South West Kansas Regional Trauma Council

KDHE Advisory KDHE Advisory Committee on TraumaCommittee on Trauma

Kansas Trauma System

1980’s: Planning1980’s: Planning 1999: Legislation1999: Legislation

K.S.A. 75-5663 et seq.K.S.A. 75-5663 et seq.Advisory Committee on Trauma (ACT)Advisory Committee on Trauma (ACT)

2001: Kansas Trauma System Plan2001: Kansas Trauma System Plan

Why do we need a trauma system?

Trauma in Kansas

Leading cause of death in Kansans under Leading cause of death in Kansans under age 44age 44

MVC and falls account for over 50% of all MVC and falls account for over 50% of all injury deathsinjury deaths

SW Region 2002 Motor

Vehicle Crash

Statistics

2002 KSDOT 2002 KSDOT

County Total Fatal Injury

Clark 78 1 6Finney 1059 5 199Ford 938 15 184Grant 176 1 29Gray 107 3 26Greeley 44 1 10Hamilton 60 0 13Haskell 82 2 13Hodgeman 93 0 21Kearny 96 2 19Lane 39 0 8Meade 118 2 22Morton 58 0 10Scott 110 0 29Seward 548 11 109Stanton 49 1 14Stevens 107 2 18Wichita 45 0 8

Total 3807 46 738

2002 MVC Crashes

2003 KBI Meth Statistics

County Chemicals Dumpsite Labs Total

Clark 0Finney 1 0 4 5Ford 4 0 7 11Grant 0 0 2 2Gray 0Greeley 0 0 2 2Hamilton 0Haskell 0Hodgeman 0 1 0 1Kearny 0Lane 1 0 0 1Meade 0Morton 0 1 13 14Scott 0 1 2 3Seward 1 0 0 1Stanton 0Stevens 0 0 1 1Wichita 0

Total 7 3 31 41No Seizures Recorded

No Seizures Recorded

No Seizures Recorded

No Seizures Recorded

No Seizures Recorded

Meth Seizures by County, Type

No Seizures Recorded

No Seizures Recorded

No Seizures Recorded

Why do we need a trauma system?

CDC Injury Report:

Prevention servicesPrevention services Regionalized Trauma SystemsRegionalized Trauma Systems

What Is A Trauma System?

Regionalized Regionalized Efficient use of facilities/resources based Efficient use of facilities/resources based

on unique requirements of the populationon unique requirements of the population Emphasizes prevention as part of Emphasizes prevention as part of

community healthcommunity health Able to expand to meet the medical needs Able to expand to meet the medical needs

of the community in times of disasterof the community in times of disaster

Characteristics

An Inclusive Trauma Care System

The Role of Trauma Centers

Most severely injuredMost severely injured

Level I: Provide full range of range of Level I: Provide full range of range of services and has research responsibilityservices and has research responsibility

Level II: Similar level of clinical services Level II: Similar level of clinical services and community basedand community based

Level III, IV: General surgery capability, Level III, IV: General surgery capability, includes emergency services capabilityincludes emergency services capability

Trauma Centers in the United States ▲ Level I ■ Level II

Kansas Trauma System mission:

Reduce the number of preventable injury Reduce the number of preventable injury deathsdeaths

Improve outcomes from traumatic injuryImprove outcomes from traumatic injury Reduce medical costs through appropriate Reduce medical costs through appropriate

use of resourcesuse of resources

Regional Trauma CouncilsCHEYENNE RAWLINS DECATUR NORTON

SHERMAN THOMAS SHERIDAN GRAHAM ROOKS

WALLACE

GREELEY

HAMIILTON KEARNEY FINNEY

PHILLIPS

LOGAN GOVE TREGO ELLIS

RUSHNESSLANESCOTTWICHITA

HODGEMAN

PAWNEE

STANTON GRANT HASKELL

STEVENS SEWARD

MEADE CLARK

GRAY

FORD

KIOWA

COMANCHE

BARBERHARPER

KINGMANPRATT

MORTON

RENO

EDWARDS

STAF-FORD

RICE

ELLSWORTH

LINCOLN

MCPHERSON

HARVEY

SEDGWICK

SUMNER

MARION

DICKINSON

CLAY

WASHINGTONREPUBLICJEWELL

MITCHELL

CLOUD

OSBORNE

RUSSELL

BARTON

OTTAWA

SALINE

SMITH MARSHALL NEMAHA BROWN

RILEY

MORRIS

CHASE

BUTLER GREENWOOD

LYON

OSAGE

WABAUNSEE

DOUGLAS

SHAWNEE

POTTAWA-TOMIE

JACKSON ATCHISON

JEFF-ERSON

JOHNSON

MIAMIFRANKLIN

LEAVEN-WORTH

WYAN-DOTTE

COFFEYANDERSON LINN

WOODSONALLEN BOURBON

COWLEYELK

CHAUTAUQUA

WILSON NEOSHOCRAWFORD

LABETTECHEROKEE

MONT-GOMERY

DONIPHAN

NW

SWSW SE

GEARY

NE

Population: 152,623Population: 152,623 Staffed Beds: 556Staffed Beds: 556

Hospitals: 18Hospitals: 18 Counties: 18Counties: 18

Total Area: 14,811 square milesTotal Area: 14,811 square miles

NC

SC

Rural CharacteristicsEffect Care

DiscoveryDiscoveryInjuryInjury EMS CalledEMS Called EMS ArrivesEMS Arrives HospitalHospital

Regional Trauma Councils

SWKRTC was formed on March 28, SWKRTC was formed on March 28, 2002.2002.

The SWKRTC

First Tasks: Setting up the InfrastructureFirst Tasks: Setting up the Infrastructure Executive Committee FormedExecutive Committee Formed

2 Physicians2 Physicians2 Hospital Administrators2 Hospital Administrators2 Nurses2 Nurses2 EMS representatives2 EMS representatives1 Health Department Representative1 Health Department Representative

General Membership

Voting members from the 5 disciplinesVoting members from the 5 disciplines

Can be involved in subcommitteesCan be involved in subcommittees

Education: Education: Brad SiskBrad Sisk

Communications: Communications: Jeff LandgrafJeff Landgraf

Regional Trauma Planning: Regional Trauma Planning: Cathy HeikesCathy Heikes

General Membership Vacancies

Hospitals designateHospitals designate:: 1 Hospital Administrator1 Hospital Administrator 1 Physician1 Physician 1 Nurse1 Nurse

Health Departments designate:Health Departments designate: 1 Representative1 Representative

EMS providers designate:EMS providers designate: 2 Representative2 Representative

Regional Trauma Plans

Develop plan to support the Kansas Trauma Develop plan to support the Kansas Trauma System Plan.System Plan.

Regionally specificRegionally specific

Funding

The State Trauma Program receives funding from The State Trauma Program receives funding from Moving ViolationsMoving Violations Kendra Tinsley, Trauma Program CoordinatorKendra Tinsley, Trauma Program Coordinator

Regions have received $6,000 funding for regional Regions have received $6,000 funding for regional plan developmentplan development

Regions will receive about $17,000 for EMD Regions will receive about $17,000 for EMD educationeducation

Data Collection

2003 Communications Survey2003 Communications Survey SWKRTC had 17 agencies respondSWKRTC had 17 agencies respond

EMD Education SurveyEMD Education Survey 2004 Trauma Patient Capabilities Survey2004 Trauma Patient Capabilities Survey

Trauma Registry 17 of the 18 Facilities Trained17 of the 18 Facilities Trained

7 submitted data for Q3 20037 submitted data for Q3 2003 6 submitted data for Q4 20036 submitted data for Q4 2003 7 submitted data for Q1 20047 submitted data for Q1 2004 6 submitted data for Q2 20046 submitted data for Q2 2004

Trauma Registry TrainingTrauma Registry Training Eric Cook-Wiens, Eric Cook-Wiens,

ECook-Wiens@kdhe.state.ks.usECook-Wiens@kdhe.state.ks.us785-296-3611785-296-3611

For More Information

Kendra TinsleyKendra TinsleyRegional Trauma Council SupportRegional Trauma Council Support

785-273-0067, ext. 385785-273-0067, ext. 385

ktinsley@kfmc.orgktinsley@kfmc.org

Kansas Trauma Program KDHE Web Site:KDHE Web Site:

http://www.kdhe.state.ks.us/http://www.kdhe.state.ks.us/olrholrh

Includes up-to-date information on RTC & ACT activities including minutes etc.

Rosanne Rutkowski, Trauma Program Director785-296-1210rrutkows@kdhe.state.ks.us

Kansas Trauma Program

Sign up for the trauma program notices Sign up for the trauma program notices specific to your region atspecific to your region at

http://krhis.kdhe.state.ks.us/http://krhis.kdhe.state.ks.us/

Questions?