The Pilot Project for Georgia Trauma System Regionalization described in this whitepaper will introduce the regional structure for a Georgia Trauma System based upon regional trauma service areas. The Pilot Project will address needs identified for a comprehensive state trauma system and statewide trauma communications center via regional planning.
Each regional trauma system will operate according to a Regional Trauma System Plan (or “Plan”) developed by the region’s Regional Trauma Advisory Council (or “Council”). The Plan will organize existing resources to provide a comprehensive trauma care system for patients from the moment of injury through rehabilitation.
To assist in developing regional Plans the Trauma Commission has developed this Framework document to guide regional plan development. The Framework is designed to address the Georgia Trauma Care Network Commission’s strategic plan, “Our Emerging Vision—A New Public Service for Georgians,” and suggested areas for improvement recognized during a trauma system review by the American College of Surgeon’s Trauma System Consultation Program in January 2009.
The Trauma Commission will conduct a Pilot Project for Georgia Trauma System Regionalization in EMS Region V in order to test the Framework as a Plan development guide and to operationalize the Trauma Communications Center. The goals of the pilot are to:
• Introduce trauma system regionalization as a possible construct for Georgia Trauma System development;
•Test the Framework as a planning guide for a regional Council to develop a Plan;
• Operationalize the Trauma Communications Center as the interoperable, statewide communications component of the System;
•Identify and involve regional trauma system stakeholders including physicians, EMS, designated Trauma Centers, non-designated participating hospitals,
hospital personnel, local governments, and the public in system planning;
•Revise the Framework as a regional planning guide pursuant to the results of the pilot evaluation; and,
•Recommend specific steps to expand the Georgia Trauma System statewide by way of introducing regional trauma system planning statewide and by extending the coverage area of the Trauma Communications Center.
A regional Plan that addresses all of the regional trauma system components and functions as listed in the Framework will serve as the operational plan for the regional trauma system. The Framework is divided into three parts. Part One addresses regional trauma system components and organization. It lists the roles and responsibilities of the pre-hospital, hospital, communications, performance improvement and Council components within the regional trauma system. Part Two addresses regional trauma system function. System function refers to the protocols and rules that should be developed for Trauma System entry, communications, operations, and system compliance and evaluation. Part Three addresses the need for Plan revision and calls for a routine plan review and revision process within each Plan. Appendix F provides a recommended step-by-step process to Plan development.
The Framework is a “living document” that is in its first iteration as of Summer 2009. The pilot project will test the Framework as a Plan development guide and will provide an opportunity for Framework improvement and evolution.