Northeast Kansas Regional Trauma Council2017/06/12 · Northeast Kansas Regional Trauma Council Executive Committee Meeting Conference Call 866-620-7326 Code: 958 411 6860 June 12,

Northeast Kansas Regional Trauma Council Executive Committee Meeting Conference Call 866-620-7326 Code: 958 411 6860

June 12, 2017, 1:00pm-2:30pm

Agenda

Call to Order Don Fishman, MD

Approval of April 10, 2017 minutes executive committee meeting System Finance Brooke Oxandale

Treasurer’s Report included in packet Acute Care Hospital Darlene Whitlock & Teresa Taylor

2017 Education Requests

Recap of 2017 Symposium Trauma Program Update KTP Staff Injury Prevention Tracy McDonald & Darlene Whitlock Pediatrics Tracy Cleary Prehospital Con Olson & Dan Hudson Healthcare Coalitions Steve Hoeger & Danielle Marten Regional PI Don Fishman, MD & Tracy McDonald Regional Trauma Plan Executive Committee

Current plan included in packet Old Business Don Fishman, MD, Chairman

New Business Don Fishman, MD, Chairman

Announcements (Sharing) All Regional Partners

Adjournment 2017 Regional Trauma Council Meetings August 14, 2017 1:00pm-2:30pm Executive Committee Meeting Stormont Vail October 9, 2017 1:00pm-2:30pm Executive Committee Meeting Conference Call October 11, 2017 9:00am-4:00pm Statewide Trauma Symposium VCSF, Wichita December 11, 2017 1:00pm-2:30pm Executive Committee Meeting Ransom Memorial 2017 ACT Meetings August 16, 2017 10:00am – 3:00pm Kansas Medical Society, Topeka November 1, 2017 10:00am – 3:00pm Kansas Medical Society, Topeka

DRAFT Minutes 4/10/17 To Be Approved: 6/12/2017

Agenda Minutes Follow up

In Attendance Dr. Fishman, Lois Towster, Brooke Oxandale, Darlene

Whitlock, Courtney Strathman, Dan Hudson, Tracy

McDonald, Scott Harris, Tanya Ewert, Dorothy Rice,

Tammy Newberry, Dr. Dalenberg, Con Olson, Tracy

Cleary, Carman Allen, Wendy Gronau

Call to Order Dr. Fishman called the meeting to order at 2:38 p.m.

Minutes Lois Towster made a motion to approve the minutes

from the February 13, 2017 meeting. Dorothy Rice

seconded. Motion carried.

Nomination for

Executive

Committee

There were two write-in candidates for the open EMS

position on the executive committee which then

resulted in a tie vote. These were Dan Hudson from KU

Health Systems and Darren Hall from Franklin County

EMS. Dr. Fishman called for a vote of the executive

committee members to break the tie. Dan Hudson was

elected to the executive committee.

Dr. Fishman

Executive

Committee

Officers

Officers of the executive committee are: Dr. Fishman,

Chairperson, Dr. Dalenberg, Vice-Chairperson, Secretary,

Lois Towster, Brooke Oxandale, Treasurer.

Dr. Fishman

Bylaws No comments regarding the bylaws were received. The

revision allows all general members to vote at the

general membership meetings. Pending clarification of

the statutes regarding who is a voting member, Tracy

McDonald moved to approve the bylaws. Brooke

Oxandale seconded. Motion passed.

Carman reviewed the statutes and clarified there is

nothing regarding who has voting privileges. The

executive committee agreed they shall stand as written

and approved.

Northeast Kansas Regional Trauma Council Executive Committee Meeting

St. Francis Health, Topeka Meeting Minutes

April 10, 2017, After the Regional Trauma Symposium



System Finance The budget spreadsheet was included in the meeting

packet.

Brooke Oxandale

Acute Care

Hospital

Tracy McDonald gave a report on the 10th Edition of

ATLS. KU Health Systems is beta testing this new

edition. Tracy believes these courses will begin later in

2017. There is a hybrid course available. With the hybrid

course, all lectures would be completed online and the

individual student would have a 1 ½ day face-to-face

class for hands-on skills and the exam. Instructors will

need to purchase the manual when it’s available.

KU Health Systems are doing ATLS courses just for mid-

levels.

Discussion was had regarding how to encourage ED mid-

levels to obtain ATLS certification. Tracy clarified the

ACS requirements stating this would be documented as

a weakness, not a CD since these mid-levels don’t

routinely assist in the resuscitation of a trauma patient.

One education funding request was approved for an

ATLS course in the amount of $650.

Darlene reminded the committee KENA is making funds

available again for TNCC and ENPC ($1,000 for each).

Requests for these can be made to Darlene.

Teresa Taylor/

Darlene Whitlock

Old Business Nothing to report.

New Business Due to budget constraints, Wendy will not be in person

at the remainder of the meetings in 2017.

The executive committee agreed today’s symposium

went very well. Many thanks to St. Francis Health for

hosting and providing a delicious lunch.

Tracy and Dr. Fishman have received a case for peer

review. They will meet offline and begin the process of

bringing the case to the full regional PI committee.

Announcements

/ Each Facility /

Agency

The trauma program manager workshop is scheduled

for April 28 in Hays. Lois suggested sending an email to

the region regarding education funding. The committee

Wendy: Send email

to TPMs in the

region



agreed to determine the amount to grant after the fact

when we know how many folks actually attended.

Darlene gave an update for the EMS Medical Director

program. May 18 will be in Wilson, KS. There is also one

being scheduled in June in SC and NC. Those dates will

be announced soon. There will be a statewide meeting

at the Kansas Star Casino in Mulvane August 10.

Invitations for the August 10 meeting will be going to all

EMS medical directors and EMS service directors by mail

and email.

Adjournment Meeting adjourned at 3:13 p.m.

2016 Carry Over $9,620.10

2017-18 Funds $28,335.00

2016 Beginning Balance $37,955.10

Date Expense/Description Check Payable To Budget Amount Amount Balance

Invoice

Sent

$37,955.10

$1,800.00

$37,955.10

$37,955.10

$37,955.10

$37,955.10

$6,000.00

3/1/2017 TPM Workshop Donation KDHE Training Fund Pending $200.00 $37,755.10

$37,755.10

$37,755.10

$2,037.00

January 2017 Fiscal Agent Contract Fee Stormont-Vail HealthCare $1,358.00 $36,397.10

January 2018 Fiscal Agent Contract Fee Stormont-Vail HealthCare $679.00 $35,718.10

System Finance

2017-18 NEKRTC Expenditure Spreadsheet February 1, 2017-June 30, 2018

Administrative ComponentsSystem Leadership

System Development

Public Information and Education

Clinical Components

$6,000.00

$35,718.10

$35,718.10

$35,718.10

$35,718.10

$35,718.10

$1,500.00

$35,718.10

$35,718.10

$35,718.10

$11,000.00

4/14/2017 ATLS_Kinkade Holton Community Hospital $650.00 $35,068.10

5/2/2017 TNCC Sabetha $225.00 $34,843.10

5/2/2017 ATLS_Glynn Sabetha $475.00 $34,368.10

5/18/2017 ATLS_Collins Holton Community Hospital $650.00 $33,718.10

5/19/2017 TNCC Providence $260.00 $33,458.10

$33,458.10

$33,458.10

$33,458.10

$33,458.10

Injury Prevention & Control

Emergency Preparedness

Prehospital

Acute Hospital

$33,458.10

$33,458.10

$33,458.10

$33,458.10

$33,458.10

Balance $33,458.10

Note-red text is awarded-encumbered funds

System Evaluation

Special Populations

Rehab Availability

Date Recd

Level IV

Hospital

Submit

to RTC Course Region Organization Contact Name Contact email ATLS Provider Course Location

Course

Date

Requested

Amt Awarded Amt Award Date

Documents

Rec/verif

Date

Payment

Requested Notes

3/8/2017 Y 10-Apr ATLS NE

Holton

Community

Hospital Brandon Speerbrandon.speef@

rhrjc.org B. Kinkade KU Med

2/16-

17/2017 850 650 4/10/2017 3/8/2017 4/14/2017

5/2/2017 Y TNCC NE Sabetha Julie Rieger jrieger@sabetha

hospital.com VRS Dates VRS Dates $225.00

TNCC for 3 participants to attend -

Carlisle Thurmon / Jenna McClain, Kayla

Kuefler

5/2/2017 Y ATLS NE Sabetha Julie Rigerjrieger@sabetha

hospital.com Kerstin Glynn Stormont Vail 8/11/2017 475

5/18/2017 Y ATLS NE

Holton

Community

Hospital Brandon Speerbrandon.speef@

rhrjc.org Jill Collins

Via Christi -

Wichita May-17 650 4/18/2017

5/18/2017 TNCC NE

St. Francis,

Topeka Mendy Crummendy.crump@s

clhs.net St. Francis - Topeka

9/20-

21/2017 1500

5/19/2017 Y TNCC NE Providence Carinda Trowbridge

ctrowbridge@pri

mehealthcare.co

m KUMC 5/16/2017 260 4/19/2017

Individual - Carinda Trowbridge -

Instructor Course

mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]

NAkinTypewritten TextMay 12, 2017

NAkinTypewritten TextVia Christi - Wichita

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NAkinTypewritten TextRecd 5/18/2017 nja






NAkinTypewritten TextReceived 5/2/2017 nja

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NAkinTypewritten Text 5/19/2017 nja



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NAkinTypewritten Text200 each






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1

Nancy Akin

From: Crump, Mendy Sent: Thursday, May 18, 2017 1:15 PMTo: Nancy AkinSubject: 2017 Trauma Education Funding Attachments: [Untitled].pdf

Nancy, I am the TNCC Trauma Nursing Coordinator /ENPC here at St. Francis and was given this form to apply for grant money to assist with our Trauma education here at St. Francis. We are in need of purchasing manikins and other supplies to continue to provide the best preparation and education to our Nurses in Providing Trauma care. Mendy Crump

What we have done for ourselves alone, dies with us; what we have done for others and the world, remains and is immortal. Albert Pike Mendy S Crump RN BSN ER Nurse Educator 1-785-295-7877

EVALUATION Northeast Kansas Regional Trauma Symposium

April 10, 2017 / St. Francis Hospital, Topeka, KS

In the interest of continuous quality improvement of our programs, we ask that you complete the following evaluation.

Please turn in your evaluation form at the conclusion of the meeting.

Please check your applicable profession:

_3__Physician _1__ Advance Practice Nurse _26__ Nurse _15__ EMS Other:_2_

Instructions: For the following statements, indicate your level of achievement by circling one choice.

Speaker Evaluation Did the speaker’s presentation address the objectives?

Scale: A=Excellent B=Good C=Average D=Below Average E=Poor

1. Con Olson A-20 B-23 C-8 D-0 E-0

2. Danielle Sass A-9 B-32 C-11 D-2 E-0 - Have to make data entertaining, obviously well versed in her info - Too many stats, need to work with numbers

3. Samantha Ramskill A-11 B-12 C-3 D-0 E-0 - Didn’t speak

4. David Seastrom A-43 B-8 C-1 D-0 E-0 5. Carman Allen A-15 B-16 C-3 D-0 E-0 6. Tracy McDonald A-37 B-14 C-2 D-0 E-0 7. Wendy Gronau A-27 B-20 C-3 D-0 E-0 8. Don Fishman A-40 B-11 C-0 D-1 E-0 9. Danielle Marten A-32 B-16 C-2 D-0 E-0 10. Dustin Williams A-30 B-17 C-2 D-0 E-0

Comments about the speaker(s):

- All were great. Some had a topic of more interest than others - Good variety of topics and expertise - Great speakers - Stop the bleed- thanks we can use for our level 4 requirements - Appreciated the B-CON training and info - All very knowledgeable - Very good - Excellent class as always

Learning Objectives As a result of attending this program, I am better able to:

Scale: A=Excellent B=Good C=Average D=Below Average E=Poor

- Discuss how to improve the care provided A-31 B-16 C-2 D-1 E-0

to traumatically injured patients

-Recognize and apply current trends in the A-31 B-15 C-3 D-0 E-0

care of trauma patients

- Apply knowledge and lessons learned A-34 B-19 C-2 D-0 E-0

to provide quality trauma care

-Identify prevention methods to decrease injuries A-29 B-23 C-1 D-1 E-0

Please list any strategies recommended by today’s speakers that you plan to use that you haven’t used before?

- Use IV Tylenol - Look at child maltreatment policy - Rules by Con Olsm, pediatric trauma - B-Con; geriatric patient management - Pain control for rib fracture- identify non-narcotic and non-prescription - B-con information- use of tourniquet to increase awareness with this situation and future complications - Utilizing stop the bleed in our community - Education to ED/trauma staff on elderly physiology related trauma. Promote more aggressive pain management for

rib fracture

- Encouraging physicians to transfer patients rapidly when appropriate and do my part to decrease transfer time - Plan on growing the bleeding control program at my facility and community - Conduct stop the bleeding courses - Improve massive transfusion protocol - Geriatric trauma concerns. Improve PPE use on traumas (they always wear gloves, but do not always wear gowns.) - B-CON - Peds transfer investigation - Stop the bleed - Work more with administration and staff, geriatric falls, stop the bleed - Stop the bleed - Management of teriatric trauma patients including lower threshold for trauma team activation - B-CON - Increased knowledge, elder trauma, and pediatric trauma center requirements - Carry a tourniquet in my care - Packing a bleeding wound - Stop the bleed - B-CON - Devise trauma education play 1+ year out and include mini skills sessions for specific trauma situations - Community- more likely just family and use of tourniquet to stop the bleed

Based on today’s program, what will you do differently?

(Print please)

__________________________________________________________________________________________

- Start “Stop bleeding” program - Pediatric care - Control community training - Teach people not to let people bleed to death

- Ask staff that are involved in organization of the patient treatment plan - Utilize a tourniquet in the future - Utilize information learned today for staff education purposes - Pay attention for complications from rib fractures more closely - Offer the stop-the-bleed BCON course with our facility; promote increased use of c-collars for elderly - Transfer pediatric patients sooner - More discussion/research into the toradol drip for patients - Purchase a trauma first aid kit with a a military grade tourniquet - Implement the Kansas federal Peds readiness assessment - Add geriatric concerns to our trauma activation criteria. Teach stop the bleed courses to EMS, Fire

Dept., Police Dept.

- Look at transfers closer acuity, speed in which they are moved through the system - Assure thorough assessments, improve leadership in trauma scenarios - Continue to expand pediatric and elderly policies including considerations within transfer guidelines - Great program, thanks for sharing - Better understand pediatric preparedness survey - Set up better education for staff and community-better communication - Assess more thoroughly and treat each patient differently when it comes to age - Expand on area specific statistics and how to improve patient care - Help train the trainer for tourniquets, packing - Closer examination of our services we provide to patients, community, and staff. – then discuss plans for

improving trauma care (at our trauma advisory committee)

- Get the pediatric readiness program ready - More focus of staffing

Please check any factors which limit your ability to use today’s information/strategies. Individual: current knowledge-4 skills-7 professional performance-5 working relationships-6 Institutional: operating systems-6 mission-2 staffing-9 equipment-9 finances-9

Other factors or specifics which limit your ability to use today’s information/strategies.

- Approval of administration - Not enough time given on trauma at work to complete everything I wanted to do

Content Integrity Evaluation

Evidence Based: All the recommendations involving clinical medicine and nursing in an accredited activity for healthcare

professionals must be based on evidence that is accepted within the profession of medicine or nursing as adequate

justification for their indications and contraindications in the care of patients. (Adapted from ACCME definition, 2007)

For clinical presentations, did the course provide evidence-based information? Yes-49 No, if no please explain:-0 _______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

Commercial Balance

The content or format of an accredited activity for healthcare professionals, e.g. CME and CNE, or its related materials

must promote improvements or quality in healthcare and not a specific proprietary business interest or a commercial

interest. Presentations must give a balanced view of therapeutic options. Use of generic names will contribute to this

impartiality. If the educational material or content includes trade names, where available trade names from several

companies should be used, not just trade names from a single company. (Adapted from ACCME July 2002)

Was the program free of commercial bias and balanced with respect to therapeutic options, and their risks and

benefits? Yes-51 No, if no please explain:-0 _______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

Needs Assessment:

For the next program, I would be interested in attending:

hands-on workshop on o 12 lead EKG interpretation o Everything trauma related o CATN ATCN ATLS o Blood volume less o Trauma assessment o Rural trauma o Chest tube o Mock trauma codes in hospital

simulation of o Mass casualty incident o A mock trauma and mass casualty incident o Chest tubes and advanced procedures o Intubation times, chest tubes o Chest tube o How to manage multiple trauma situation in CAH

small group discussions of case studies on o Sepsis o Specialty populations – peds, elderly, OB o Case studies o Trauma- new procedures/research o Pain management o Fluid resuscitation, use of TXA

other, please explain o Update clinical information o Massive transfusions, fluid resuscitation in trauma o What we had today was excellent o Any trauma areas, pediatrics, and elderly always useable areas o Like this type of program o Came as this, lecture presentations

What has been your greatest clinical or professional practice challenge within the past year?

- Maintaining currency - Timeliness of consulting providers and response of surgeons in ICU for ACS ventilation - Patient to nurse ratio. How to deal with different management - Having staff gain confidence n their abilities surrounding trauma patients - Pain management for the chronic pain patient - Education and trying to advocate additional education for staff above regular requirements - Injury prevention and finances for initiatives - Rural area having trauma patients running multiple tests CT, etc. then transferring 3-4 hours later then the same

test run

- Available time and administration approval - Having enough staff - Trying to get traumas to be more organized-specific jobs assigned-etc. - Use of tourniquets - Having new nurses in the ER and training them on ER and traumas - Staffing, physician education, understanding the level of resources available, when to transfer - Chronic pain in the very elderly - Having sufficient time per patient - Burn out - Guidelines - Trying to initiate education programs- lack of interest mainly from administration and other disciplines - Learning level 1 trauma activations and procedures - Different intubation that ended up with critical patient. Patient was 18 years old - Non-clinical job now - Beginning my new position as ER and Trauma manager at our facility - Learning to educate needs of our various clinical levels and how to educate the community on how we can serve

their trauma needs

The following area(s) for future improvement were identified during this session:

- Education opportunities - Geriatric/elderly trauma - Stop the bleed. I think if you’re going to train the trainer then you should have to show video presentations

viewed by the class not just say its available

- More specific lectures building on basics-a lot of lectures were review of basics that most medical professionals know

- Pediatric readiness - This is to be a trauma conference. Not certain why the EMSC pediatric data was added to this conference. This

information is not trauma-specific. This lecture did not tie to the objectives for this program. Plus this

speaker/presentation was not even on the agenda

- Better education for our trauma staff at our hospital - Equipment checks, enhancing P&P, education - More knowledge for stopping the bleed, trauma care and case studies for coordination

Additional Comments:

__________________________________________________________________________________________

__________________________________________________________________________________________

- The case study was very interesting. A great way to learn - Facility was cool (temperature)

- The pillares in the room made it very difficult to see the screens in full and no where to move to another seat. The set up of the break snacks was loud and very distracting and it made it difficult to hear the speaker. The doors

opening and closing multiple times during the speakers was very loud.

- Thanks - Very good symposium- topics were excellent and very informative. Look forward to going back to my facility

and implementing what I learned today.

- All very good, good review - Much better than the last trauma meeting. Would like to see more physician as presenters and attendees - Loved the speech by David - Very informative

Thank you for completing this evaluation.

2013 NEKRTC Regional Trauma Plan Page 1

NORTHEAST KANSAS

REGIONAL TRAUMA SYSTEM

REGIONAL TRAUMA PLAN

July 2015 – June 2017

Developed by the NERTC Executive Committee

Don Fishman, MD, Chairman


State of Kansas

Governor Sam Brownback

Kansas Department of Health and Environment

Robert Moser, MD, Secretary

Bureau of Community Health Systems

1000 SW Jackson, Suite 340

Topeka, Kansas 66612-1365

785-296-1200

http://www.kdheks.gov/olrh/

Acknowledgements:

Special thanks to the NERTC Executive Committee:

Lois Towster, APRN Liz Carlton, RN Con Olson, Paramedic

Overland Park RMC The University of Kansas Hospital Atchison EMS

Natalie Hartig, Paramedic Richelle Rumford, RN Julie Miller, RN

Johnson County Med-Act Stormont Vail Healthcare Mercy Regional Medical Center

Jamie Miller Don Fishman, MD James Longabaugh, DO

Leavenworth Co. Health Department Overland Park RMC Sabetha Community Hospital

Amanda Dreasher

Flint Hills-Lyon Co. Health Department

Additional Contributors

Tracy McDonald, RN, The University of Kansas Hospital

Darlene Whitlock, APRN, Independent Consultant


Message from the NERTC Page 4

Executive Summary Page 5

Regional System-Goals-Objectives-Strategies-July 2013-June 2015

Administrative Components

System Leadership Page 10

System Development Page 11

System Public Information and Education Page 12

System Finance Page 13

Clinical Components

Injury Prevention and Control Page 14

Emergency Preparedness Page 15

Prehospital Page 16

Acute Hospital Page 17

Special Populations Page 18

Rehabilitation Availability Page 19

System Evaluation Page 20

Table of Contents


Message from the NERTC

On behalf of the Northeast Regional Trauma Council (NERTC), we present to you the July 2015 –

June 2017 NERTC Regional Trauma Plan, as our roadmap for improvement of the NERTC Trauma

System. This plan is an adaptable and evolving document that will change as best practices and

opportunities for performance improvement are identified and implemented.

The Northeast Trauma Region of Kansas is committed to the development and implementation of a

cohesive and inclusive trauma system including injury prevention and control, public access to

emergency medical dispatch; prehospital emergency response and care, definitive hospital care,

rehabilitation access, regional system evaluation, disaster preparedness, trauma registry and

research.

Each piece of the NERTC trauma system continuum-of- care is essential to prevent injuries and save

lives within our region. The NERTC and its many trauma system partners have continued to expand

partnerships and collaborative efforts to strengthen and ensure the successful implementation of the

NE regional trauma system.


Executive Summary

The Regional Trauma Councils (RTCs) are the cornerstone of the Kansas Trauma System. In

accordance to regional bylaws, leadership for the RTCs are elected by the general membership and

include physicians, nurses, hospital administrators, EMS and health department representatives. The

RTC is comprised of members representing all areas of the trauma system: hospital,

prehospital/EMS, and health departments.

The NERTC serves as the coordinating body for the NE regional trauma system and is responsible

for development and implementation of a comprehensive/inclusive regional trauma system. In

collaboration with stakeholders and trauma system partners, the NERTC writes the Plan which guides

regional system development, implementation and evaluation. The development of this NE regional

plan is an orchestrated “bringing together” of all trauma system stakeholder groups that contribute to

the effective and efficient care of trauma patients in our community. The RTC meets at least

quarterly to oversee implementation of the Plan, but may meet more frequently as determined by

system demands.

The Kansas Department of Health & Environment (KDHE) was charged, under K.S.A. 75-5665, as

the lead agency for development, implementation and evaluation of the statewide trauma system

including support of the RTCs and administering a trauma registry.

In 1999, the Kansas legislature established the Advisory Committee on Trauma (ACT) Committee.

Members are appointed by the Governor and serve are advisory to the Secretary of KDHE. The ACT

members are recognized for their significant expertise and commitment to trauma care and system

development in Kansas. They provide input and guidance to KDHE on developing a comprehensive,

statewide trauma system. The ACT gives major stakeholders a voice in the policy process and

functions to integrate the activities of the RTCs. A member from the NERTC represents the region on

the ACT. The ACT meets quarterly.

The Plan is composed of administrative and clinical components. The Plan goals are adapted from

the state trauma plan, the Benchmark, Indicator, and Scoring (BIS) assessment, and NERTC

strategic planning priorities.

Administrative Components

System Leadership: The RTC is responsible for regional assessment, planning and assurance of the

trauma system for their region. KDHE is the lead agency of the Kansas Trauma Program and

provides coordination, planning, and support to the RTC. The ACT provides input and guidance to

KDHE on developing a comprehensive, statewide trauma system and gives major stakeholders a

voice in the policy process, and it functions to integrate the activities of the RTC.


System Development: The development of a strong, efficient, well-coordinated regional trauma

system is vital in providing optimal trauma care. The challenge to the trauma system is to ensure that

progress is made in a systematic and measured way. This plan addresses the need for a successful

integration of a quality philosophy in all aspects of the trauma system and implementation of

objectives and strategies that move the region toward the accomplishments of identified local and

regional goals. Advancing the regional trauma system by being the best we can be through a

continuum of care from injury prevention through return to the community with the highest quality of

life possible needs to be embedded in all aspects of the regional council work.

System Public Information and Education: The NE region strives to provide education and inform

local policy makers and members of the public as to the benefits of a trauma system and the

importance of prevention.

System Finance: The goal of trauma system financing is to provide the public with an efficient system

that provides optimal trauma care for injured patients. Trauma systems need sufficient funding to

implement a statewide and regional system of care—one focused on each component of care from

prevention through acute care and rehabilitation, including all-hazards preparedness. A major

NERTC goal and system need is to be a good steward of the contract funds provided through the

State and support all system components.

Clinical Components

Injury Prevention and Control: Injury prevention and control is a key component of the regional

trauma system because it offers the greatest potential for reducing the financial burden of trauma

care, as well as reducing morbidity and mortality. The RTC focuses on injury prevention based on

trauma registry data. Regional data shows that teen motor vehicle crashes and elderly falls are the

primary cause of unintentional death and injury in the region and statewide. The RTC has identified

the need to continue to provide funding support for evidence based injury prevention activities in the

area of teen drivers and falls.

Emergency Preparedness: Each disaster is unique and places tremendous strain on communities.

Disaster planning requires a cooperative multidisciplinary effort by the local medical community;

police and fire departments, local, regional, and national governments and industry to devise a

comprehensive strategy to minimize mortality, injury, and destruction of property.

Prehospital Care: Prehospital care and access is a critical component of the regional trauma system.

The prehospital trauma system is driven by the goal of getting the right patient to the right place at the

right time. The goals of the prehospital component of the trauma system are to prevent further injury,

initiate resuscitation, and provide safe and rapid transport of injured patients. Treatment protocols

should be established to guide trauma patient care, and patients should be taken directly to the

center most appropriately equipped and staffed to handle their injuries.


Acute Hospital Care: Definitive care of the injured takes place at various levels within the health care

system ranging from critical access hospitals to designated trauma centers. It is recognized that rural

hospitals are often the port of entry for many patients and they should have consistent standards,

adequately trained trauma care workforce and a performance improvement program.

Special Populations: For the purpose of the Plan, special populations include the elderly, pediatric

and morbidly obese populations. The elderly population have different spectrum of injury patterns

such as greater number of falls, higher mortality and morbidity from similar injuries when compared to

younger adults. There are also significant physiologic changes and a greater number of co-

morbidities.

More children die of injury than of all other causes in Kansas. For injured children who survive,

severe disability may become a lifelong problem requiring functional or custodial care. Injured

children require special resources. Effective care of injured children requires a comprehensive

approach by developing and implementing effective strategies for injury prevention, improving system

of emergency medical care for children, and provide the best trauma care at every level available.

The prevalence of obesity in the country continues to increase steadily. In trauma, obesity is

associated with higher morbidity and mortality. Treatment and care of morbidly obese patients

involves compassion, respect, and dignity. Without appropriate equipment, management of these

patients can be a risk for both the healthcare provider and patient. Regional trauma councils are

encouraged to identify the resources and equipment that are available within the region to assist in

providing care for these patients. Hospitals and EMS providers should know the specifications of

their equipment for weight, girth, and width limits.

Rehabilitation Availability: Trauma rehabilitation plays a key role in returning the injured patient back

to their community with the highest quality of life. Acute care should be consistent with preservation

of optimal functional recovery. The ultimate goal of trauma care is to restore the patient to pre-injury

status. Not only is this effort best for the patient, it also is less costly. When rehabilitation results in

independent patient function, there is major cost savings compared with costs for custodial care and

repeated hospitalizations.

System Evaluation: Data collection, system evaluation, and performance improvement are essential

for function of the trauma system. It involves a continuous multidisciplinary effort to measure,

evaluate, and improve both the process of care and the outcome. All hospitals collect and submit

data to the State trauma registry.

Region Demographics

The Northeast region is comprised of 26 counties: Anderson, Atchison, Brown, Chase, Coffey,

Doniphan, Douglas, Franklin, Geary, Jackson, Jefferson, Johnson, Leavenworth, Linn, Lyon,

Marshall, Miami, Morris, Nemaha, Osage, Pottawatomie, Riley, Shawnee, Wabaunsee, Washington,

and Wyandotte. The region is primarily urban & semi-urban in nature: four counties classified as


urban, six classified as semi-urban, five classified as densely settled rural, ten classified as rural, and

one classified as frontier. There are 40 EMS agencies, 2 air ambulance services, and 33 hospitals

within the NE region that provide trauma care. The Northeast region has three ACS verified and state

designated trauma centers: The University of Kansas Hospital (Level I-Kansas City), Overland Park

Regional Medical Center (Level II-Overland Park), and Stormont Vail Healthcare (Level II-Topeka)

and two state designated level IV trauma centers: Sabetha Community Hospital and Hiawatha

Community Hospital.

County Type 1

EMS Service

Type 2A

EMS Service

Type 2

EMS Service

Hospitals

Anderson 1 1

Atchison 1 1

Brown 2 2

Chase 1

Coffey 1 1

Doniphan 2

Douglas 1 1

Franklin 1 1

Geary 1 2

Jackson 1 1 1

Jefferson 1 1 1

Johnson 2 2 5

Leavenworth 1 2

Linn 1

Lyon 1 1

Marshall 2 2 1


Miami 1 1

Morris 1 1

Nemaha 2 2

Osage 1

Pottawatomie 1 2

Riley 1 1

Shawnee 1 2

Wabaunsee 1

Washington 2 1 2

Wyandotte 1 1 2

Air Ambulances 2

Out of State

Services

2


ADMINISTRATIVE COMPONENTS

System Leadership

Goal 1 There is a viable and active NERTC comprised of multi-disciplinary representatives; hospital administrators, physicians, nurses, health departments, and EMS to plan, implement, and evaluate an inclusive regional trauma system.

Objective 1: RTC will review council general membership, annually, for compliance with the NERTC bylaws.

Strategy 1: Conduct a review of the general membership annually and revise/update membership as appropriate. Strategy 2: Review membership structure for possible other positions needed to advance the regional system.

Objective 2: NERTC executive committee will encourage general membership members, stakeholders, and trauma partners to attend executive committee meetings and become engaged in implementing and evaluating regional trauma system initiatives and activities.

Strategy 1: Identify and maintain a membership recruitment committee. Strategy 2: Ensure that members, stakeholders, and trauma partners have access to regional council and subcommittee meeting dates, agendas, minutes and meeting materials through email alerts (sent in advance) and website postings. Strategy 3: Conduct an annual general membership meeting to promote participation in RTC activities, trauma system implementation, and evaluation. Strategy 4: Act as a forum for regional trauma issues to providers and consumers within the trauma care continuum. Strategy 5: Monitor component compliance with the Plan. Strategy 6: Participate in the annual statewide leadership meeting of the executive committees.

Goals-Objectives-Strategies

July 2013-June 2015


System Development

Goal 2 There is strong, efficient, well-coordinated region-wide trauma system to reduce the incidence of inappropriate and inadequate trauma care and to minimize the human suffering and cost associated with preventable mortality and morbidity.

Objective 1: NERTC will plan, implement, and evaluate a comprehensive trauma system for the Northeast region that will complement the statewide system and be revised as needed.

Strategy 1: Encourage input from the trauma community on regional trauma system design, operation, and evaluation, and develop processes to expeditiously implement changes. Strategy 2: Distribute the Plan to appropriate healthcare providers in the Northeast region.

Objective 2: Support trauma center standards for Level I, II, III and IV designation.

Strategy 1: Facilitate resource development to meet the identified trauma needs of the Northeast region.

Objective 3: Identify and promote guidelines for resuscitation and early transfer of major trauma patients from emergency receiving facilities to designated Trauma Centers with appropriate resources.

Strategy 1: Develop trauma transfer guidelines which can be adopted by all facilities treating injured patients in the Northeast region. Strategy 2: Promote best practice resuscitation guidelines. Strategy 3: Promote transfer/communication agreements. Strategy 4: Update the regional transfer card at least on an annual basis.

Objective 4: Encourage participation in data collection, trauma training, performance improvement programs, and other mechanisms of system improvement.

Strategy 1: Monitor the trauma registry report (missing data & benchmark indicators) at executive committee meetings and address any identified needs. Strategy 2: Review regional benchmark data report and make recommendations for system change. Strategy 3: Monitor progress using a regional priority dashboard. Strategy 4: Provide financial support as available for trauma education, trauma registry and performance improvement training.

Objective 5: Assure that RTC funds awarded are utilized appropriately to meet the needs of the region.

Strategy 1: Provide oversight to assure that hospital and EMS agencies are accountable and responsible for appropriate use and expenditure of funds.


Public Information and Education

Goal 3 Educate the public about the NE trauma care system and the purpose of this plan is to inform the general public, decision-makers and the healthcare community about the role and function of the NE Regional Trauma System.

Objective 1: Develop a public education plan. Strategy 1: Implement a regional public information campaign to educate the public about the regional trauma system. Strategy 2: Identify topics and talking points to increase public awareness of the system and value. Strategy 3: Develop pre-packaged public information messages to send to media. Strategy 4: May is trauma awareness month. Develop media release to recognize trauma awareness month with signing of proclamation with Governor, county and city elected officials and distribute trauma awareness materials. Strategy 5: Develop a comprehensive list of media contacts. Strategy 6: Develop a speaker’s bureau.

Objective 2: Provide information to policy makers on key trauma system initiatives and system needs.

Strategy 1: Identify a regional legislative liaison on an annual basis. Strategy 2: Identify key policy makers and/or advocates for the trauma system. Strategy 3: Develop a priority platform plan for distributing information about the trauma system including the trauma DVD. Strategy 4: Use the RTC specific trauma registry data to describe the trauma system.

Objective 3: Share information with stake-holder organizations on key initiatives (i.e. EMS regional council, regional homeland security council, regional health department council).

Strategy 1: Provide NERTC information to other stakeholder organizations.


System Finance

Goal 4 There is adequate, long-term and sustainable funding to ensure a financially viable trauma system. The trauma system will be recognized as a public good and therefore valued and adequately funded not only for the clinical care actually delivered, but also for the level of readiness required to meet the needs of all injured patients in Kansas.

Objective 1: On an annual basis, the NERTC will develop and implement an operation budget that aligns with the identified goals, objectives and strategies of the Plan.

Strategy 1: Develop and implement an itemized budget annually based on priority needs. Strategy 2: Review financial reports (budget, expenditure spreadsheet) at each executive committee meeting. Strategy 3: Research alternate funding for initiatives and projects. Strategy 4: Provide a quarterly report of expenditures to the ACT.


CLINICAL COMPONENTS

Injury Prevention and Control

Goal 5 Reduce injury-related morbidity and mortality in the region through primary injury prevention efforts, with trauma system partners, using trauma registry data to identify injury causes and evaluate program outcomes.

Objective 1: NERTC will promote evidenced-based primary injury prevention activities and projects regionally.

Strategy 1: Annually, will identify the top injury causes using trauma registry data and other data sources as appropriate. Strategy 2: Work with EMS and public health systems to identify at least one evidence-based strategy in which will decrease the leading cause of injury for the region. Strategy 3: Work with local health departments and identified health care delivery systems, such as rural health clinics and physician offices, to disseminate injury prevention materials. Strategy 4: Identify available funding sources to support evidence-based and/or best practices activities. Strategy 5: Allocate funds (if available) based on identified injury prevention needs through a grant process that includes an evaluation component. Strategy 6: Coordinate with injury prevention partners to compile a regional (statewide) list of trauma center-based primary injury prevention activities, projects, and programs by county and injury mechanism to post on the Trauma program website www.kstrauma.org.

http://www.kstrauma.org/


Emergency Preparedness

Goal 6 Have a trauma system prepared to respond to emergency and disaster situations in coordination with regional, state and federal disaster plans.

Objective 1: The trauma system, EMS, and all-hazard response plans will be integrated and operational.

Strategy 1: Identify ways to integrate trauma system response into all-hazard state and regional disaster plans. Strategy 2: Invite emergency preparedness key stakeholders to participate at regional council meetings (i.e. provide verbal or written reports of activities in the Northeast and Kansas City Region). Strategy 3: Encourage NERTC leadership involvement in local and regional disaster preparedness planning and training.

Objective 2: Perform a gap analysis on the resources assessment for trauma emergency preparedness.

Strategy 1: Collaborate with regional emergency preparedness coordinators to assess resource gaps.


Prehospital

Goal 7 Establish and implement guidelines specific to prehospital care and transport of trauma patients that result in timely and safe delivery to trauma centers.

Objective 1: Develop regional trauma treatment guidelines to provide consistent prehospital trauma patient treatment.

Strategy 1: Support and work closely with the regional EMS Medical Directors and Kansas Medical Society to develop prehospital guidelines for management and treatment of trauma patients. Strategy 2: Support the EMS Service Directors and EMS stakeholders in the implementation and education of prehospital trauma guidelines.

Objective 2: Promote the transport of trauma patients to the appropriate facility with the resources available to meet the patient’s needs.

Strategy 1: Support and work closely with the regional EMS Medical Directors and EMS stakeholders to develop a strategy to implement the CDC field triage guidelines. Strategy 2: Support the EMS Service Directors and EMS stakeholders in implementation and education of the field triage guidelines.

Objective 3: Promote the availability of an adequate, appropriately-trained, and diverse prehospital workforce.

Strategy 1: Determine number of PHTLS classes needed in the region annually (evaluate regional trauma training needs). Strategy 2: Develop a plan to allocate funding support (if available) for PHTLS based on need.

Objective 4: Ensure that EMS personnel have a basic knowledge and awareness of the regional trauma system elements and system functions.

Strategy 1: Integrate information on the state and regional trauma system into PHTLS classes. Strategy 2: Provide presentation at annual state EMS conferences (i.e. KEMTA, KEMSA). Strategy 3: Support an information exchange forum through social networking technology (i.e. Face book, Twitter, etc.). Strategy 4: Encourage trauma centers to network with EMS agencies to provide information on the trauma system.


Acute Hospital

Goal 8 Establish and maintain a regional (statewide) network of trauma centers, meeting or exceeding standards, for operation and provision of quality trauma care in coordination with all other trauma system participants.

Objective 1: Identify additional Trauma Center and Trauma System capacity needs within the region.

Strategy 1: The region will complete a system inventory that identifies the availability and distribution of current capabilities and resources. Strategy 2: Support a statewide “how to” level IV trauma center designation workshop. Strategy 3: Support non-designated participating hospitals to be brought up to Trauma Center designation status.

Objective 2: All designated trauma centers will actively participate in regional performance improvement programs.

Strategy 1: Designated trauma centers will have representation at annual meetings. Strategy 2: Provide input into the development of regional performance improvement processes. Strategy 3: Funding priority for education will be given to those hospitals that submit data to the statewide trauma registry.

Objective 3: Assure the availability of an adequate, appropriately-trained, and diverse emergency and trauma care workforce.

Strategy 1: Develop a sustainable regional trauma education plan to meet the needs of TNCC®, ATLS®, and RTTDC® in the region. Strategy 2: Advocate and educate on the need for nursing personnel to be verified in TNCC®. Strategy 3: Advocate and educate on the need for emergency department midlevel practitioner and physician personnel to be certified in ATLS®. Strategy 4: Advocate and educate on the need for hospitals to host a RTTDC®. Strategy 5: Establish a trauma telemedicine network to link trauma centers to rural/community hospitals to provide trauma education.


Special Populations

Goal 9 The appropriate match of resources will be identified for injured patients with special needs, such as elderly, pediatric, and morbidly obese patients.

Objective 1: Evaluate and identify the region’s ability to meet the pediatric care needs and make recommendations for further system development.

Strategy 1: Review trauma registry data for the age group 0-14 to identify trends in injury patterns. Strategy 2: Leadership will meet with out of state trauma centers (Nebraska, Missouri) to discuss reporting of data on pediatric patients they receive from Kansas. Strategy 3: Utilize regional data to develop recommendations for meeting pediatric care needs for further trauma system planning. Strategy 4: Develop and distribute a pediatric resource guide.

Objective 2: Evaluate and identify the region’s ability to meet the geriatric care needs and make recommendations for further system development.

Strategy 1: Identify a standard age to define a geriatric patient. Strategy 2: Collaborate with regional EMS Medical Directors in developing prehospital geriatric treatment protocols (example: treatment protocol of patient on anticoagulants). Strategy 3: Utilize regional data to develop recommendations for meeting geriatric care needs for further trauma system planning. Strategy 4: Develop and distribute a geriatric resource guide.

Objective 3: Evaluate and identify the region’s ability to meet the morbidly obese patient’s trauma care needs and make recommendations for further system development.

Strategy 1: Identify available resources and equipment (such as CT scanners) that can accommodate the needs of the morbidly obese patient. Strategy 2: Identify prehospital transport systems that can accommodate the needs of the morbidly obese patient.


Rehabilitation Availability

Goal 10 The region will have well-integrated rehab programs. Post-acute care will focus on helping patients achieve greater independence, a higher degree of functionality, and a faster return to productivity.

Objective 1: Identify rehab programs that provide rehab services for injured patients.

Strategy 1: Develop a rehab program resource guide and distribute to hospitals in the region.


System Evaluations

Goal 11 Establish a regional trauma system evaluation and performance improvement process.

Objective1: Ensure PI Committee is state trained.

Strategy 1: Identify multi-disciplinary PI committee members, as outlined in the regional PI plan, including a physician chair. Strategy 2: Support participation in a regional PI workshop.

Objective 2: Develop mechanisms that support prehospital agency participation in data submission.

Strategy 1: Review regional trauma data for submission of EMS records as required by state statute. Strategy 2: Encourage completion and submission of a minimal data set to KEMSIS.

Objective 3: Review aggregate data on system performance to identify opportunities for improvement.

Strategy 1: Assure trauma center/hospitals participate in the state trauma registry. Strategy 2: Review and analyze missing and under reported data. Strategy 3: Recommend and review regional benchmark indicators to evaluate system performance, improve care, and further system planning in the region.

Objective 4: Develop a trauma system data linkage system from all entities in the region to include EMS, trauma centers, other medical facilities, and other data sources that may be available.

Strategy 1: Evaluate different methodologies linking trauma registry data and other data sets such as traffic records and death records.

Administrators: Tracy McDonald, RN, MSN, CCRN, NEA-BC University of Kansas Medical Center 5025 Delp, 3901 Rainbow Boulevard Kansas City, KS 66160-7840 913-945-6853 [email protected] Term – May 2017 – May 2020 Lois Towster, ARNP, MSN, CCRN (Secretary) Overland Park Regional Medical Center 10500 Quivira Road Overland Park, KS 66215 913-541-5605 [email protected] Term – May 2015 – May 2018

Health Departments: Jamie Miller Leavenworth County Health Department 500 Eisenhower Road, Suite 101 Leavenworth, KS 66048 913-250-2000 [email protected] Term – May 2017 – May 2020 Carl Lee Coffey County Health Department 110 South 6th Street Burlington, Kansas 66839 620-342-4864 ext 3744 [email protected] Term – May 2015 – May 2018

Physicians: Don Fishman, MD, (Chairperson) Overland Park Regional Medical Center 10500 Quivira Road Overland Park, KS 66215 913-541-6052 [email protected] Term – May 2017 – May 2020 Dale Dalenberg, MD (Vice-chairperson) Ransom Memorial Hospital 1301 South Main Street Ottawa, Kansas 66067 785-229-8269 [email protected] Term – May 2015 – May 2018

EMS: Dan Hudson University of Kansas Medical Center 3901 Rainbow Boulevard Kansas City, KS 66160-7840 913-588-0824 [email protected] Term – May 2017 – May 2020 Con Olson, Paramedic Atchison County EMS 10443 Hwy 59 Atchison, Kansas 66002 913-804-6150 [email protected] Term – May 2015 – May 2018

Nurses: Julie Miller, RN, CEN Via Christi Hospital – Manhattan 1823 College Avenue Manhattan, KS 66502 785-323-6991 [email protected] Term – May 2017 – May 2020 Brooke Oxandale, MSN, RN, CNL-C (Treasurer) Stormont-Vail Healthcare 1500 SW 10th Street Topeka, Kansas 66604 785-354-5471 [email protected] Term – May 2015 – May 2018

ACT Representative: William Sachs, MD Stormont-Vail HealthCare 1500 SW 10th Street Topeka, KS 66604 785-354-5470 [email protected] Term expires 2019

2017-18

NORTHEAST KANSAS REGIONAL TRAUMA COUNCIL Executive Committee

mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]

Kansas Trauma Registry

Based on hospital reports as of:

Hospitals City 1st Quarter

2nd

Quarter 3rd Quarter 4th Quarter 1st Quarter

2nd

Quarter 3rd Quarter 4th Quarter

Anderson County Hospital Garnett Y Y Y Y Y

Atchison Hospital Atchison Y Y Y Y N

Coffey County Hospital Burlington Y Y Y N Y

Community HealthCare Systems,Inc. Onaga Y Y Y Y YCommunity HealthCare Systems,Inc. , St

Mary St Mary Y Y Y Y Y

Community Memorial Healthcare Marysville Y Y Y Y Y

Saint Luke's Cushing Hospital Leavenworth Y N N N N

F.W. Huston Medical Center Winchester Y Y Y Y Y

Geary Community Hospital Junction City N N N N N

Hanover Hospital Hanover N N N N N

Hiawatha Community Hospital Hiawatha Y Y Y Y Y

Holton Community Hospital Holton Y Y Y Y Y

Horton Community Hospital Horton Y Y Y Y Y

Lawrence Memorial Hospital Lawrence Y Y Y Y Y

Menorah Medical Center Overland Park N N N N N

Miami County Medical Center Paola Y Y Y Y Y

Morris County Hospital Council Grove N Y Y Y Y

Nemaha Valley Community Center Seneca Y Y Y Y Y

Newman Regional Health Emporia Y Y Y Y Y

Olathe Medical Center Olathe Y Y Y Y Y

Overland Park RMC Overland Park Y Y Y Y Y

Providence Medical Center Kansas City Y Y Y Y Y

Ransom Memorial Hospital Ottawa Y Y Y Y Y

Sabetha Community Hospital Sabetha Y Y Y Y Y

Saint Francis Hosp & Medical Center Topeka Y Y Y Y Y

Saint John Hospital Leavenworth Y Y Y N N

Saint Luke's South Hospital Overland Park Y Y Y Y Y

Shawnee Mission Medical Center Shawnee Misson Y Y Y Y Y

Stormont-Vail HealthCare Inc Topeka Y Y Y Y Y

University of Kansas Hospital Kansas City Y Y Y Y Y

Mercy Regional Health Center Manhattan Y Y Y N N

Wamego City Hospital Wamego Y Y Y Y Y

Washington County Hospital Washington Y Y Y N N

Irwin Army Community Hosp Ft Riley

Total Number Hospitals 33 33 33 33 33

Number Reporting 29 29 29 25 25 0 0 0

Submission Rate 88% 88% 88% 76% 76% 0% 0% 0%

Source: Bureau of Community Health Systems

2017

Data Submission Results - North East Region 1

Friday, June 02, 2017

2016

Agenda 6-12-17NE Minutes 4-10-17NE Budget Expenditures2017 NE Education RequestsATLS - CollinsATLS -- Glynn - SabethaTNCC n Verif Docs - Providence - Trowbridge 1 participantTNCC Sabetha 3 staffTNCC - St Francis TopekaEvaluation Summary 4.10.172015-2017 NERTC trauma planNEKRTC 2017-18 Terms of OfficeNE_AllregExec_2017_06_02