BY KAREN BRYANT
Contributing Writer, Delta Business Journal
Delta Regional Medical Center is among five hospitals in the
state to be designated as a Level II regional trauma center by the Mississippi
State Department of Health. The centers are part of the newly created Mississippi
Trauma Care System, a statewide system made possible by the 1998 passage
of a bill authorizing the Department of Health to develop such a
system. The bill also established a Trauma Care Trust Fund to provide
funding for the system.
As a designated trauma center, Delta Regional is part of a statewide
network of trauma care centers that accept, stabilize and care for trauma
patients with significant injuries. The new statewide network helps hospitals
identify and better utilize trauma service that take advantage of the patients
"Golden Hour," the most critical time for trauma patients to receive the
care they need.
Delta Regional has qualified as the only Level II designated
center in its 19-hospital region. The State Department of Health gives
Level II designations to facilities that are able to provide initial care
to a severely injured patient. Level II facilities must have a full
range of trauma capabilities including an emergency department, a full-service
surgical suite, intensive care unit and diagnostic imaging. For specialty
care, a patient may be transferred to a Level I trauma center. Areas
evaluated for designation included administration, anesthesiology, emergency
department, clinical laboratory, critical-care units, patient transfer
agreements with other hospitals, pre-hospitalservices, quality improvement
programs, radiology and surgery services.
To the people in Mississippi, the Trauma Care System means 'Right
Patient--Right Hospital-Right Time,' resulting in more lives being saved
and the severity of injury being reduced in many cases," says Andy Etheridge,
Trauma Nurse Coordinator.
Trauma care systems target the seriously injured but improve
injury care at all levels. The systems reduce preventable deaths - factually
demonstrated by national studies. Mississippi Trauma Care System provides
continuous care for initial injury detection through definitive care, which
includes rehabilitation and injury control.
Using specialized computer software, the trauma registry program
provides a centralized information source for all trauma patients received
by hospitals.
The registry has reporting features that analyze data to help
in recognizing trends, planning, reporting and training. The program facilitates
the compilation requirements pertaining to trauma for the Joint Commission
on Accreditation of Healthcare Facilities (JCAHO). It provides a financial
summary of trauma patient payor sources, charges and collections. The cost
of trauma care can be calculated based on these numbers. The program also
provides quality improvement for trauma based on
standards suggested by the
American College of Surgeons, the Emergency Nurses Association
and JCAHO. By participating in the program, Delta Regional will be networked
with other hospitals in the State Trauma Registry, providing a means to
compare information with aggregate statewide data.
The registry lets hospitals measure compliance of patients care
against established standards. It allows review of all unexpected deaths;
unexpected outcomes can be used to identify practitioners meriting educational
and disciplinary measures. The registry also utilizes peer review, which
attempts to minimize the recurrence of unexpected outcomes by improving
standards.
Bart Hove, CEO says, "The regional approcah guarantees local
leadership within medical, political and consumer groups. It also provides
the flexibility needed to address community and regional needs."
In the areas of education and prevention, Delta Regional will
work toward the program's ultimate goal of preventing injuries. As a designated
trauma center, the hospital is part of a program to educate the community
about the nature of injuries, the typical profile of trauma patients ,
how to safely approach an injury scene and how to provide assistance until
professional help arrives.
Said State Health Officer Dr. Ed Thompson, "This preventive
approach to trauma helps reduce the tragic loss of life or serious injury.
Prevention is a good example of using safety practices in public health
service. We hope that the ripple effect of this project will result in
public awareness of the need to provide trauma prevention and education
throughout the state."
In conjunction with the program, a Trauma System link has been
established at the State Department of Health's Web site: http://www.msdh.state.ms.us/.
The site will be regularly updated with educational material that focuses
on injury prevention and trauma care. The public can also call a statewide
phone number, 203-2000, for round-the-clock health information. To access
the information, users need only dial the number and when prompted, dial
a four-digit code, 2008, to access trauma information. In addition, a public
health information line, 1-800-489-7670, is available from 8 a.m. until
5 p.m. Monday through Friday to answer public health questions.
Says Thompson, "Trauma is known as a neglected disease. It is
a major public health problem in Mississippi, claiming more than 2,000
people and disabling nearly 6,000 each year. That results in more than
50,000 years of potential life lost in our state alone. Our goal is to
be sure that everyone in Mississippi has an organized system of trauma
care that offers them excellent patient care and the best possible recovery."
Delta Regional and the others that have received designation,
he said, "have shown a true commitment to provide the level of care to
trauma patients that they would desire for their own family, 24 hours a
day, 365 days a year, to all patients, without exception."
Mississippi Governor Ronnie Musgrove said, "So many Mississippians'
lives will be improved because of the designation of trauma care centers
across the state. The role that these centers will have in our state is
important as we further develop top-rated health-care options for the people
of Mississippi."