Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-2 - ALABAMA STATEWIDE TRAUMA SYSTEM › Section 420-2-2-.14 - Statewide Trauma System Fund

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Statewide Trauma Fund has been
			 created by §
								22-11D-9,
Code of Ala.
			 1975
. Funding allocations received from the Alabama State
			 Legislature, and from gifts or other payments that may be received by the
			 Department for the Fund, are to be distributed according to a methodology
			 established by the Council and adopted by the Board.
(2) The following methodology of distribution
			 and allocation of available funds is established.
(a) Two million dollars ($2,000,000.00) of
			 available funds shall be allocated for administrative costs incurred by the
			 Department's Office of EMS and Trauma and the Alabama Trauma Communication
			 Center.
(b) The remaining available
			 funds shall be distributed as follows:
1.
			 Five percent (5%) shall be equally distributed to the six EMS and trauma
			 regions.
2. Ninety-five percent
			 (95%) shall be distributed to participating trauma centers.
(i) Fifty percent (50%) of this amount shall
			 be distributed to in-state trauma centers based on level of designation (the
			 Level of Care Pool) as follows:
(I) Thirty
			 percent (30%) shall be equally distributed to Level I trauma centers.
(II) Thirty percent (30%) shall be equally
			 distributed to Level II trauma centers.
(III) Forty percent (40%) shall be equally
			 distributed to Level III trauma centers.
(ii) Fifty percent (50%) of this amount shall
			 be distributed to in-state and out-of-state trauma centers based on volume and
			 acuity (the Patient Volume/Acuity Pool). The amount to be distributed to each
			 trauma center shall be calculated utilizing the following table:
Severity Category
ISS Score
ISS Severity Index
A
1-9
1.02
B
10-15
2.02
C
16-24
3.80
D
>24
6.57
Patients who are transferred within the trauma system will be
				assigned a Severity Category A for the transferring hospital; the receiving
				hospital will assign a Severity Category according to the patient's ISS score.
				The specific amount due a trauma center shall be computed as follows:
(I) Assign all cases an ISS severity index
			 and category of A, B, C or D according to the table above.
(II) Calculate the number of cases treated by
			 each trauma center which fall within each ISS Severity Category.
(III) Multiply the total number of ISS
			 Severity Category A cases by the relative value assignment of 1.02 to arrive at
			 the total number of Category A points.
(IV) Multiply the total number of ISS
			 Severity Category B cases by the relative value assignment of 2.02 to arrive at
			 the total number of Category B points.
(V) Multiply the total number of ISS Severity
			 Category C cases by the relative value assignment of 3.80 to arrive at the
			 total number of Category C points.
(VI) Multiply the total number of ISS
			 Severity Category D cases by the relative value assignment of 6.57 to arrive at
			 the total number of Category D points.
(VII) Add the points from Categories A, B, C
			 and D to arrive at a total number of points for each trauma center.
(VIII) Sum the number of points from all
			 categories and all trauma centers to arrive at a total number of points for all
			 trauma centers.
(IX) Take the
			 number of points for each trauma center and multiply that number by the total
			 dollar amount in the Patient Volume/Acuity Pool available for distribution.
			 Take the product of that calculation and divide the resulting number by the
			 total number of points for all trauma centers.
(X) The resulting quotient is the dollar
			 amount to be distributed to that trauma center.