Trauma Centers/Critical Access Hospitals

Indiana Trauma Transfer Guideline

Indiana Trauma Transfer Guideline Document

Key highlights of trauma and injury prevention for the state of Indiana
"In the Process of ACS Verification" Trauma Centers
Verified Trauma Centers
Locations of ACS Verified and "In the Process of ACS Verified" Trauma Centers in Indiana
45-Minute Map
Public Health Preparedness Districts in Indiana
Rural Trauma Team Development Course Information

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

Injury is the leading cause of death for Hoosiers under the age of 45 and the fifth leading cause of death for 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 IDOH has that statutory responsibility in Indiana.

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.

"In the Process of ACS Verification" Trauma Centers

Hospitals in Indiana that are working on becoming a verified trauma center can apply (under Destination Guide) to become "In the Process of ACS Verification" trauma center status for purposes of the Triage and Transport Rule. Currently, there are two "In the Process" trauma centers in Indiana:

Trauma Center Name	Location	Adult Designation	Pediatric Designation
Peyton Manning Children's Hospital at Ascension St. Vincent	Indianapolis		I
Franciscan Health - Indianapolis	Indianapolis	III

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 2023.

"In The Process"
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.  The spreadsheets are located here. Please mail complete packet to: EMS Certifications Indiana Department of Homeland Security 302 West Washington Street, Room W246 Indianapolis, IN 46204

Verified Trauma Centers

Indiana relies upon the American College of Surgeons — Committee on Trauma (ACS-COT) to verify trauma centers. Currently, there are 22 verified trauma centers in Indiana:

Trauma Center Name	Location	Adult Designation	Pediatric Designation
Ascension St. Vincent Anderson Regional Hospital	Anderson	Level III
Ascension St. Vincent Evansville	Evansville	Level II	Level II
Ascension St. Vincent Indianapolis Hospital	Indianapolis	Level I
Community Hospital Anderson	Anderson	Level III
Deaconess Hospital	Evansville	Level II
Elkhart General Hospital	Elkhart	Level III
Eskenazi Health	Indianapolis	Level I
Franciscan Health-Crown Point	Crown Point	Level III
Franciscan Health-Lafayette East	Lafayette	Level III
Good Samaritan Hospital	Vincennes	Level III
IU Health Arnett Hospital	Lafayette	Level III
IU Health Ball Memorial Hospital	Muncie	Level III
IU Health Bloomington Hospital	Bloomington	Level III
IU Health Methodist Hospital	Indianapolis	Level I
Lutheran Hospital of Indiana	Fort Wayne	Level II	Level II
Memorial Hospital and Health Care Center	Jasper	Level III
Memorial Hospital of South Bend	South Bend	Level II
Parkview Regional Medical Center	Fort Wayne	Level II	Level II
Reid Health	Richmond	Level III
Riley Hospital for Children at IU Health	Indianapolis		Level I
Terre Haute Regional	Terre Haute	Level III
Union Hospital	Terre Haute	Level III

Locations of ACS Verified and "In the Process of ACS Verified" Trauma Centers in Indiana

45-Minute Map

May 2020: Methodist Hospitals - Northlake Campus is no longer a verified level III trauma center. Franciscan Health - Indianapolis is now a provisional level III trauma center.

June 2019: Elkhart General Hospital has been verified as a Level III trauma center.

May 2018: Memorial Hospital and Health Care Center has been verified as a Level III trauma center.

December 2017: Franciscan Health Crown Point has been verified as a Level III trauma center.

August 2017: Methodist Hospitals - Northlake Campus and Reid Health have been verified as a Level III trauma centers. Terre Haute Regional has been verified as a Level II trauma center.

July 2017: Community Hospital Anderson has been verified as a Level III trauma center.

June 2017: Union Hospital Terre Haute has been verified as a Level III trauma center.

May 2017: IU Health Bloomington has been verified as a Level III trauma center.

September 2016: Good Samaritan Hospital has been verified as a Level III trauma center.

August 2016: Memorial Hospital and Health Care Center in Jasper is now considered a trauma center for purposes of the triage and transport rule. The 45-minute map below reflects this change.

April 2016: Ascension St. Vincent Anderson Regional Hospital has been verified as a Level III trauma center.

February 2016: Union Hospital Terre Haute is now considered a trauma center for purposes of the triage and transport rule. The 45-minute map below reflects this change.

December 2015: Franciscan Health-Crown Point, Reid Health and Terre Haute Regional are now considered trauma centers for 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 IDOH has not attempted to confirm the accuracy in the field. Maps developed prior to January, 2014 cannot be directly compared to the current map.

August 2014: Methodist Hospital - Northlake Campus is considered a trauma center for purposes of the triage and transport rule.

June 2014: Community Hospital of Anderson and Good Samaritan Hospital is considered a trauma center for the purposes of the triage and transport rule.

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

Critical Access Hospitals in Indiana

CAH

Public Health Preparedness Districts in Indiana

Rural Trauma Team Development Course Information

The Rural Trauma Team Development Course (RTTDC) emphasizes the important role of smaller, often rural, non-trauma hospitals in the overall state trauma system. The RTTDC program covers key concepts in the triage of trauma patients, including the decision whether the hospital can meet the patient’s needs or needs to transfer the patient to a trauma center. Understanding everyone’s role in a statewide trauma system is crucial in providing good care to trauma patients, especially in light of the fact that at least 60% of all trauma deaths occur in areas where only 25% of the population lives.

If your facility is interested in participating in the RTTDC program with a nearby trauma center, please contact the IDOH (indianatrauma@isdh.in.gov) or your nearest trauma center:

Deaconess Hospital Dara Dilger Trauma Program Manager dara.dilger@deaconess.com 812-450-3044	Eskenazi Health Sherri Marley Trauma Program Manager sherri.marley@eskenazihealth.edu 317-880-5031
IU Health – Methodist Hospital Catana Philipps Trauma Educator and Outreach Coordinator cphilipps@iuhealth.org 317-962-3456	Lutheran Hospital Andrew Stimpson Injury Prevention Coordinator Astimpson@lutheran-hosp.com 260-435-2629
Memorial Hospital South Bend Tanya Toth Trauma Coordinator ttoth@beaconhealthsystem.org 574-647-5650	Parkview Regional Medical Center Lisa Hollister Trauma Program Manager Lisa.Hollister@parkview.com 260-266-1275
Ascension St. Vincent Evansville Marie Stewart Injury Prevention/Trauma Education/Outreach Coordinator - Trauma Services marie.stewart@ascension.org 317-880-5031	Ascension St. Vincent Hospital Kristin Wagner or Colleen Groves Trauma Injury Prevention, Education & Outreach Coordinators indytrauma@ascension.org 317-338-3334
Terre Haute Regional Hospital Frank Safrit Director, Trauma Services frank.safrit@hcahealthcare.com 812-237-9991

Contact Information

Brain Busching, Director
Trauma and Injury Prevention
317-234-2865
BBusching@isdh.in.gov