Short Anecdote Example US Congressman Bobby Rushs son was shot and killed on the same block as a Hospital yet he was driven 103 miles to the nearest trauma center State of Emergency Medicine ID: 998754
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1. Trauma CentersBy Gabe Siegel
2. Short Anecdote Example: US Congressman Bobby Rush’s son was shot and killed on the same block as a Hospital, yet he was driven 10.3 miles to the nearest trauma center.
3. State of Emergency MedicineEMTALA and the ACAInsurance ≠ Access: shortage of Primary Care physiciansACA increases demand for resources Poor reimbursements, uncompensated care, and utilization issuesImportance of Trauma centers and systemsUnder the ACA: $224 million in grants for Trauma Centers
4. TraumaTrauma-mostly severe and critical injuries. Trauma is predictableInjury is the leading cause of death for individuals from ages 1 to 44Accounts for approximately 170,000 deaths each year and over 400 deaths per day35 million people are treated annually for trauma -- one hospitalization every 15 minutes.
5. Quick FactFor every $3.51 the federal government spends on HIV research and $1.65 for cancer, trauma gets 10 cents. And this is true despite the fact that someone dies from a traumatic injury every three minutes in the United States. Compared to every 9.5 minutes someone is infected with HIV/AIDS in the U.S.
6. Defining the problem25 % of Trauma Centers have closed in the U.SDisproportionately burdens vulnerable populations46 million Americans lack access to a trauma center. “Trauma Deserts”Access to a trauma center reduces risk of death by 25%The interests, individuals, ideas, institutions
7. Trauma System Components911 AccessPre-Hospital ProvidersHospital EDsTrauma CentersRehabilitation CentersTrauma Registry and Injury Prevention
8. Trauma Center LevelsLevel 1- 24/7 emergency care capable of providing care for any injury. Leader as a research institution.Level 2- 24/7 essential care. Level 3- 24/7 emergency physicians, key services, prompt availability of surgery staff, and transfer agreements.Level 4- 24/7 physician coverage. Transfer agreements.
9. Trade off Parallelogram CostEquityQualityAccess
10. Policy ProposalRecognizing trauma systems as a public goodNational Trauma SystemLinking funds to Trauma center availability Increased and new modes of funding for EMS and Trauma CentersChanging reimbursementActivation FeeAlternative payment model that incentives quality outcomes and cost-effective careStopping “defensive medicine”
11. Outcomes and obstaclesFundingPublic and professional support and policy lighteningLowering mortality ratesMaintain and improve cost, quality, access, and equityPrevention of Trauma Center closuresReducing “trauma deserts”Preparation for a major terrorist attack or disaster
12. Trauma maphttp://www.traumamaps.org/Trauma.aspx