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Trauma Registry
The trauma registry (http://www.indianatrauma.org/) is the foundation component of the trauma system, providing the ability to monitor the system for efficiency and effectiveness, inclusive of local level use for improved patient care and outcomes. The Indiana Trauma Registry was implemented in 2007, with initial participation by the seven hospitals in Indiana that are verified as Level I or Level II trauma centers by the American College of Surgeons Committee on Trauma (ACS-COT): Deaconess and St. Mary’s hospitals in Evansville, both Level II; Parkview Hospital in Fort Wayne, Level II; Clarian Methodist Hospital, Riley Hospital for Children, and Wishard Memorial Hospital in Indianapolis, all Level I; and Memorial Hospital in South Bend, Level II.
Several other Indiana hospitals have volunteered to participate in the initial phase of the registry. In 2008, fifteen critical access hospitals participated in a pilot project with the state trauma registry. They entered data on their injured patients that were transferred to a higher level of care for the two-month period of June and July, 2008. They are continuing to provide feedback regarding the use of the registry. So far, the feedback has been positive and good suggestions have been made for improvements to the transfer record form that they use.
The vendor that was chosen for the registry is ImageTrend from Minneapolis. ImageTrend has conducted tests to ensure the compatibility of the program with the data from the Firehouse reporting software that is being used by EMS and paramedics; linkage with the Firehouse system will occur when Indiana’s Firehouse upgrades are completed in 2009.
Tracie Pettit, RN is the state trauma registry manager. Tracie has experience as an ED nurse, manager, TNCC (and other courses) instructor, and as a state and local ENA leader. For hospitals interested in learning more about the trauma registry, Tracie can be contacted at 317-234-2888 or tpettit@isdh.in.gov.
Indiana Inclusion/Exclusion Criteria:
Definition: To ensure consistent data collection across the State and with the National Trauma Data Standard, a trauma patient is defined as a patient sustaining a traumatic injury and meeting the following criteria: At least one of the following injury diagnostic codes defined in the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): 800–959.9, 994.8 (electrocution & nonfatal effects of electric current)
And including one or more of the following:
- hospital admission (24 hours or greater) and/or:
- pt transfers via EMS/law enforcement (including Air Ambulance) from one hospital to another (even if later discharged from the ED) and/or:
- death resulting from the traumatic injury (independent of hospital admission or transfer status)
Excluding: ICD-9-CM 905-909.9 (late effects of injury)
ICD-9-CM 910-924.9 (superficial injuries: blisters, contusions, abrasions,insect bites)
ICD-9-CM 930-939.9 (foreign bodies – ingested, “on” eye, etc.)
Injuries greater than 14 days old
