333-200-0090 Trauma Hospital Approval and Categorization (1)(a) A trauma system hospital shall comply with the standards contained in Exhibit 4 on or before October 1, 2025. (b) A trauma system hospital must remain in compliance with the Exhibit 4 standards dated September 25, 2018 (available at http://www.healthoregon.org/emsrules) until meeting the requirements of subsection (1)(a) of this rule. (2) The Oregon Health Authority (Authority) shall approve trauma system hospitals by levels of care capability as defined by the standards contained in Exhibit 4 and by any criteria contained in the approved area plan. Approval will be renewed every three years if the hospital submits an application for renewal, and if the Authority's review finds that the hospital continues to meet the prescribed standards in Exhibit 4. If the Authority finds that the hospital does not meet the prescribed standard in Exhibit 4, the process outlined in OAR 333-200-0295(3)(c) will be applied. (3) Upon determining the level of a hospital’s trauma care capability and whether prescribed hospital resource standards have been met in accordance with OAR 333-200-0080, the Authority shall categorize a trauma system hospital as a Level I, Level II, Level III or Level IV trauma hospital. A trauma hospital may also be categorized as a Level I or Level II Pediatric Trauma Center and must meet prescribed pediatric trauma care standards in Exhibit 4. The Authority may accept American College of Surgeons (ACS) verification in accordance with OAR 333-200-0250. (4) For area trauma system plans prescribing categorization of hospitals, the Authority shall approve all hospitals which meet the standards of the area trauma system plan. (5) For area trauma system plans prescribing designation of hospitals, the Authority shall approve selected hospitals which meet the standards of the area trauma system plan. The Authority shall select hospitals based on the assessment that the best interests of the patients of the area are served by the particular applicant and expected patient volume. Competing applicants shall be judged on the on-site survey assessments of which hospital(s) provides the highest quality of compliance with the standards in Exhibit 4. (6) A trauma system’s hospital categorization may be transferable to a successor operator if the successor provides written acknowledgment that the successor will comply with all of the responsibilities and obligations imposed upon the transferor and under these rules including probationary status, and the successor agrees to be substituted in pending proceedings regarding the approval status. The Authority may decline, at its discretion, to transfer approval if it reasonably believes the successor cannot meet the standards, rules, policies or protocols set forth in the approved area plan. (7) A trauma system hospital may, without cause, terminate its trauma system hospital status upon 90-days written notice to the Authority and the Area Trauma Advisory Board's list of interested parties. [ED. NOTE: To view attachments referenced in rule text, click here to view rule.] Statutory/Other Authority: ORS 431A.065 Statutes/Other Implemented: ORS 431A.060, 431A.065 & 431A.090 History: PH 76-2024, amend filed 10/29/2024, effective 11/01/2024 PH 7-2019, minor correction filed 02/22/2019, effective 02/22/2019 PH 254-2018, amend filed 09/25/2018, effective 09/25/2018 PH 27-2015, f. 12-8-15, cert. ef. 1-1-16 PH 16-2012, f. 12-20-12, cert. ef. 1-1-13 OHD 6-2000, f. & cert. ef. 5-4-00 HD 5-1997, f. & cert. ef. 3-12-97 HD 7-1995, f. & cert. ef. 11-6-95 HD 9-1993, f. 6-22-93, cert. ef. 7-1-93 HD 9-1990, f. & cert. ef. 4-25-90 HD 16-1987, f. & ef. 10-9-87 HD 5-1987, f. & ef. 6-26-87