DAR File No. 28725

Health, Health Systems Improvement, Emergency Medical Services

R426-5-8

Data Requirements for an Inclusive Trauma System

NOTICE OF PROPOSED RULE

DAR File No.: 28725
Filed: 05/11/2006, 05:01
Received by: NL

RULE ANALYSIS

Purpose of the rule or reason for the change:

These changes modify the rule to coincide with recent changes to the statute governing the trauma system.

Summary of the rule or change:

The rule change eliminates the sunset date (12/31/2006) for hospitals to report trauma registry data to the Department.

State statutory or constitutional authorization for this rule:

Title 26, Chapter 8a

Anticipated cost or savings to:

the state budget:

The state will continue to incur annual costs of approximately $200,000 for staff, hospital personnel grants, copying and mailing expenses for hospitals, data analysis, data collection system including software, maintenance, technical assistance, report writing and generation, and performance improvement processes.

local governments:

Local government hospitals will experience no cost or savings because of this change. The expenses will continue to be reimbursed by the state.

other persons:

Other hospitals will experience no cost or savings because of this change. The expenses will continue to be reimbursed by the state.

Compliance costs for affected persons:

Persons affected by this amendment will not experience any compliance costs as the costs will continue to be reimbursed by the state.

Comments by the department head on the fiscal impact the rule may have on businesses:

This rule change is supported by regulated entities and will not have a negative fiscal impact. David N. Sundwall, MD, Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Direct questions regarding this rule to:

Jolene Whitney at the above address, by phone at 801-538-6290, by FAX at 801-538-6808, or by Internet E-mail at jrwhitney@utah.gov

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

07/03/2006

This rule may become effective on:

07/11/2006

Authorized by:

David N. Sundwall, Executive Director

RULE TEXT

R426. Health, Health Systems Improvement, Emergency Medical Services.

R426-5. Statewide Trauma System Standards.

R426-5-8. Data Requirements for an Inclusive Trauma System.

(1) All hospitals shall collect, and quarterly submit to the Department, Trauma Registry information necessary to maintain an inclusive trauma system[ until December 31, 2006]. The Department shall provide funds to hospitals, excluding designated trauma centers, for the data collection process. The inclusion criteria for a trauma patient is as follows:

(a) ICD9 Diagnostic Codes between 800 and 959.9 (trauma); or

760.5 (fetus or newborn affected by trauma); or

641.8 (antepartum history due to trauma); or

518.5 (pulmonary embolism due to trauma); and

(b) Any of the following patient conditions:

admitted to the hospital for 48 hours or longer; transferred in or out of your hospital; died; all air ambulance transports (including death in transport and patients flown in but not admitted to the hospital).

The information shall be in a standardized electronic format specified by the Department which includes:

(i) Demographics:

Database Record Number

Institution ID number

Medical Record Number

Social Security Number

Patient Home Zip Code

Sex

Date of Birth

Age Number and Units

(ii) Injury:

Date of Injury

Time of Injury

City of Injury

State of Injury

Zip Code of Injury

Blunt, Penetrating, or Burn Injury

Cause of Injury Description

Cause of Injury Code

Cause of Injury E-code

Site/Location of Injury

Work Related Injury (y/n)

(iii) Prehospital:

Name of EMS Service

Transport Origin Scene or Referring Facility

Trip Form Obtained (y/n)

Arrival Time at (First) Hospital

Arrival Date at Hospital

(iv) Referring Hospital:

Transfer from Another Hospital (y/n)

Name or Code

Arrival Date

Arrival Time

Discharge Date

Discharge time

Transfer Mode

Admitted or ER

Procedures

Pulse

Capillary Refill

Respiratory Rate

Respiratory Effort

Blood Pressure

Eye Movement

Verbal Response

Motor Response

Glascow Coma Score Total

Revised Trauma Score Total

(v) Emergency Department Information:

Mode of Transport

Arrival Date

Arrival Time

Discharge Time

Discharge Date

Pulse

Capillary Refill

Respiratory Rate

Respiratory Effort

Blood Pressure

Eye Movement

Verbal Response

Motor Response

Arrival Glascow Coma Score Total

Revised Trauma Score Total

(vi) Emergency Department Treatment:

Procedures Done (pick list)

Paralytics used prior to GCS (y/n)

Disposition

(vii) Admission Information:

Admit from ER or Direct Admit

Admitted from what Source

Time of Hospital Admission

Date of Hospital Admission

(viii) Hospital Diagnosis:

ICD9 Diagnosis Codes

AIS 90 or 95 Used?

AIS Score for Diagnosis (calculated)

Injury Severity Score

(ix) Operations/Procedures:

ICD9 Codes

(x) Quality Assurance Indicators:

None

(xi) Complications:

None

(xii) Outcome:

Discharge Time

Discharge Date

Total Days Length of Stay

Disposition from Hospital

Destination Facility

GCS Outcome Score

(xiii) Charges:

Payment Sources

KEY: emergency medical services, trauma, reporting

Date of Enactment or Last Substantive Amendment: [September 21, 2005]2006

Notice of Continuation: October 30, 2002

Authorizing, and Implemented or Interpreted Law: 26-8a

ADDITIONAL INFORMATION

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For questions regarding the content or application of this rule, please contact Jolene Whitney at the above address, by phone at 801-538-6290, by FAX at 801-538-6808, or by Internet E-mail at jrwhitney@utah.gov

For questions about the rulemaking process, please contact the Division of Administrative Rules (801-538-3764). Please Note: The Division of Administrative Rules is NOT able to answer questions about the content or application of these administrative rules.