South Dakota Trauma Systems Development

2006

“Working Document – Initial Draft”

System Component / Issue / Recommendation / Financial Implication / Funding Source
1) Administrative / A) Lead Agency/Leadership / A) Determine Lead
Agency
Department of Health or Department of Public Safety: EMS / A)
Trauma Coordinator/Registrar
Trauma Medical Director / ? State
B) SD Trauma Systems
(Gold Book) written &
published 1997 & 2002 / B) Update / Revise with
AmericanCollege of
Surgeons Optimal
Care Document / B)
Minimal – printing / B)
C) Legislation: authority to
implement or enforce
rules and regs of defined
trauma system / C) Trauma is viewed as public
health problem 
Department of Health / C) / C)
2) Operational / A) Determine South
Dakota’s trauma system
Status / A) Complete HRSA Model /
Trauma System
Planning & Evaluation:
State Self BLS
Assessment:
(Benchmarks, Indicators,
Scoring)
  • Do ACS Trauma System consultation: within 3-5 years.
/ A) No fee
$40.000 - $50.000 / A)
B) Human Resources / B) Appoint / hire state
Trauma Coordinator /
Trauma Registrar / B) $75,000 +
?
SDAHO Reimbursement Council to evaluate $$ / B)?? participating hospital’s assessment if actualized: all dollars to trauma designated funds – not general state fund

Page 2

System Component / Issue / Recommendation / Financial Implication / Funding Source
2) Operational (con’t) / C) Education / C)
Require ATLS
(physicians, PA’s) ,
TNCC (Nurses), BTLS
or PHTLS (EMT’s, EMT-
P’s)
Require all EMT-P Programs to be CoAEMSP accredited as required by 2008 per NHTSA / C)
Course fees range from
$125.00 - $550.00
Accreditation fees $5000.00 per year / C)
Already existing for RN’s
and EMT’s. SD ENA,
Dept of Health, Rural
Health, Dept of Safety:
EMS
Agencies of Paramedic Programs
D) Performance improvement / D) System
Link data
Identify opportunities for improvement regarding: triage, treatment, transfer if indicated / D) Trauma Registry (see last
page) / D)
E) Prevention / E) Coordination of all
programs utilizing “linked”
trauma data to obtain
NHTSA, etc. $$ / E) Multiple programs already
in existence. / E)
3) Pre-Hospital / A) EMS Management Agency / A) Exists in Department of
Public Safety: EMS / A) / A)
B) Ambulance Transport
Guidelines / B) / B) / B)
C) Communication Systems
Linkage / C) Linkage/communication
flow with Fire, EMS, Police,
Hospitals / C) / C)
D) Emergency / Disaster /
Bioterrorism
Preparedness Plan / D) Coordinate / link to
Trauma System / D) / D) Federal $$

Page 3

System Component / Issue / Recommendation / Financial Implication / Funding Source
4) Definite Care
Facilities / A) Trauma Care Facilities
RegionalTraumaCenter
AreaTraumaHospital
CommunityTraumaHospital
Trauma Receiving Facilities / A) Component requires
major focus for
TraumaCenter
Development
Requires ACS verification review
Requires ACS verification review
Define State review
Continue State reviews
  • Trauma Stakeholders group has defined plan for review
/ A)
$10,000 to hospital
$10,000 to hospital
Estimate $1800.00 per facility / A)
EMS-C Trauma funds in 2005/2006
B) Determine recognition for
CTH & TRF completing
internal reviews / B) Model after other
states with system in
place / B) / B)
C) Interfacility Transfers / C) SD Trauma Care
Document (Gold
Book). Written –
suggested guidelines
done / C) / C)
5) Information System / A) Registry & data linking / A) 4 hospitals have TRACS
/ DI registry in existence / A) / A)
B) / B) Require RTC & ATH to
maintain trauma
registries / B)
$1800.00 - $2000.00 per year / B)

Page 4

System Component / Issue / Recommendation / Financial Implication / Funding Source
5) Information systems (con’t) / C) Require pre-hospital /
ambulance to utilize
state pre-hospital
computer program / C) / C)
Department of EMS
D) InitiateState Trauma
Registry = require
hospitals to download
data annually. / D) $30,000 / D)
E) Define “paper” data
collection for ATH &
TRF’s to send data to
State Trauma Registrar
for input into state
trauma registry. / E) / E)

Q/trauma2/trauma/traumasystemdevelop/05-06