Wisconsin Legislature: 001 - CR 19-086 Rule Text

Resources for the Optimal Care of the Injured Patient: 2014, Committee on Trauma, American College of Surgeons (2014). This publication is on file in the Department’s Division of Public Health and is available at: https://www.facs.org/~/media/files/quality%20programs/trauma/vrc%20resources/resources%20for%20optimal%20care.ashx.

Data collected from a voluntary statewide survey completed by Level III and IV trauma care facilities concerning the impact of the new criteria in the 2014 edition of the ACS’ Resources for the Optimal Care of the Injured Patient. This 12 question survey was conducted by the Office of Preparedness and Emergency Health Care, Division of Public Health, Department of Health Services. This survey was conducted through Survey Monkey and was distributed via email on October 11, 2016 to the trauma coordinators of the Level III and IV trauma care facilities in the state. The trauma care facilities were given until October 18, 2016 to answer the survey and 76 out of 99 Level III and IV trauma care facilities completed the survey.

The department formed an Advisory Committee consisting of urban and rural representatives from the Wisconsin Hospital Association, trauma coordinators from Level III and IV trauma care facilities, trauma care nurses and doctors from the Statewide Trauma Advisory Council and Classification Review Committee and hospital administrators. The committee members reviewed the initial draft language and their input guided the development of the proposed rule text.

Analysis and supporting documents used to determine effect on small business

See economic impact analysis.

Effect on small business

See economic impact analysis.

Agency contact person

Susan Uttech

State Public Health Accreditation Director

1 W. Wilson St.

Madison, WI 53701

Susan.Uttech@dhs.wisconsin.gov

608 267-3561

Statement on quality of agency data

The data sources referenced and used to draft the rules and analyses are accurate, reliable, objective and are discussed in the “Summary of factual data and analytical methodologies.”

Place where comments are to be submitted and deadline for submission

Comments on the proposed rules may be submitted by accessing the department’s rules site at, https://www.dhs.wisconsin.gov/rules/permanent.htm. Once a public hearing has been scheduled, additional commenting will be enabled trough the Wisconsin State Legislature’s site, at http://docs.legis.wisconsin.gov/code. The notice of public hearing and the deadline for submitting comments will be published both to the department’s rules site, and in the Administrative Register, at https://docs.legis.wisconsin.gov/code/registrer.

RULE TEXT

SECTION 1. DHS 118.03 (2m) is created to read:

DHS 118.03 (2m) “APP” means advanced practice provider.

SECTION 2. DHS 118.03 (3m) is created to read:

DHS 118.03 (3m) “ATLS” means advanced trauma life support.

SECTION 3. DHS 118.03(6m) is created to read:

DHS 118.03(6m) “CT” means computed tomography.

SECTION 4. DHS 118.03(10m) is created to read:

DHS 118.03(10m) “EMS” means emergency medical services.

SECTION 5. DHS 118.03 (17m) is created to read:

DHS 118.03 (17m) “ICU” means intensive care unit.

SECTION 6. DHS 118.03(24m) is created to read:

DHS 118.03(24m) “MRI” means magnetic resonance imaging.

SECTION 7. DHS 118.03 (32) is amended to read:

DHS 118.03 (32) “Pediatric trauma center” means a freestanding or separate administrative unit in a hospital that is dedicated to providing for addressing the trauma needs of a pediatric patient population and meets the resource requirements outlined by the ACS in Chapter 10 of the publication Resources for the Optimal Care of the Injured Patient: 1999 for verification as a pediatric trauma center. The trauma center may be freestanding or a separate administrative unit in a larger hospital.

SECTION 8. DHS 118.03 (32) (note) is repealed.

SECTION 9. DHS 118.03 (34m) is created to read:

DHS 118.03 (34m) “PIPS” means performance improvement and patient safety.

SECTION 10. DHS 118.03 (40g) is created to read:

DHS 118.03 (40g) “TMD” means trauma medical director.

SECTION 11. DHS 118.03 (40r) is created to read:

DHS 118.03 (40r) “TPM” means trauma program manager.

SECTION 12. DHS 118.03 (42) is amended to read:

DHS 118.03 (42) “Trauma care facility” or “TCF” means a hospital that the department has approved as having the services and capabilities of a level I, II, III or IV trauma care facility.

SECTION 13. DHS 118.03 (45g) and DHS 118.03 (45r) are created to read:

DHS 118.03 (45g) “Type 1 Criteria” means required criteria identified in Appendix A that may significantly impact a trauma care facility’s ability to provide optimal care for trauma patients.

DHS 118.03 (45r) “Type 2 Criteria” means required criteria identified in Appendix A that may impact a trauma care facility’s ability to provide optimal care for trauma patients.

SECTION 14. DHS 118.04 (2) (c) 2. is amended to read:

DHS 118.04 (2) (c) 2. Review and approve hospital applications to be a requests for trauma care facility classification in accordance with standards and guidance given provided by the American college of surgeons in the publication Resources for Optimal Care of the Injured Patient: 1999 and the criteria in appendix A and according to the process under sub. (6) (a).

SECTION 15. DHS 118.04 (2) (c) 2. (note 1) is repealed.

SECTION 16. DHS 118.04 (2) (c) 2. (note 2) is renumbered to DHS 118.04 (2) (c) 2. (note) and is amended to read:

DHS 118.04 (2) (c) 2. (note). Hospitals are verified by the American College of Surgeons ACS as level I or II trauma care facilities based on conformance with the standards and guidelines contained in the publication, Resources for Optimal Care of the Injured Patient: 1999 established by the ACS. The department bases determines its classification of hospitals as level III or IV trauma care facilities on in accordance with the standards and guidelines provided in appendix A of this chapter.