256.25256.25Statewide trauma care system.
256.25(1g)(1g)In this section, “performance improvement” means a method of evaluating and improving processes of trauma patient care that emphasizes a multidisciplinary approach to problem solving.
256.25(1r)(1r)The department shall develop and implement a statewide trauma care system. The department shall seek the advice of the statewide trauma advisory council under s. 15.197 (25) in developing and implementing the system, and, as part of the system, shall develop regional trauma advisory councils.
256.25(2)(2)The department shall promulgate rules to develop and implement the system. The rules shall include a method by which to classify all hospitals as to their respective emergency care capabilities. The classification rule shall be based on standards developed by the American College of Surgeons. Within 180 days after promulgation of the classification rule, and every 3 years thereafter, each hospital shall certify to the department the classification level of trauma care services that is provided by the hospital, based on the rule. The department may require a hospital to document the basis for its certification. The department may not direct a hospital to establish a certain level of certification. Confidential injury data that is collected under this subsection shall be used for confidential review relating to performance improvements in the trauma care system, and may be used for no other purpose.
256.25(3)(3)Except as provided in sub. (4), all information and documents provided by a hospital under sub. (2) and all information and documents procured by or furnished to the department, the statewide trauma advisory council, or regional trauma advisory councils with respect to performance improvement activities, certifications by hospitals under sub. (2), and documentation of the bases for hospitals’ certifications under sub. (2) are immune from discovery under ch. 804, confidential, and privileged and may not be used or admitted into evidence in a civil action. With respect to a communication made by a staff member of the department or by an individual serving on the statewide trauma advisory council or a regional trauma advisory council, and to a finding or recommendation made under this section by the department, the statewide trauma advisory council, or a regional trauma advisory council, all of the following apply:
256.25(3)(a)(a) The staff member or individual may not be examined in an action for civil damages with respect to the communication, finding, or recommendation.
256.25(3)(b)(b) The staff member or individual has immunity from civil liability, with respect to the communication, finding, or recommendation, for any of the following:
256.25(3)(b)1.1. An action taken or omitted by the staff member or individual in an official capacity.
256.25(3)(b)2.2. A statement made in good faith by the staff member or individual in an official capacity.
256.25(4)(4)Subsection (3) does not apply to the release of information and documents specified in sub. (3) created apart from a performance improvement activity or apart from a certification by a hospital under sub. (2) that are maintained by or for a hospital, the department, the statewide trauma advisory council, or a regional trauma advisory council for the particular purpose of diagnosing, treating, or documenting care provided to a particular patient or for another purpose, upon a showing by clear and convincing evidence that the information or documents are otherwise unavailable.
256.25(5)(5)This section does not apply to s. 146.38.
256.25 HistoryHistory: 1997 a. 154; 1999 a. 9; 2001 a. 16, 109; 2005 a. 315; 2007 a. 130 s. 150; Stats. 2007 s. 256.25.
256.25 Cross-referenceCross-reference: See also ch. DHS 118, Wis. adm. code.
256.30256.30Refusal or delay of emergency service.
256.30(1)(1)In this section “hospital providing emergency services” means a hospital which the department has identified as providing some category of emergency service.
256.30(2)(2)No hospital providing emergency services may refuse emergency treatment to any sick or injured person.
256.30(3)(3)No hospital providing emergency services may delay emergency treatment to a sick or injured person until credit checks, financial information forms or promissory notes have been initiated, completed or signed if, in the opinion of one of the following, who is an employee, agent or staff member of the hospital, the delay is likely to cause increased medical complications, permanent disability or death:
256.30(3)(a)(a) A physician, registered nurse, or paramedic.
256.30(3)(b)(b) A licensed practical nurse under the specific direction of a physician or registered nurse.
256.30(3)(c)(c) A physician assistant or any other person under the specific direction of a physician.
256.30(3m)(3m)Hospitals shall establish written procedures to be followed by emergency services personnel in carrying out sub. (3).
256.30(4)(4)No hospital may be expected to provide emergency services beyond its capabilities as identified by the department.
256.30(5)(5)Each hospital providing emergency services shall create a plan for referrals of emergency patients when the hospital cannot provide treatment for such patients.
256.30(6)(6)The department shall identify the emergency services capabilities of all hospitals in this state and shall prepare a list of such services. The list shall be updated annually.
256.30(7)(7)A hospital which violates this section may be fined not more than $1,000 for each offense.
256.30 HistoryHistory: 1977 c. 361; 1983 a. 273 s. 8; 1989 a. 102; 1993 a. 105; 2007 a. 130 s. 43; Stats. 2007 s. 256.30; 2017 a. 12.
256.35256.35Statewide emergency services number.
256.35(1)(1)Definitions. In this section:
256.35(1)(a)(a) “Automatic location identification” means a system which has the ability to automatically identify the address of the telephone being used by the caller and to provide a display at the central location of a sophisticated system.