Working Together to Save Lives Lynne Sears, RN, MS, PNP University of Wisconsin Hospitals and Clinics South Central Regional Trauma Advisory Council Lynne.

Working Together to Save LivesWorking Together to Save Lives

Lynne Sears, RN, MS, PNPUniversity of Wisconsin Hospitals and ClinicsSouth Central Regional Trauma Advisory Council

Working Together to Save LivesWorking Together to Save Lives

“ If a disease were killing our children in

the proportions that injuries are, people would be outraged and demand that this killer be stopped”

C. Everett Koop –former U.S. Surgeon General

“ If a disease were killing our children in

the proportions that injuries are, people would be outraged and demand that this killer be stopped”

C. Everett Koop –former U.S. Surgeon General

Mission StatementMission Statement

Wisconsin Trauma Care System is dedicated to reducing the death, disability and suffering that results from traumatic injuries and mass casualty events by providing a comprehensive and integrated system of statewide prevention and trauma care resources throughout the continuum of care.

Wisconsin Trauma Care System is dedicated to reducing the death, disability and suffering that results from traumatic injuries and mass casualty events by providing a comprehensive and integrated system of statewide prevention and trauma care resources throughout the continuum of care.

Traumatic Injuries: A Major Public Health ProblemTraumatic Injuries: A Major Public Health Problem

Trauma: Leading Cause of Death in the First Four Decades of LifeTrauma: Leading Cause of Death in the First Four Decades of Life

3,231 people died of injury alone in Wisconsin in 2003*

4,119 in 2006

25% of all Emergency Department visits are related to traumatic injuries*

3,231 people died of injury alone in Wisconsin in 2003*

4,119 in 2006

25% of all Emergency Department visits are related to traumatic injuries*

*Wisconsin Department of Health and Family Services

Trauma: Leading Cause of Death in the First Four Decades of LifeTrauma: Leading Cause of Death in the First Four Decades of Life

24%14%

14%

25%3%2% 2% 8%

8%

Causes of Death in Wisconsin: Ages 1-44, 1998(Data from CDC NCIPC WISQARS System)Causes of Death in Wisconsin: Ages 1-44, 1998(Data from CDC NCIPC WISQARS System)

Motor Vehicle CrashesFallsFirearmsPoisoningSuffocationNon-traffic bikes and motor vehiclesDrowningFire and BurnsAll others

Trauma: Leading Cause of Death in the First Four Decades of LifeTrauma: Leading Cause of Death in the First Four Decades of Life

For every 2 people who die of traumatic injuries, another six are permanently disabled*

For every 2 people who die of traumatic injuries, another six are permanently disabled*

* Injury Deaths Profile 1996-1998 DHFS: CDC State Injury Profile

Traumatic Injuries: Beyond the Human CostTraumatic Injuries: Beyond the Human Cost

Traumatic Injuries: Beyond the Human CostTraumatic Injuries: Beyond the Human Cost

21%

12%

16%4%

47%

InjuryOtherCirculatoryCancerInfections

Causes of Death in Wisconsin: Ages 1-44, 1998(Data from CDC NCIPC WISQARS System)Causes of Death in Wisconsin: Ages 1-44, 1998(Data from CDC NCIPC WISQARS System)

Traumatic Injuries: Beyond the Human Cost Traumatic Injuries: Beyond the Human Cost

Injury causes more years of lost productivity than cancer and heart disease combined

Injury causes more years of lost productivity than cancer and heart disease combined

The Total Impact of Traumatic Injuries on Victims, Families, Friends, Employers and the Community at Large is Immense

The Total Impact of Traumatic Injuries on Victims, Families, Friends, Employers and the Community at Large is Immense

The Solution is a Statewide SystemThe Solution is a Statewide System

74Lives Saved

74Lives Saved

The Solution is a Statewide SystemThe Solution is a Statewide System

Statewide Trauma Systems have been shown to decrease mortality from major motor vehicle crashes by 9%*

Statewide Trauma Systems have been shown to decrease mortality from major motor vehicle crashes by 9%*

*National Safety Council

2003 - 820 Motor Vehicle Deaths

2006 – 765 Motor Vehicle Deaths

2003 - 820 Motor Vehicle Deaths

2006 – 765 Motor Vehicle Deaths

Wisconsin Trauma Care System

The Solution is a Statewide SystemThe Solution is a Statewide System

Wisconsin Trauma Care System has the potential for preventing up to 15%* of injury deaths, saving 485 lives in one year

Wisconsin Trauma Care System has the potential for preventing up to 15%* of injury deaths, saving 485 lives in one year

* Based on reported experience of states with mature Statewide Trauma Care Systems

2003 - 3,231 Deaths

2006 – 4,119 Deaths

2003 - 3,231 Deaths

2006 – 4,119 Deaths 617 Lives Saved

617 Lives Saved

Wisconsin Trauma Care System

Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation

Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation

Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through RehabilitationWisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation

Transport the injured patient to the appropriate trauma care facility as quickly as possible

Return the patient to the community at the highest level of function possible

Transport the injured patient to the appropriate trauma care facility as quickly as possible

Return the patient to the community at the highest level of function possible

Wisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through RehabilitationWisconsin Trauma Care System Will Optimize the Quality of Care…from Injury Through Rehabilitation

Create the infrastructure for handling natural disasters, domestic and/or international acts of terrorism

Provide injury awareness, prevention and education

Create the infrastructure for handling natural disasters, domestic and/or international acts of terrorism

Provide injury awareness, prevention and education

Statewide Collaboration Benefits Patient CareStatewide Collaboration Benefits Patient Care

Statewide Collaboration Benefits Patient CareStatewide Collaboration Benefits Patient Care

The major components of Wisconsin Trauma Care System depend on voluntary involvement of the state’s EMS agencies, hospitals, Health Departments, and other healthcare providers and partners

The major components of Wisconsin Trauma Care System depend on voluntary involvement of the state’s EMS agencies, hospitals, Health Departments, and other healthcare providers and partners

Trauma Hospital DesignationTrauma Hospital Designation

Define trauma care resources and capabilities of each hospital*

Designate hospitals with the most comprehensive trauma care facilities as Level I or Level II

Request Level III and Level IV Hospitals to submit self-designation checklist based on ACS-COT standards

Provide site visits for education and validation

Define trauma care resources and capabilities of each hospital*

Designate hospitals with the most comprehensive trauma care facilities as Level I or Level II

Request Level III and Level IV Hospitals to submit self-designation checklist based on ACS-COT standards

Provide site visits for education and validation

*Designation criteria based on American College of Surgeons Committee on Trauma verification process and standards

Emergency Medical Services GuidelinesEmergency Medical Services Guidelines

Regional & local protocols for dispatch centers

Education guidelines for dispatchers

Regional & local protocols for dispatch centers

Education guidelines for dispatchers

Enhanced 911 SystemEnhanced 911 System

Emergency Medical Services GuidelinesEmergency Medical Services Guidelines

Quickly identify traumatic injuries at scene

Provide highest possible level of care at the scene

Triage and transport patients according to severity of injury

Transport each patient to facility with appropriate level trauma resources and capabilities

Quickly identify traumatic injuries at scene

Provide highest possible level of care at the scene

Triage and transport patients according to severity of injury

Transport each patient to facility with appropriate level trauma resources and capabilities

EMS Field Triage, Treatment and Transport GuidelinesEMS Field Triage, Treatment and Transport Guidelines

Wisconsin Trauma RegistryWisconsin Trauma Registry

Injury trends

Overall quality of care

Injury trends

Overall quality of care

Types of DataTypes of Data

Identify and overcome barriers to optimum care

Assess need for public awareness and education

Make System improvements and enhancements

Identify and overcome barriers to optimum care

Assess need for public awareness and education

Make System improvements and enhancements

Uses of DataUses of Data

Wisconsin Trauma RegistryWisconsin Trauma Registry

Wisconsin provides state data to the National Trauma Data Bank

Wisconsin regions use national data to establish benchmarks

Wisconsin provides state data to the National Trauma Data Bank

Wisconsin regions use national data to establish benchmarks

Injury Prevention, Education, TrainingInjury Prevention, Education, Training

Providing relevant information and training to primary audiences

Building public awareness of Wisconsin Trauma Care System benefits

Partnering with public- and private-sector partners to provide injury awareness, prevention and education

Providing relevant information and training to primary audiences

Building public awareness of Wisconsin Trauma Care System benefits

Partnering with public- and private-sector partners to provide injury awareness, prevention and education

Injury Prevention, Education, TrainingInjury Prevention, Education, Training

Responding to the needs of state lawmakers and the public with information about System activities and achievements

Documenting the benefits of the System

Keeping policymakers informed of budgets required to maintain and enhance a high quality system

Responding to the needs of state lawmakers and the public with information about System activities and achievements

Documenting the benefits of the System

Keeping policymakers informed of budgets required to maintain and enhance a high quality system

Meeting Local NeedsMeeting Local Needs

Meeting Local NeedsMeeting Local Needs

1. Lake Superior2. North Central3. Northeast4. North/Northwest5. West Central6. Fox Valley7. Southwest8. South Central9. Southeast

1. Lake Superior2. North Central3. Northeast4. North/Northwest5. West Central6. Fox Valley7. Southwest8. South Central9. Southeast

Regions are based on existing patient referral and transfer patternsRegions are based on existing patient referral and transfer patterns

Wisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the StateWisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the State

11

223344

55

6677

8899

Meeting Local NeedsMeeting Local Needs

Each Regional Trauma Advisory Council (RTAC) has an Executive Council and RTAC Coordinator

RTAC Members include: Healthcare providers, EMS providers, Health Departments, service organizations and others interested in improving local care of trauma patients

Each Regional Trauma Advisory Council (RTAC) has an Executive Council and RTAC Coordinator

RTAC Members include: Healthcare providers, EMS providers, Health Departments, service organizations and others interested in improving local care of trauma patients

Wisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the StateWisconsin Trauma Care System Recognizes Unique Needs of Different Areas of the State

Meeting Local NeedsMeeting Local Needs

1. Establish Regional Trauma Care Plans

2. Identify Regional trauma care resources

1. Establish Regional Trauma Care Plans

2. Identify Regional trauma care resources

RTAC ResponsibilitiesRTAC Responsibilities

3. Educate hospitals, EMS responders and all stakeholders to RTAC’s role

4. Increase membership

5. Regionalize and promote consistent implementation of triage, transport and care guidelines

3. Educate hospitals, EMS responders and all stakeholders to RTAC’s role

4. Increase membership

5. Regionalize and promote consistent implementation of triage, transport and care guidelines

Meeting Local NeedsMeeting Local Needs

6. Provide up-to-date and current education and training to regional EMS responders and hospitals

7. Support injury prevention education and training for the public

8. Develop a coordinated Regional Plan for Disaster Response

6. Provide up-to-date and current education and training to regional EMS responders and hospitals

7. Support injury prevention education and training for the public

8. Develop a coordinated Regional Plan for Disaster Response

RTAC ResponsibilitiesRTAC Responsibilities

Meeting Local NeedsMeeting Local Needs

RTACs… Direct hospitals and EMS management in data collection

Analyze data, recommend and promote adoption of regional improvements

Assess regional needs

Involve Regional hospitals and EMS providers in ongoing improvement and enhancement of trauma care

RTACs… Direct hospitals and EMS management in data collection

Analyze data, recommend and promote adoption of regional improvements

Assess regional needs

Involve Regional hospitals and EMS providers in ongoing improvement and enhancement of trauma care

Local Focus Enhances QualityLocal Focus Enhances Quality

We All BenefitWe All Benefit

We All BenefitWe All Benefit

Reduced death, disability and suffering from traumatic injury

Integrating all hospitals ensures consistent guidelines for quickly transporting trauma patients to the most appropriate facility

Seamless response to both rural and urban incidents

Reduced death, disability and suffering from traumatic injury

Integrating all hospitals ensures consistent guidelines for quickly transporting trauma patients to the most appropriate facility

Seamless response to both rural and urban incidents

People of WisconsinPeople of Wisconsin

We All BenefitWe All Benefit

Better preparation for natural disasters, domestic and/or international acts of terrorism

More aggressive efforts targeted at preventing injury

Collaborations with local agencies to identify and reduce major causes of injury

Better preparation for natural disasters, domestic and/or international acts of terrorism

More aggressive efforts targeted at preventing injury

Collaborations with local agencies to identify and reduce major causes of injury

People of WisconsinPeople of Wisconsin

We All BenefitWe All Benefit

All hospitals are important components of the statewide System

Definition of major trauma helps ensure clients are not sent to Level I or Level II hospitals unnecessarily

Bypassing the nearest hospital with major trauma patients involves a small number of patients with little effect on the facility’s bottom line

All hospitals are important components of the statewide System

Definition of major trauma helps ensure clients are not sent to Level I or Level II hospitals unnecessarily

Bypassing the nearest hospital with major trauma patients involves a small number of patients with little effect on the facility’s bottom line

Wisconsin HospitalsWisconsin Hospitals

We All BenefitWe All Benefit

Facilitate more Advanced Life Support intercepts

Quicker identification of the most appropriate facility for trauma patient

More positive outcomes

Facilitate more Advanced Life Support intercepts

Quicker identification of the most appropriate facility for trauma patient

More positive outcomes

Wisconsin EMS RespondersWisconsin EMS Responders

We All BenefitWe All Benefit

More effective use of healthcare resources

Reduction in financial impacts of traumatic injuries

Critical component of homeland security and emergency preparedness

Infrastructure for handling natural disasters, domestic and/or international acts of terrorism

More effective use of healthcare resources

Reduction in financial impacts of traumatic injuries

Critical component of homeland security and emergency preparedness

Infrastructure for handling natural disasters, domestic and/or international acts of terrorism

The State of WisconsinThe State of Wisconsin

What’s a Life Worth?What’s a Life Worth?

What is a Life Worth?What is a Life Worth?

617 Lives in a year

617 Lives in a year

$545,000 SAVES

2006 Budget for the entire Wisconsin Trauma Care System is less than $545,0002006 Budget for the entire Wisconsin Trauma Care System is less than $545,000

What is a Life Worth?What is a Life Worth?

$65 Million in economic

costs

$65 Million in economic

costs

2006 Budget for the entire Wisconsin Trauma Care System is less than $545,0002006 Budget for the entire Wisconsin Trauma Care System is less than $545,000

$545,000 SAVES

What’s a Life Worth?What’s a Life Worth?

Small cost forSmall cost for

enormous benefitsenormous benefits

Wisconsin Trauma System in CrisisWisconsin Trauma System in Crisis

No secure funding

Support a State Trauma Program Coordinator

Continue the work in the RTAC’s

Continue the Hospital Designation Reviews

Support a State Registry

No secure funding

Support a State Trauma Program Coordinator

Continue the work in the RTAC’s

Continue the Hospital Designation Reviews

Support a State Registry

Please contact your Legislature Representative

AS SOON AS YOU GET HOME!

Google “Contact Your Wisconsin State Senators”

Let them know that you value a system of care that lets you do the best that you can do for each trauma patient.

Please contact your Legislature Representative

AS SOON AS YOU GET HOME!

Google “Contact Your Wisconsin State Senators”

Let them know that you value a system of care that lets you do the best that you can do for each trauma patient.

Working Together to Save LivesWorking Together to Save Lives

Joe M. SmithRegional Trauma Care Coordinator

Southeast Region