Trauma Centers

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Trauma Centers

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Presentations text content in Trauma Centers


Trauma Centers

By Gabe Siegel


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.


State of Emergency Medicine

EMTALA and the ACA

Insurance ≠ Access:


hortage of Primary Care physicians

ACA increases demand for resources

Poor reimbursements, uncompensated care, and utilization issues

Importance of Trauma centers and systems

Under the ACA: $224 million in grants for Trauma Centers



Trauma-mostly severe and critical injuries.

Trauma is predictable

Injury is the leading cause of death for individuals from ages 1 to 44

Accounts for approximately 170,000 deaths each year and over 400 deaths per day

35 million people are treated annually for trauma -- one hospitalization every 15 minutes.


Quick Fact

For 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.


Defining the problem

25 % of Trauma Centers have closed in the U.S

Disproportionately burdens vulnerable populations

46 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


Trauma System Components

911 Access

Pre-Hospital Providers

Hospital EDs

Trauma Centers

Rehabilitation Centers

Trauma Registry and Injury Prevention


Trauma Center Levels

Level 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.


Trade off Parallelogram






Policy Proposal

Recognizing trauma systems as a public good

National Trauma System

Linking funds to Trauma center availability

Increased and new modes of funding for EMS and Trauma Centers

Changing reimbursement

Activation Fee

Alternative payment model that incentives quality outcomes and cost-effective care

Stopping “defensive medicine”


Outcomes and obstacles


Public and professional support and policy lightening

Lowering mortality rates

Maintain and improve cost, quality, access,

and equity

Prevention of Trauma Center closures

Reducing “trauma deserts”

Preparation for a major terrorist attack or disaster


Trauma map

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