Indiana’s trauma system was first worked on by an Indiana State Department of Health (ISDH) Trauma System Advisory Task Force, organized in May 2004, prior to the issuance of Executive Order 09-08.
Organizations and individuals represented by the Trauma Task Force:
- Indiana State Health Department
- Indiana Rural Health Association
- Indiana Farm Bureau Insurance
- Indiana Emergency Nurses’ Association
- Indiana American College of Emergency Physicians
- Indiana American College of Surgeons – Committee on Trauma
- Indiana Hospital Association
- Indiana Department of Homeland Security, Fire and Emergency Medical Services
- Indiana Trauma Network
- Trauma surgeons
- Emergency physicians
- Registered nurses
- State legislators
- Hospital administrators
- Rehabilitation specialists
Issues that were considered by the Task Force included:
- Leadership of a statewide trauma system
- Policies, legislation and financing needed for such a system
- System design, based on data and needs assessments
- Education of policy-makers, health professionals and the public
- Information management and quality of care indicators
- Collaboration and resources to support a statewide system
- Development and maintenance of a state trauma registry
- Standards and procedures for trauma care level designation of hospitals.
Task Force conclusions:
- The goal of a statewide trauma system is the prevention of injuries and the coordination of care of injured patients to accomplish decreased death and disabilities due to trauma.
- It is desirable for all Indiana hospitals to eventually be part of a statewide trauma system, based on the level of care each hospital is able to provide.
- System participation by hospitals would be voluntary.
- Collaboration between emergency medical services, hospitals, rehabilitation facilities and public health is needed.
- A statewide trauma registry is necessary because it provides a proven mechanism to examine trauma patient care data on a confidential basis.
- Widespread education is needed to inform numerous constituencies (legislators, hospitals, the public) about a statewide trauma system.
Task Force accomplishments:
- Passage of Public Law 155 (now codified at I.C. 16-19-3-28)
- Partnership with Indiana State Council of the Emergency Nurses’ Association and the State Office of Rural Health to provide trauma training for rural/critical access hospital (CAH) nurses
- Statewide trauma registry launched (http://www.indianatrauma.isdh.in.gov/): Importing data from seven ACS-verified trauma centers (and other hospitals with existing trauma registries); pilot of state trauma registry transfer record conducted with 15 CAHs in 2008; hiring of state trauma registry manager – September, 2008; continuing to add additional hospitals in 2009
- Draft administrative rules for designation of hospitals as trauma centers in progress
- Several grants for trauma/injury prevention programs were awarded in 2006 with much positive feedback from recipients
- Task Force distribution list has grown from ~ 50 to well over 100 in the past year, with many hospitals and organizations throughout the state expressing an interest in trauma system development
- Trauma Times newsletter launched in 2008
- ACS-COT state trauma system consultation completed in December, 2008: Implementation of consultation recommendations beginning in 2009.
When the Executive Order was signed by Governor Daniels in November 2009, the Indiana Trauma Care Committee was established, and has continued the mission of the Trauma Task Force.