DHS 118.04(2)(c)1.1. Establish and revise the assessment and classification criteria for characterizing a hospital as a trauma facility. DHS 118.04(2)(c)2.2. Review and approve hospital requests for trauma care facility classification in accordance with standards and guidance provided by the criteria in appendix A and according to the process under sub. (6) (a). DHS 118.04 NoteNote: Hospitals are verified by the ACS as level I or II trauma care facilities based on conformance with the standards and guidelines established by the ACS. The department determines its classification of hospitals as level III or IV trauma care facilities in accordance with the standards and guidelines provided in appendix A of this chapter.
DHS 118.04(2)(d)2.2. Review and approve regional trauma needs assessments, triage and transport protocols and plans under sub. (6) (c). DHS 118.04(2)(f)2.2. Develop guidelines for a regional performance improvement program under s. DHS 118.10 that includes all of the following: DHS 118.04(2)(f)2.c.c. The requirements for membership of the regional performance improvement committee. DHS 118.04(2)(g)1.1. Resolve conflicts concerning trauma care and prevention issues between the RTAC and trauma care providers and any other entity within the RTAC’s geographic region according to the process specified under sub. (3). DHS 118.04(2)(g)2.2. Maintain awareness of national trends in trauma care and periodically report on those trends to RTACs and trauma care system participants. DHS 118.04(2)(g)3.3. Encourage public and private support of the statewide trauma care system. DHS 118.04(2)(g)4.4. Assist the RTACs with developing injury prevention, training and education programs. DHS 118.04(2)(g)5.5. Seek the advice of the statewide trauma advisory council in developing and implementing the statewide trauma care system. DHS 118.04(3)(a)1.1. Upon receipt of a complaint about the trauma system, the department shall either investigate the complaint or request one or more RTACs to initially investigate and respond to the complaint. The department shall monitor how the RTAC or RTACs are addressing and responding to the complaint. When the RTAC has completed its investigation and has prepared its response, the RTAC shall communicate its response to the department. DHS 118.04(3)(a)2.2. Regardless of whether the department has requested one or more RTACs to investigate and respond to the complaint, the department may initiate an investigation of and response to a complaint within 2 business days following the department’s receipt of the complaint. DHS 118.04 NoteNote: The time within which the Department resolves a complaint depends on the nature of the complaint and the resources required to investigate and resolve the complaint.
DHS 118.04(3)(b)1.1. The department shall maintain a record of every complaint and how each complaint was addressed and resolved. DHS 118.04(3)(b)2.2. Within the constraints imposed by laws protecting patient confidentiality, the department shall make available its complaint record under subd. 1. to any person requesting to review it. DHS 118.04 NoteNote: To request review of the Department’s complaint record, contact the Statewide Trauma Care Coordinator by calling 608-266-0601 or by writing to Statewide Trauma Care System Coordinator, Bureau of Local Public Health Practice and Emergency Medical Services, Room 118, 1 West Wilson St., Madison, WI 53701, or by sending a fax to 608-261-6392.
DHS 118.04(4)(a)(a) An authorized employee or agent of the department, upon presentation of identification, shall be permitted to examine equipment or vehicles or enter the offices of an RTAC, a hospital seeking or having department recognition as a trauma care facility or an ambulance service provider during business hours with 24 hour advance notice or at any other reasonable prearranged time. The authorized employee or agent of the department shall be permitted to inspect and review all equipment and vehicles and inspect, review and reproduce records of the trauma care facility, ambulance service provider or RTAC pertinent to the nature of the complaint, including, but not limited to, administrative records, personnel records, training records and vehicle records. The right to inspect, review and reproduce records applies regardless of whether the records are maintained in written, electronic or other form. DHS 118.04(4)(b)(b) If, based on the department’s investigation, the department determines that corrective action by the trauma care facility is necessary, the trauma care facility shall make the corrective actions. The department may subsequently conduct a final investigation following corrective action and notify the trauma facility of the results. DHS 118.04(5)(5) Waivers. The department may waive any nonstatutory requirement under this chapter, upon written request, if the department finds that strict enforcement of the requirement will create an unreasonable hardship for the provider in meeting the emergency medical service needs of an area and that waiver of the requirement will not adversely affect the health, safety or welfare of patients or the general public. The department’s denial of a request for a waiver shall constitute the final decision of the department and is not subject to a hearing under sub. (7). DHS 118.04 NoteNote: To request a waiver from a nonstatutory requirement under this chapter, contact the statewide trauma care coordinator by calling 608-266-0601 or by writing to Statewide Trauma Care System Coordinator, Bureau of Local Public Health Practice and Emergency Medical Services, Room 118, 1 West Wilson St., Madison, WI 53701, or by sending a fax to 608-261-6392.
DHS 118.04(6)(a)(a) Department review of and decision on hospital trauma care facility applications. DHS 118.04(6)(a)1.1. A hospital requesting department approval to act or advertise as a trauma care facility shall submit an application to the department on a form provided by the department. DHS 118.04 NoteNote: For a copy of the Department’s assessment and classification criteria application form for approval as a trauma care facility, write to the Wisconsin Trauma Care System Coordinator, Division of Public Health, P.O. Box 2659, Madison WI 53701–2659 or download the form from the DHS website at: http://www.dhs.wisconsin.gov/forms/F4/F47479.doc. DHS 118.04(6)(a)3.3. The department may require a hospital to document the basis for the hospital’s professed level of trauma care facility. DHS 118.04(6)(a)4.4. The department may perform a site visit of a level III or IV trauma facility to determine compliance with the trauma facility assessment and classification criteria in accordance with all of the following conditions: DHS 118.04 NoteNote: The Department recommends that a trauma surgeon, emergency room physician and a trauma coordinator, all from a Level I or II verified trauma care facility, minimally comprise the site visit team.
DHS 118.04(6)(a)4.b.b. The department’s site visit shall be to determine whether the facility meets the assessment and classification criteria in appendix A. DHS 118.04(6)(a)4.c.c. The site visit team shall submit their findings to the department within 30 calendar days of completing the site visit. DHS 118.04(6)(a)5.a.a. Except as provided under subd. 5. b., within 60 business days of receiving a complete application for department approval to be a trauma care facility, the department shall either approve or deny the application and notify the applicant hospital in writing. In this subdivision paragraph, “complete application” means a completed application form and the documentation necessary to establish that the hospital is a level I, II, III or IV trauma care facility. DHS 118.04(6)(a)5.b.b. If the department determines a need to conduct a site visit of the applicant hospital, the department shall notify the applicant hospital of its level of trauma care within 10 business days following the department’s receipt of the site visit findings under subd. 4. c. DHS 118.04(6)(a)5.c.c. If the department does not approve the applicant hospital’s application, the department shall give the applicant reasons, in writing, for the denial and shall inform the applicant of the right to appeal the department’s decision under sub. (7). DHS 118.04(6)(a)5.d.d. In the absence of other evidence of receipt, receipt of the department’s notice under this subdivision is presumed on the 5th day following the date the department mails the notice. DHS 118.04(6)(a)6.6. If the department determines the applicant hospital’s trauma care capabilities do not warrant the hospital being approved as a trauma care facility, the department shall consider the hospital to be an unclassified hospital. DHS 118.04(6)(b)(b) Department review of and decision on a hospital’s selection of an RTAC for primary membership. DHS 118.04(6)(b)2.2. If the department does not notify the hospital of its approval or disapproval within 30 calendar days of receiving a hospital RTAC selection for department approval, the hospital may consider their selection approved by the department. DHS 118.04(6)(b)3.3. If the department does not approve the hospital’s selection of an RTAC, the department shall give the applicant reasons, in writing, for the denial and shall inform the applicant of the right to appeal the department’s decision under sub. (7). DHS 118.04(6)(b)4.4. In the absence of other evidence of receipt, receipt of the department’s notice under this subdivision is presumed on the 5th day following the date the department mails the notice. DHS 118.04(6)(c)(c) Department review of and decision on RTAC applications, selections, needs assessments, triage and transport protocols and plans. DHS 118.04(6)(c)1.1. An RTAC requesting department approval of any of the following shall submit it to the department: DHS 118.04(6)(c)3.a.a. Within 90 business days of receiving an RTAC submission under subd. 1., the department shall either approve or deny the RTAC submission and notify the RTAC in writing. DHS 118.04(6)(c)3.b.b. If the department does not approve an RTAC’s submission, the department shall give the RTAC reasons, in writing, for the denial. The department shall also inform the applicant of the right to appeal the department’s decision under sub. (7). DHS 118.04(6)(c)3.c.c. In the absence of other evidence of receipt, receipt of the department’s notice under this subdivision is presumed on the 5th day following the date the department mails the notice. DHS 118.04(6)(c)4.4. In response to the department’s non-approval under subd. 3., the RTAC may modify its submission and submit the revision to the department for subsequent department review or appeal the department’s decision pursuant to sub. (7). DHS 118.04(6)(d)1.1. The department may withdraw its approval of an RTAC’s operations if the department makes a finding of any of the following: DHS 118.04(6)(d)2.2. The department shall send written notice of the department’s proposed action and of the right to request a hearing under sub. (7) to the RTAC within 48 hours after the withdrawal takes place. In the absence of other evidence of receipt, receipt of the department’s notice is presumed on the 5th day following the date the department mails the notice. DHS 118.04(7)(a)(a) If under sub. (6), the department does not approve a hospital’s application under sub. (6) (a) or selection under sub. (6) (b), or an RTAC’s submission under sub. (6) (c) or the department withdraws its approval of an RTAC under sub. (6) (d), the hospital or RTAC may request a hearing under s. 227.42, Stats. The request for a hearing shall be submitted in writing to and received by the department of administration’s division of hearings and appeals within 30 days after the date of the notice required under sub. (6). A request is considered filed when received by the division of hearings and appeals. DHS 118.04(7)(b)(b) The division of hearings and appeals shall hold the hearing no later than 30 days after receiving the request for the hearing unless both parties agree to a later date and shall provide at least 10 days prior notification of the date, time and place for the hearing. DHS 118.04(7)(c)(c) The hearing examiner shall issue a proposed or final decision within 30 days after the hearing. The department decision shall remain in effect until a final decision is rendered. DHS 118.04 NoteNote: A hearing request should be addressed to the Division of Hearings and Appeals, P.O. Box 7875, Madison, WI 53707. Hearing requests may be delivered in person to that office at 5005 University Ave., Room 201, Madison, WI or submitted by facsimile to 608-264-9885.
DHS 118.04 HistoryHistory: CR 04-055: cr. Register December 2004 No. 588, eff. 1-1-05; corrections in (6) (d) 1. a. and c. made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637; CR 19-086: am. (2) (c) 2. Register May 2021 No. 785, eff. 10-1-21.
