Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.127 - Definitions; P to T

Current through Vol. 24-12, July 15, 2024
Rule 3.
As used in this part:
(a) "Pediatric trauma facility" means a
				  facility that has obtained a level of verification as a pediatric trauma
				  facility, as provided by the ACS-COT, as well as those requirements to be
				  designated as a trauma facility in Michigan, as set forth in R 325.127 to
				  R 325.138.
(b) "Pediatric trauma patient" means an
				  injured or potentially injured individual that is, or reasonably appears to be,
				  under 15 years of age.
(c)
				  "Physician" means a doctor of medicine (MD) or a doctor of osteopathy (DO) who
				  possesses a valid current license to practice medicine in the state of
				  Michigan.
(d) "Protocol" means a
				  patient care standard, standing orders, policy, or procedure for providing
				  emergency medical services that is established by a medical control authority
				  and approved by the department under MCL
				  333.20919.
(e) "Professional standards review
				  organization" means a committee established by a life support agency or a
				  medical control authority for the purpose of improving the quality of medical
				  care, as provided in MCL
				  331.531.
(f) "Quality improvement program" means
				  actions taken by a life support agency, medical control authority, trauma
				  facility, or jointly between a life support agency, medical control authority,
				  or trauma facility with a goal of continuous improvement of medical care in
				  accordance with the code. Actions shall take place under a professional
				  standards review organization, as provided in MCL
				  331.531
				  to
				  331.533.
(g) "Regional Professional Standards Review
				  Organization or RPSRO" means a committee established by the regional trauma
				  network for the purpose of improving the quality of trauma care within a
				  recognized trauma region as provided in MCL
				  331.531
				  to
				  331.533.
(h) "Regional trauma advisory council or
				  "RTAC" means a committee established by a regional trauma network and comprised
				  of MCA personnel, emergency medical services (EMS) personnel, life support
				  agency representatives, health care facility representatives, physicians,
				  nurses, and consumers. The functions of the RTAC are to provide leadership and
				  direction in matters related to trauma systems development in their region, and
				  monitor the performance of the trauma agencies and health care facilities
				  within the region, including, but not limited to, the review of trauma deaths
				  and preventable complications.
(i)
				  "Regional trauma network" means an organized group comprised of the local MCAs
				  within a region, which integrates into existing regional emergency
				  preparedness, and is responsible for appointing a regional trauma advisory
				  council and creating a regional trauma plan.
(j) "Regional trauma plan" means a written
				  plan prepared by a RTAC, and submitted by the regional trauma network and
				  approved by the department, that is based on minimum criteria established by
				  the department.
(k) "Statewide
				  Trauma Care Advisory Subcommittee or "STAC," as used in these
				  rules
,
means the statewide trauma care advisory subcommittee as
				  defined in MCL
				  333.20917a,
				  333.20908,
				  and
				  333.20910,
				  that acts as the department's subject matter experts with regard to the
				  clinical and operational components of trauma care.
(l) "Statewide trauma care system" means a
				  comprehensive and integrated arrangement of emergency services personnel,
				  facilities, equipment, services, communications, medical control authorities,
				  and organizations necessary to provide trauma care to all patients within a
				  particular geographic region.
(m)
				  "Statewide trauma registry" means a system for collecting data which the
				  department manages and analyzes the data and disseminates results.
(n) "Trauma" means bodily injury caused by
				  the application of external forces.
(o) "Trauma bypass" means to forego delivery
				  of a patient to the nearest health care facility for another health care
				  facility whose resources are more appropriate to the patient's injury pursuant
				  to direction given to a pre-hospital emergency medical service by online
				  medical direction or predetermined triage criteria as established by
				  department-approved protocols. However, trauma care still must be provided to
				  patients as necessary pursuant to
				  42
				  USC 1395dd or other applicable
				  laws.
(p) "Trauma diversion" means
				  the re-routing of a trauma patient from a trauma care facility that has 1 or
				  more of its essential resources currently functioning at maximum capacity, or
				  is otherwise unavailable, to an alternate trauma care facility in order to
				  serve the best interests of the trauma patient.
(q) "Trauma facility" means a health care
				  facility designated by the department as having met the criteria set forth in
				  the code as being either a level I regional trauma research facility, level II
				  regional trauma facility, level III community trauma facility, or level IV
				  trauma support facility.
(r)
				  "Trauma response" means a patient who has been injured or potentially injured
				  as a result of the application of external forces and requires the utilization
				  of the trauma care system.
"Trauma team" means a team of multidisciplinary health care
					 providers established and defined by a health care facility or emergency care
					 facility that provides trauma care.
"Triage" means classifying patients according to the
					 severity of their medical conditions.