reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-3-1-5.3.9 - Notification of Changes

Current through June 25, 2024
Mississippi State Department of Health shall be
						notified, in writing, of any of the following within 5 business days following
						the occurrence:
1. Address/Location
2. Phone Number (or change in
					 national hotline number)
3. Hours
					 of Operation/24 hour Contact Procedure
4. Medical Director
5. Poison Control Manager
6. Cessation of Business
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-3-1-5.3.10 - Posting of Accreditation Status

Current through June 25, 2024
The accreditation notice shall be displayed in a
						prominent place within the office of the poison control command center.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-3-1-5.3.11 - Inspections

Current through June 25, 2024
Observation and inspection of the poison control center,
						to include but not be limited to, review of staffing, procedures, processes,
						cases, logs, reports, quality assurance/improvement reviews shall be available
						at all reasonable hours to properly identified representatives of the
						Department.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-3-1-5.3.12 - Denial, Suspension or Revocation of Accreditation

Current through June 25, 2024
Under the Agency's authority to promote and protect
						public health, the accrediting Agency will hold authority to deny, suspend or
						revocate the accreditation of an accredited poison control center. Any of the
						following actions may be grounds for action by the Agency:
1. Noncompliance with provisions of the
					 accreditation regulations as written in this chapter;
2. Failure to assure qualified medical
					 oversight and adequately qualified trained staff;
3. Failure to maintain telecommunications on
					 a 24 hour basis;
4. Addiction to
					 narcotics by any member of the medical or management staff of the center;
5. Conviction of a felony by any
					 member of the medical or management staff of the center;
6. Publicly misrepresenting the poison
					 control center or its services;
7.
					 Permitting, aiding or abetting the commission of an unlawful act;
8. Misappropriating monies or properties of
					 the center;
9. Failure to promptly
					 notify the appropriate authorities upon receipt of a call or information
					 indicative of imminent danger to the calling party, their family or others.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-3-1-5.3.13 - Termination of Operation

Current through June 25, 2024
Thirty days prior to discontinuation or determination of
						operation, management within the poison control center shall notify, in
						writing, the Governor and Lieutenant Governor of the State of Mississippi,
						Legislative Speakers of the House, both Senate and House of Representatives,
						the State Health Officer, and all other individuals, as deemed appropriate. The
						poison control center shall take steps, as necessary, to assure notification of
						the citizens of the State of Mississippi.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-5.4.1 - Respiratory Therapy Service

Current through June 25, 2024
The service must be staffed with qualified personnel
						on-call 24 hours/day to provide the necessary treatments for the injured
						patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-5.4.2 - Radiological Service

Current through June 25, 2024
1. The radiologist
					 is a key member of the trauma team and should be represented on the
					 Multidisciplinary Trauma Committee. A radiological service must have a
					 certified radiological technician must be available in-house 24 hours/day to
					 meet the immediate needs of the trauma patient for general radiological
					 procedures. A technician must be immediately available for computerized
					 tomography (CT) for both head and body. If the specialty technician is on-call
					 from home, a mechanism must be in place to assure early notification and timely
					 response.
2. Specialty procedures
					 such as Sonography must be available to the trauma team and may be covered with
					 a technician on call. If the technician is not in-house 24 hours/day for
					 special procedures, the performance improvement process must document and
					 monitor the procedure is promptly available. It is desirable that MRI services
					 be available to the trauma team.
3.
					 The radiologist liaison must attend at least 50 percent of committee meetings
					 and should educate and guide the entire trauma team in the appropriate use of
					 radiologic services. A staff radiologist must be promptly available, when
					 requested, for the interpretation of radiographs, performance of complex
					 imaging studies or interventional procedures. The radiologist must ensure the
					 preliminary interpretations are promptly reported to the trauma team and
					 radiology services must monitor the interpretation.
4. Written policy must exist delineating the
					 prioritization/availability of the CT scanner for trauma patients. The trauma
					 center must have policies designed to ensure that trauma patients who may
					 require resuscitation and monitoring are accompanied by appropriately trained
					 providers during transportation to, and while in, the radiology
					 department.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-5.4.3 - Clinical Laboratory Service

Current through June 25, 2024
1. A clinical
					 laboratory service must have the following services available in-house 24
					 hours/day:
a. Access to a blood bank and
					 adequate storage facilities. Sufficient quantities of blood and blood products
					 must be maintained at all times. Blood typing and cross-match capabilities must
					 be readily available.
b. Standard
					 analysis of blood, urine, and other body fluids includes micro sampling when
					 appropriate.
c. Blood gas and Ph
					 determinations (this function may be performed by services other than the
					 clinical laboratory service, when applicable).
d. Alcohol and drug screening
e. Coagulation studies.
f. Microbiology
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-5.4.4 - Acute Hemodialysis

Current through June 25, 2024
There must be a written protocol to transfer the patient
						to a facility that provides this service if this service if it is not available
						at the Level III Trauma Center.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-5.4.5 - Burn Care

Current through June 25, 2024
There must be a written protocol to transfer the patient
						to a Burn Center that provides this service if this service if it is not
						available at the Level III Trauma Center. Policies and procedures shall be in
						place to assure the appropriate care is rendered during the initial
						resuscitation and transfer of the patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-5.4.6 - Rehabilitation/Social Services

Current through June 25, 2024
1. Recognizing that
					 early rehabilitation is imperative for the trauma patient, a physical medicine
					 and rehabilitation specialist must be available for the trauma
					 program.
2. The rehabilitation of
					 the trauma patient and the continued support of the family members are an
					 important part of the trauma system. Each facility will be required to address
					 a plan for integration of rehabilitation into the acute and primary care of the
					 trauma patient, at the earliest stage possible after admission to the trauma
					 center. Hospitals will be required to identify a mechanism to initiate
					 rehabilitation services and/or consultation in a timely manner as well as
					 policies regarding coordination of the Multidisciplinary Rehabilitation Team.
					 The rehabilitation services must minimally include:
a. Occupational Therapy
b. Physical Therapy
c. Speech Pathology
d. Social Work
e. Psychological Therapy
f. Nutritional Support
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-5.4.7 - Prevention/Public Outreach

Current through June 25, 2024
1. Level III Trauma
					 Centers will be responsible for participating with appropriate agencies,
					 professional groups and hospitals in their region to develop a strategic plan
					 for public awareness. This plan must take into consideration public awareness
					 of the trauma system, access to the system, public support for the system, as
					 well as specific prevention strategies. A trauma center's prevention program
					 must include and track partnerships with other community organizations. The
					 trauma registry data must be utilized to identify injury trends and focus
					 prevention needs.
2. Outreach is
					 the act of providing resources to individuals and institutions that do not have
					 the opportunities to maintain current knowledge and skills. Staff members at
					 the Level III trauma center must provide consultation to staff members at other
					 facilities in the region. Advanced Trauma Life Support (ATLS), Pre Hospital
					 Trauma Life Support (PHTLS), Trauma Nurse Curriculum Course (TNCC), and
					 Transport Nurse Advanced Trauma Course (TNATC) courses for example can be
					 coordinated by the trauma center. Trauma physicians must provide a formal
					 follow up to referring physicians/designee about specific patients to educate
					 the practitioner for the benefit of further injured patients.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-5.4.8 - Transfer Guidelines

Current through June 25, 2024
1. Level III Trauma
					 Centers shall work in collaboration with the referral trauma facilities in
					 their region and develop inter-facility transfer guidelines. These guidelines
					 must address criteria to identify high-risk trauma patients that could benefit
					 from a higher level of trauma care. All designated facilities will agree to
					 provide services to the trauma victim regardless of his/her ability to
					 pay.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 5 - Level III Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-5.4.9 - Education

Current through June 25, 2024
1. Level III Trauma Centers must have
					 internal trauma education programs including training in trauma for physicians,
					 mid-level providers, nurses, ancillary staff and pre-hospital providers.
2. Level III Trauma centers must
					 have a written trauma education plan.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-6.1.1 - General

Current through June 25, 2024
1. Level IV Trauma Centers are generally
					 licensed, small, rural facilities with a commitment to the resuscitation of the
					 trauma patient and written transfer protocols in place to assure those patients
					 who require a higher level of care are appropriately transferred. These
					 facilities may be staffed by a physician, or a licensed mid-level practitioner
					 (i.e., Physician Assistant or Nurse Practitioner) or Registered Nurse. The
					 major trauma patient will be resuscitated and transferred.
2. This designation does not contemplate that
					 Level IV Trauma Centers will have resources available for emergency surgery for
					 the trauma patient. Specialty coverage may or may not be available, but a
					 well-organized resuscitation team is required.
3. Level IV Trauma Centers may meet the
					 following standards in their own facility or through a formal affiliation with
					 another trauma center.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-6.1.2 - Hospital Departments/Divisions/Sections

Current through June 25, 2024
The Level IV Trauma Center must have the following
						departments, divisions, or sections: Emergency Medicine.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-6.1.3 - Trauma Program/Service

Current through June 25, 2024
1. There must be a
					 written commitment letter from the Board of Directors and the medical staff on
					 behalf of the entire facility which states the facility's commitment to
					 compliance with the Mississippi Trauma Care Regulations. The written commitment
					 shall be in the form of a resolution passed by an appropriate quorum of the
					 members of the governing authority. Should the business organization be other
					 than a corporation, a letter explaining such together with a written commitment
					 of the hospital's chief executive officer to the establishment of a trauma care
					 program may be sufficient. A trauma program must be established and recognized
					 by the organization.
Compliance with the above will be evidenced by:
a. Board of Director's and medical staff
					 letter of commitment;
b. Written
					 policies, procedures and guidelines for care of the trauma patient;
c. A defined Trauma Team with written roles
					 and responsibilities;
d. Appointed
					 Trauma Medical Director with a written job description;
e. A written Trauma Performance Improvement
					 Plan;
f. Appointed Trauma Program
					 Manager with a written job description;
g. Documentation of trauma center
					 representative's attendance at the Trauma Care Region meetings.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-6.1.4 - Trauma Medical Director (TMD)

Current through June 25, 2024
1. The Level IV
					 Trauma Center must have a physician director of the trauma program. In this
					 instance, the physician is responsible for working with all members of the
					 trauma team, and overseeing the implementation of a trauma specific performance
					 improvement process for the facility. Through this process, he/she should have
					 overall responsibility for the quality of trauma care rendered at the facility.
					 The director must be given administrative support to implement the requirements
					 specified by the Mississippi Trauma Plan. The director should assist in the
					 development of standards of care and assure appropriate policies and procedures
					 are in place for the safe resuscitation and transfer of trauma patients. The
					 physician director must have current verification in ATLS. ATLS requirements
					 are waived for Board Certified Emergency Medicine and Board Certified General
					 Surgery Physicians.
The TMD must have the authority to manage all aspects of
						trauma care. The TMD authorizes trauma service privileges of the on-call panel,
						works in cooperation with the nursing administration to support the nursing
						needs of trauma patients, and develops treatment protocols along with the
						trauma team in collaboration with the peer review processes. The TMD must
						perform an annual assessment of the trauma panel providers.
2. Compliance with the above will be
					 evidenced by:
a. Chairing and participating
					 in the multidisciplinary trauma committee where trauma performance improvement
					 is presented and attend a minimum of 50 percent of the committee meetings.
b. Administrative support can be
					 documented in the organizational chart which depicts the reporting relationship
					 between the trauma program medical director and administration;
c. Trauma specific policies, procedures and
					 guidelines approved by the TMD
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-6.1.5 - Trauma Program Manager (TPM)

Current through June 25, 2024
1. The trauma
					 center must have a person to act as a liaison to the regional evaluation
					 process to conduct many of the administrative functions required by the trauma
					 program. It is not anticipated that this would be a full-time role.
					 Specifically, this person is responsible, with the TMD, for coordinating
					 optimal patient care for all injured victims. This position will ideally serve
					 as liaison with local EMS personnel, the Trauma Care Region, and other trauma
					 centers. The TPM must obtain/maintain TNCC and/or 4 hours of trauma related
					 education per year.
2. Compliance
					 with the above will be evidenced by:
a.
					 Attendance at and participation in the committee where trauma performance
					 improvement is presented;
b. A
					 written job description of roles and responsibilities to the trauma program
					 which include: management of the trauma program, monitoring of clinical
					 activities on trauma patients, providing staff with trauma related education,
					 implementation of trauma specific performance improvement and supervision of
					 the trauma registry;
c.
					 Documentation of collaboration with TMD in the development and implementation
					 of trauma specific policies, procedures and guidelines.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-6.1.6 - Trauma Team

Current through June 25, 2024
1. The team
					 approach is optimal in the care of the multiple injured patients. The trauma
					 center must have a written policy for notification and mobilization of an
					 organized trauma team to the extent that one is available. The Trauma Team may
					 vary in size and composition when responding to the trauma activation. The
					 physician leader or mid-level provider on the trauma team is responsible for
					 directing all phases of the resuscitation in compliance with ATLS protocol.
Suggested composition of the trauma team includes, if
						available:
a. Physicians and/or
					 mid-level providers
b. Laboratory
					 Technicians
c. Nursing
d. Ancillary Support Staff
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-3-1-6.1.7 - Multidisciplinary Trauma Committee

Current through June 25, 2024
1. The purpose of
					 the committee is to provide oversight and leadership to the entire trauma
					 program. The exact format will be hospital specific and may be accomplished by
					 collaboration with another designated trauma center in the system. The major
					 focus will be on PI activities, policy development, communication among all
					 team members, development of standards of care, education and outreach
					 programs, and injury prevention. The committee oversees the implementation of
					 the process which includes all program related services, meets regularly, takes
					 attendance, maintains minutes and works to correct overall program deficiencies
					 to optimize patient care.
Membership for the committee includes representatives (if
						available in the community) from:
a.
					 Emergency Medicine
b. Respiratory
					 Therapy
c. Radiology
d. Laboratory
e. Rehabilitation
f. Pre-hospital Care Providers
g. Administration
h. Nursing
i. Trauma Program Manager
j. Trauma Medical Director (Chairman; must be
					 present = 50%)
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 2 - Clinical Components › Rule 15-3-1-6.2.1 - Required Components

Current through June 25, 2024
1. The trauma
					 center must maintain published on-call schedules for physicians and/or
					 mid-level providers on-call to the facility.
2. Emergency Medicine (In-house 24
					 hours/day). Emergency Physician and/or mid-level provider (Physician
					 Assistant/Nurse Practitioner) must be in the specified trauma resuscitation
					 area upon patient arrival.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-3-1-6.3.1 - Emergency Department

Current through June 25, 2024
1. The facility
					 must have an emergency department staffed so trauma patients are assured
					 immediate and appropriate initial care. There must be a designated physician
					 director. It is not anticipated that a physician will be available on-call to
					 an emergency department in a Level IV Trauma Center; however it is a desirable
					 characteristic of a Level IV. The on-call practitioner must respond to the
					 emergency department based on local written criteria. A system must be
					 developed to assure early notification of the on-call practitioner. Compliance
					 with this criterion must be documented and monitored by the Trauma Performance
					 Improvement process.
2. All
					 physicians and mid-level providers (Physician Assistant/Nurse Practitioner) on
					 the trauma team responsible for directing the initial resuscitation of the
					 trauma patients must be currently certified in The American College of Surgeons
					 Advanced Trauma Life Support (ATLS). ATLS requirements are waived for Board
					 Certified Emergency Medicine and Board Certified General Surgery Physicians.
					 Rural Trauma Team Development Course (RTTDC) may be substituted for ATLS at
					 Level IV Trauma Centers.
3.
					 Emergency nurses staffing the trauma resuscitation area must be a current
					 provider in TNCC, ATCN, or RTTDC within the last four years. Nurses must obtain
					 trauma training within 18 months of assignment to the ER. Adequate numbers of
					 nurses must be available in-house 24 hours/day, to meet the need of the trauma
					 patient. The nurse may perform other patient care activities within the
					 hospital when not needed in the emergency department.
4. Compliance with the above will be
					 evidenced by:
a. Published on-call list of
					 practitioners to the Emergency Department;
b. Documentation of nursing staffing patterns
					 to assure 24-hour coverage.
c. The
					 list of required equipment necessary for the ED can be found on line at the
					 Department's website.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-6.4.1 - General

Current through June 25, 2024
1. It is not anticipated that Level IV Trauma
					 Centers have any of the following services available 24/7:
a. Respiratory Therapy Services
b. Radiology Services
c. Clinical Laboratory Services
d. Hemodialysis: There must be a written
					 protocol to transfer the patient to a facility that provides this service if
					 this service is not available at the Level IV Trauma Center.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-6.4.2 - Burn Care

Current through June 25, 2024
There must be a written protocol to transfer the patient
						to a Burn Center that provides this service if this service if it is not
						available at the Level IV Trauma Center. Policies and procedures shall be in
						place to assure the appropriate care is rendered during the initial
						resuscitation and transfer of the patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-6.4.3 - Prevention/Public Outreach

Current through June 25, 2024
1. The Level IV
					 Trauma Center is responsible for working with other trauma centers and the
					 Department to develop education and prevention programs for the public and
					 professional staff
2. Level IV
					 Trauma Centers shall collaborate with Level I, II, and III Trauma Centers, Burn
					 Centers and Tertiary/Secondary Pediatric Centers for the purposes of systemwide
					 performance improvement.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-6.4.4 - Transfer Guidelines

Current through June 25, 2024
1. All facilities
					 will work together to develop transfer guidelines indicating which patients
					 should be considered for transfer and procedures to ensure the most expedient,
					 safe transfer of the patient. All designated facilities will agree to provide
					 service to the trauma patient regardless of their ability to pay.
2. The following trauma patient treatment
					 guidelines must be in place, at a minimum:
a.
					 Pediatrics
b. Burns
c. Surgical
d. Orthopedics
e. Neurological
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 6 - Level IV Trauma Centers › Subchapter 4 - Clinical Support Services › Rule 15-3-1-6.4.5

Current through June 25, 2024
Level IV Trauma Centers must have internal trauma
						education program.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.1 - General

Current through June 25, 2024
1. Tertiary Pediatric Trauma Centers shall
					 act as regional tertiary care facilities at the hub of the trauma care system
					 for injured pediatric patients. The facility shall have the ability to provide
					 leadership and total care for every aspect of injury from prevention to
					 rehabilitation. The Tertiary Pediatric Trauma Center must have adequate depth
					 of resources and personnel.
2. A
					 stand-alone Pediatric Trauma Center provides tertiary pediatric trauma care
					 without sharing resources with another facility (i.e., CT scanner, radiology,
					 surgeons, etc.). Only Level I Trauma Centers and stand-alone pediatric
					 hospitals may qualify as a Tertiary Pediatric Trauma Center.
3. The Tertiary Pediatric Trauma Centers have
					 the responsibility of providing leadership in pediatric trauma education,
					 trauma prevention, pediatric trauma research, system planning and performance
					 improvement.
4. The list of
					 required equipment for Tertiary Pediatric Trauma Centers can be found on-line
					 at the Department's website.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.2 - Hospital Departments/Divisions/Sections

Current through June 25, 2024
1. The Tertiary
					 Pediatric Trauma Center must have the following department, divisions, or
					 sections:
a. Emergency medicine
b. General surgery (not required for
					 stand-alone Pediatric Trauma Center)
c. Pediatric surgery
d. Orthopedic surgery
e. Neurological surgery
f. Anesthesia
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.3 - Pediatric Trauma Program

Current through June 25, 2024
1. There must be a
					 written commitment on behalf of the entire facility to the organization of
					 pediatric trauma care. The written commitment shall be in the form of a
					 resolution passed by an appropriate quorum of the members of the governing
					 authority. Should the business organization be other than a corporation, a
					 letter explaining such together with a written commitment of the hospital's
					 chief executive officer to the establishment of a pediatric trauma care program
					 is sufficient. The pediatric trauma program must be established and recognized
					 by the medical staff and hospital administration. The pediatric trauma program
					 must come under the direction of a board-certified in General Surgery or
					 Pediatric Surgery in Tertiary Center, current or previous board-certification
					 in General or Pediatric Surgery in Primary and Secondary Centers with special
					 interest in pediatric trauma care. An identified hospital administrative leader
					 must work closely with the pediatric trauma medical director to establish and
					 maintain the components of the pediatric trauma program including appropriate
					 financial support. The pediatric trauma program location in the organizational
					 structure of the hospital must be under the overall adult trauma program and
					 must be such that it may interact effectively with at least equal authority
					 with other departments providing pediatric patient care. The administrative
					 structure must minimally include an administrator, pediatric medical director,
					 trauma program manager, trauma registrar, and the appropriate support staff
					 These resources must be captured under the organization of the adult trauma
					 program. The pediatric trauma program must be multidisciplinary in nature and
					 the performance improvement evaluation of this care must be extended to all the
					 involved departments.
2. Compliance
					 with the above will be evidenced by but not confined to:
a. Governing authority and medical staff
					 letter of commitment in the form of a resolution;
b. Written policies and procedures and
					 guidelines for care of the pediatric trauma patient;
c. Defined pediatric trauma team and written
					 roles and responsibilities;
d.
					 Appointed pediatric trauma medical director with a written job
					 description;
e. Appointed pediatric
					 trauma program manager with a written job description;
f. A written pediatric trauma performance
					 improvement plan.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.4 - Pediatric Trauma Service

Current through June 25, 2024
The pediatric trauma service must be established and
						recognized by the medical staff and be responsible for the overall coordination
						and management of the system of care rendered to the injured pediatric patient.
						The pediatric trauma service will vary in each institution depending on the
						needs of the pediatric patient and the resources available. The pediatric
						trauma service must come under the organization of the adult trauma program
						(not required for a stand-alone facility) and direction of a surgeon who is
						board certified- Tertiary Pediatric Trauma Center, current or previous board
						certified- Primary and Secondary Trauma Centers with special interest in
						pediatric trauma care. All pediatric patients with multiple system trauma or
						serious injury must be evaluated and/or admitted by the pediatric trauma
						service. The surgeon responsible for the overall care of the pediatric patient
						must be identified.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.5 - Pediatric Trauma Medical Director (TMD)

Current through June 25, 2024
Tertiary pediatric trauma centers must have a physician
						director Board Certified in General Surgery or Pediatric Surgery of the
						pediatric trauma program. This role can be filled by the TMD of the adult
						trauma center. The pediatric TMD plays an important administrative role and may
						not direct more than one pediatric trauma center. The pediatric TMD will be
						responsible for developing a performance improvement process and will have
						overall accountability and administrative authority for the pediatric trauma
						program. The pediatric TMD must be given administrative support to implement
						the requirements specified by the State trauma plan. The pediatric TMD is
						responsible for working with the credentialing process of the hospital, and in
						consultation with the appropriate service chiefs, for recommending appointment
						and removal of physicians from the pediatric trauma team. He/she must cooperate
						with nursing administration to support the nursing needs of the pediatric
						trauma patient and develop treatment protocols for the pediatric trauma
						patient. The pediatric trauma medical director, in collaboration with the
						trauma program manager, must coordinate the budgetary process for the trauma
						program. The director must be currently certified in ATLS, maintain personal
						involvement in care of the injured pediatric patient, maintain education in
						pediatric trauma care, and maintain involvement in professional organizations.
						The pediatric TMD must be actively involved with the trauma system development
						at the community, regional, and state levels. The TMD must perform an annual
						assessment of the general surgeons, pediatric surgeons, and mid-level providers
						assigned to the pediatric trauma service using a formal documented
						process.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.6 - Pediatric Trauma Program Manager

Current through June 25, 2024
1. Tertiary
					 pediatric trauma centers must have a registered nurse working in the role of
					 the TPM. The TPM of the adult trauma center may assume this additional role;
					 however, if a pediatric TPM is utilized, the pediatric TPM is to report and be
					 held accountable by the adult TPM. Working in conjunction with the pediatric
					 trauma medical director, the pediatric TPM is responsible for organization of
					 the pediatric trauma program and all systems necessary for the
					 multidisciplinary approach throughout the continuum of trauma care. The
					 pediatric TPM is responsible for working with the pediatric trauma team to
					 assure optimal patient care. There are many requirements for data coordination,
					 PI, education, and prevention activities incumbent upon this position. The TPM
					 must obtain 16 hours of trauma related education per year.
2. The pediatric TPM/designee must offer or
					 coordinate services for pediatric trauma education. The pediatric TPM must
					 liaison with local EMS personnel, the Department and other trauma centers.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.7 - Pediatric Trauma Team

Current through June 25, 2024
The team approach is optimal in the care of the multiple
						injured pediatric patient. There must be identified members of the pediatric
						trauma team. Policies must be in place describing the respective role of all
						personnel on the pediatric trauma team. The composition of the pediatric trauma
						team will depend of the characteristics of the hospital and its staff. All
						physicians and/or mid-level providers (Physician Assistant/Nurse Practitioner)
						on the pediatric trauma team responsible for directing the initial
						resuscitation of the pediatric trauma patient must be certified in The American
						College of Surgeons Advanced Trauma Life Support (ATLS). ATLS requirement is
						waived for Board Certified Emergency Medicine, Board Certified General Surgery
						and Board Certified Pediatric Surgery physicians.
Composition of the trauma team for a severely injured
						patient includes:
1. ED physician
					 and/or mid-level providers (Physician Assistant/Nurse Practitioner)
2. General/Pediatric surgeon
3. Nurses: ED
4. Laboratory Technicians
5. Radiology Services
6. Respiratory Therapist
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.8 - Multidisciplinary Trauma Committee

Current through June 25, 2024
1. The purpose of
					 the committee is to provide oversight and leadership to the entire trauma
					 program including the pediatric trauma program. The exact format will be
					 hospital specific and may be accomplished by collaboration with another
					 designated trauma center in the region. Each trauma center may choose to have
					 one or more committees as needed to accomplish this task. One committee must be
					 multidisciplinary and focus on pediatric trauma program oversight and
					 leadership. The major focus will be on performance improvement (PI) activities,
					 pediatric trauma policy development, communication among all pediatric trauma
					 team members, and establishment of pediatric trauma standards of care,
					 education, and outreach programs for pediatric injury prevention. The committee
					 has administrative and systematic control and oversees implementation of all
					 pediatric trauma program services, meets regularly, takes attendance, maintains
					 minutes, and works to correct overall pediatric trauma program deficiencies to
					 optimize pediatric patient care. Membership for the committee includes
					 representatives from:
a. TMD (Chairman, must
					 be present greater than 50% of the meetings)
b. Pediatric Emergency Medicine
c. Pediatric Surgery
d. Pediatric Orthopedics
e. Pediatric Neurosurgery
f. Anesthesia
g. Operating room
h. Intensive care
i. Respiratory Therapy
j. Radiology
k. Laboratory
l. Pediatric Rehabilitation
m. Pre-hospital care providers
n. Administration
o. Pediatrics
p. Nursing
q. Trauma Program Manager
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.10 - Qualifications of Surgeons on the Trauma Team

Current through June 25, 2024
1. Basic
					 qualifications for pediatric trauma care for any surgeon is Board Certification
					 in a surgical specialty recognized by the American Board of Medical
					 Specialties, the Advisory Board of Osteopathic Specialties, the Royal College
					 of Physicians, the American Dental Association and Surgeons of Canada, or other
					 appropriate foreign board. Many boards require a practice period. Such an
					 individual may be included when recognition by major professional organizations
					 has been received in their specialty. The board certification criteria apply to
					 the general surgeons, orthopedic surgeons, and neurosurgeons.
2. Alternate criteria in lieu of board
					 certification are as follows:
a. A non-board
					 certified general surgeon must have completed a surgical residency
					 program.
b. He/she must be licensed
					 to practice medicine.
c. He/she
					 must be approved by the hospital's credentialing committee for surgical
					 privileges.
d. The surgeon must
					 meet all criteria established by the pediatric trauma medical director to serve
					 on the pediatric trauma team.
e.
					 The surgeon's experience in caring for the pediatric trauma patient must be
					 tracked by the trauma PI program.
f. The pediatric trauma medical director must
					 attest to the surgeon's experience and quality as part of the recurring
					 granting of pediatric trauma team privileges.
g. The pediatric trauma medical director
					 using the trauma PI program is responsible for determining each general
					 surgeon's ability to participate on the pediatric trauma team.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.11 - Qualifications of Emergency Physicians

Current through June 25, 2024
1. For those
					 physicians providing emergency medicine coverage, board certification in
					 Emergency Medicine or General/Pediatric Surgery is required or current
					 certification in ATLS.
2. Alternate
					 criteria for the non-boarded physician working in the Emergency Department are
					 as follows:
a. He/she must be licensed to
					 practice medicine.
b. He/she must
					 be approved by the hospital's credentialing committee for emergency medicine
					 privileges.
c. The physicians meet
					 all criteria established by the pediatric trauma and emergency medicine
					 directors to serve on the pediatric trauma team.
d. The physician's experience in caring for
					 the pediatric trauma patient must be tracked by the trauma PI program.
e. The pediatric trauma and
					 emergency medicine directors must attend to the physician's experience and
					 quality as part of the recurring granting of pediatric trauma team privileges.
f. ATLS must be obtained within 18
					 months of hire.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 3 - Bureau of Acute Care Systems › Subpart 1 - Trauma System of Care › Chapter 7 - Pediatric Trauma Centers › Subchapter 1 - Tertiary Pediatric Trauma Centers › Rule 15-3-1-7.1.12 - Facility Standards-Emergency Medicine

Current through June 25, 2024
1. The facility
					 must have a dedicated pediatric emergency department so pediatric patients are
					 assured immediate and appropriate initial care. The emergency physician must be
					 in-house 24 hours/day and immediately available at all times. The emergency
					 department medical director must meet the recommended requirements related to
					 commitment, experience, continuing education, ongoing credentialing, and board
					 certification in emergency medicine.
2. The director of the emergency department,
					 along with the pediatric trauma medical director, will establish
					 trauma-specific credentials that must exceed those that are required for
					 general hospital privileges. Examples of credentialing requirements would
					 include skill proficiency, training requirements, conference attendance,
					 education requirements, ATLS verification, and specialty board certification.
3. The emergency medicine
					 physician will be responsible for activating the pediatric trauma team based on
					 predetermined response protocols. He will provide trauma leadership and care
					 for the pediatric trauma patient until the arrival of the surgeon in the
					 resuscitation area. The emergency department must have established standards
					 and procedures to ensure immediate and appropriate care for the pediatric
					 trauma patient. The emergency department medical director, or his/her designee,
					 must act as a liaison and participate with the Multidisciplinary Trauma
					 Committee and the trauma PI process.
4. There shall be an adequate number of RN's
					 staffing the trauma resuscitation area in-house 24 hours/day. Emergency nurses
					 staffing the trauma resuscitation area must be a current provider of Trauma
					 Nurse Core Curriculum (TNCC) or Advanced Trauma Care for Nurses (ATCN) and
					 participate in the ongoing PI process of the trauma program. Nurses must obtain
					 TNCC or ATCN within 18 months of assignment to the ER.
5. The list of required equipment necessary
					 for the ED can be found on-line at the Department's website.
Miss. Code Ann.
						§
												41-59-5