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. ID: 578045
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By Gabe SiegelSlide2
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.Slide3
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 CentersSlide4
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.Slide5
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.Slide6
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.
Access to a trauma center reduces risk of death by 25%
The interests, individuals, ideas, institutionsSlide7
Trauma System Components
Trauma Registry and Injury PreventionSlide8
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.Slide9
Trade off Parallelogram
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
Alternative payment model that incentives quality outcomes and cost-effective care
Stopping “defensive medicine”Slide11
Outcomes and obstacles
Public and professional support and policy lightening
Lowering mortality rates
Maintain and improve cost, quality, access,
Prevention of Trauma Center closures
Reducing “trauma deserts”
Preparation for a major terrorist attack or disasterSlide12
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