangers of potentially poisonous medicines and chemicals, and to outline steps to prevent poisonings. A poison is defined as “any substance, including medication, that is harmful to your body if too much is eaten, inhaled, injected or absorbed through the skin.” Anything can be poisonous if used in the wrong way, including household items. Like that of all injuries, most poisonings are unintentional; however, some can be inflicted intentionally through self-harm or by another individual. Injuries and poisonings affect all groups of people, regardless of age, race or economic status. In 2011, 1,084 Hoosiers died from poisoning, which accounted for 26.9 percent of all injury deaths.
The toll-free Poison Help Line, 1-800-222-1222, connects callers to their local poison center. Poison centers are more than just help lines for parents of young children and they offer advice to anyone, including adults and health care providers. More than two million poisonings are reported every year to the nation’s poison centers and about 50 percent of poisonings include children under the age of six. During 2011, the Indiana Poison Center reported more than 68,500 calls for help. Some tips to prevent poisoning include:
The Injury Prevention Advisory Council (IPAC) is expanding its membership to include more stakeholders from across the state. IPAC’s mission is to work with the ISDH to reduce injury-related morbidity and mortality in Indiana. IPAC’s goals include enhancing the skills, knowledge and resources of the state’s injury prevention workforce and for these partners to share data, best practices and evidence-based programs to improve statewide coordination of injury prevention efforts. IPAC will meet four times in 2014 in Rice Auditorium at ISDH:
Interested partners will also receive email updates about news and research in injury prevention throughout the year to stay up to date. More information about IPAC will be available in the coming weeks. If you are interested in becoming a member of IPAC or would like more information about IPAC, contact Injury Prevention Epidemiologist Jessica Skiba, email@example.com, 317-234-6325.
The Division of Trauma and Injury Prevention is pleased to announce the addition of two new staff members:
To see a list of trauma and injury prevention events for 2014, visit: http://www.in.gov/isdh/26125.htm. The calendar will be updated throughout the year and if you have a trauma and/or injury prevention event, contact Katie Gatz, firstname.lastname@example.org, 317-234-7321 or Jessica Skiba, email@example.com,317-234-6325, to have your event added to the page.
The Indiana Trauma Registry produces regular reports on a monthly, quarterly, and annual basis. In addition, certain ad hoc reports are produced upon request. These reports are archived on our web page and can be accessed at http://www.in.gov/isdh/25581.htm.
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