Kentucky Administrative Regulations › Title 902 - CABINET FOR HEALTH AND FAMILY SERVICES - DEPARTMENT FOR PUBLIC HEALTH › Chapter 28 - Kentucky Trauma System › Section 902 KAR 28:010 - Definitions for 902 KAR Chapter 28

Current through Register Vol. 51, No. 1, July 1, 2024
RELATES TO:
				KRS
				211.490,
				211.492,
				211.494,
				211.496
NECESSITY, FUNCTION, AND CONFORMITY:
				KRS
				211.494(8) authorizes the
				Department for Public Health to promulgate administrative regulations in
				accordance with KRS Chapter 13A to implement a statewide trauma care system.
				This administrative regulation establishes the definitions for 902 KAR Chapter
				28 pertaining to the statewide trauma care system.
Section 1. Definitions.
(1) "ABEM" means the American Board of
			 Emergency Medicine.
(2) "ACS COT"
			 means the American College of Surgeons Committee on Trauma.
(3) "Adult" means an individual who has
			 attained eighteen (18) years of age.
(4) "AOBEM" means the American Osteopathic
			 Board of Emergency Medicine.
(5)
			 "ATCN" means the Advanced Trauma Care for Nurses course for registered nurses
			 of the American College of Surgeons Society of Trauma Nurses.
(6) "ATLS" means the Advanced Trauma Life
			 Support course of the American College of Surgeons.
(7) "Board certified" means the physician has
			 been certified by the appropriate specialty board recognized by the American
			 Board of Medical Specialties.
(8)
			 "Commissioner" means the commissioner of the Kentucky Department for Public
			 Health.
(9) "Consultation" means
			 the peer review process that:
(a) A hospital
			 may request prior to verification to assess the hospital's system of trauma
			 care, its institutional capabilities, and preparedness for verification;
			 and
(b) Is conducted in accordance
			 with
			 902 KAR
			 28:030, Section 2(1)(a).
(10) "Department" means the Department for
			 Public Health, Cabinet for Health and Family Services.
(11) "Designation" means the process
			 established in
			 902 KAR
			 28:020 by which a hospital is identified by the
			 department as an appropriate facility to receive traumatically injured
			 patients.
(12) "Emergency medical
			 services" or "EMS" is defined by
			 KRS
			 311A.010(5)
(13) "Health Insurance Portability and
			 Accountability Act of 1996" or "HIPAA" means the federal law codified at 45
			 C.F.R. Parts 160, 162, and 164 that covers the use of a patient's protected
			 health information.
(14) "ITLS" or
			 "International Trauma Life Support" means an international standard training
			 course for pre-hospital trauma care designed by the American College of
			 Surgeons.
(15) "Kentucky Trauma
			 Advisory Committee" or "KyTAC" means the advisory committee established by
			 KRS
			 211.494(3).
(16) "Kentucky Trauma Hospital Resource
			 Manual" means the detailed reference document that:
(a) Provides guidance, information,
			 references and resources to assist hospital facilities:
1. Seeking designation as a trauma center
			 pursuant to
			 902 KAR
			 28:020 or
			 902 KAR
			 28:030; or
2. Designated as a trauma center pursuant to
			 902 KAR
			 28:020 or
			 902 KAR
			 28:030;
(b) Is published by the Kentucky Trauma
			 Advisory Committee and available on the Kentucky Hospital Association Web site
			 at
http://www.kyha.com/home/kentucky-trauma-care-system
.
			 and
(c) Is incorporated by
			 reference in
			 902 KAR
			 28:030, Section 3.
(17) "Kentucky Trauma Registry "or "KTR"
			 means a database of information on the operation, quality, and services
			 provided to patients, consistent with the standards of the National Trauma Data
			 Bank (NTDB) as established by the American College of Surgeons Committee on
			 Trauma (ASC COT).
(18) "Level I
			 trauma center" means a regional trauma center that:
(a) Provides total care of every aspect of
			 injury from prevention through rehabilitation; and
(b) Meets the requirements established in
			 902 KAR
			 28:020.
(19) "Level II trauma center" means a
			 regional trauma center that:
(a) Provides
			 screening and initial trauma care of the injured patient regardless of the
			 severity of injury; and
(b) Meets
			 the requirements established in
			 902 KAR
			 28:020.
(20) "Level III trauma center" means a
			 regional trauma center that:
(a) Provides
			 prompt assessment, resuscitation, emergency operations and
			 stabilization;
(b) Arranges for
			 transfer to a facility that can provide trauma care at a higher
			 level;
(c) Serves communities that
			 do not have immediate access to a Level I or Level II trauma center;
			 and
(d) Meets the requirements
			 established in
			 902 KAR
			 28:020.
(21) "Level IV trauma center" means a
			 regional trauma center that:
(a) Provides
			 advanced trauma life support before a patient is transferred to a higher level
			 of care;
(b) Is located in a
			 hospital emergency department; and
(c) Meets the requirements established in
			 902 KAR
			 28:030
(22) "Multidisciplinary trauma review
			 committee" means a committee composed of the facility's trauma services medical
			 director and other members of the facility trauma team that reviews trauma
			 related morbidity and mortality in a hospital.
(23) "NTDB" or "National Trauma Data Bank"
			 means the national repository of trauma registry data established by the ACS
			 COT and found at
http://www.facs.org/trauma/ntdb/index.html
.
(24) "Prehospital care provider" means an
			 individual or organization certified or licensed by the Kentucky Board of
			 Emergency Medical Services to provide out-of-hospital emergency medical
			 services.
(25) "Process Improvement
			 Program" means a quality assurance program established by a trauma center in
			 accordance with the requirements of the ACS COT or the KyTAC, that:
(a) Continually evaluates the performance and
			 quality of care provided by a trauma center; and
(b) Recommends quality improvements to the
			 trauma care program of the center.
(26) "Protected Health Information" means a
			 patient's information as defined in the Health Insurance Portability and
			 Accountability Act of 1996, or HIPAA, 45 C.F.R. Parts 160, 162, and
			 164.
(27) "Response time" means the
			 interval between notification and arrival of the general surgeon, surgical
			 specialist, or other medical professional in the emergency department or
			 operating room.
(28) "RTTDC" or
			 "Rural Trauma Team Development Course" means a course developed by ACS COT for
			 rural hospitals to help a rural hospital develop its trauma team.
(29) "TNCC" or "Trauma Nursing Care Course"
			 means a training course that focuses on trauma care for nurses developed by the
			 Emergency Nurses Association.
(30)
			 "Transfer agreement" means the formal, written agreement between hospitals for
			 the transfer and acceptance of patients that meets the requirements established
			 in
			 902 KAR
			 28:030.
(31) "Trauma" is defined by
			 KRS
			 211.492(1) and
			 311A.010(17).
(32) "Trauma center" is defined by
			 KRS
			 211.492(2).
(33) "Trauma center verification" is defined
			 by
			 KRS
			 211.492(3).
(34) "Trauma coordinator" or "trauma services
			 manager" means an individual:
(a) Designated
			 by the hospital with responsibility for the coordination of all trauma care
			 activities and who works in collaboration with the trauma services medical
			 director; and
(b) Responsible for
			 the requirements established in
			 902 KAR
			 28:030.
(35) "Trauma registry" means a database
			 comprised of trauma data submitted by all hospitals designated as a trauma
			 center consistent with the standards of the National Trauma Data Bank (NTDB) as
			 established by the American College of Surgeons Committee on Trauma (ASC
			 COT).
(36) "Trauma services medical
			 director" means the physician designated by the hospital to coordinate trauma
			 care.
(37) "Trauma system" means
			 the integrated network of hospitals and medical services including
			 transportation, that strives to provide the timely and appropriate services
			 relative to the degree of the patient's injury.