Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Statewide Trauma System › Part 1 - GENERAL PROVISIONS › Section R. 325.129 - Powers and duties of department

Current through Vol. 24-12, July 15, 2024
Rule 5.
(1) The
				  department, with the advice of the emergency medical services coordination
				  committee and statewide trauma care advisory subcommittee, shall do all of the
				  following:
(a) Implement an "all-inclusive"
				  trauma system throughout the state. This type of system allows for the care of
				  all injured or potentially injured patients in an integrated system of health
				  care in the pre-hospital and health care facility environments by personnel
				  that are well trained and equipped to care for injured patients of any
				  severity. The system allows for a health care facility to participate in the
				  system to the extent or level that it is willing to commit the resources
				  necessary for the appropriate management of the trauma patients and prohibits
				  the department from limiting the number of health care facilities that seek to
				  qualify for any given level of trauma designation under this system. It also
				  ensures that all trauma patients are served by a system of coordinated care,
				  based on the degree of injury and care required.
(b) Perform all of the following:
(i) Establish a statewide trauma quality
				  improvement process using a statewide database.
(ii) Monitor the statewide trauma
				  system.
(iii) Ensure the
				  coordination and performance of the regional trauma networks.
(iv) Set minimum standards for system
				  performance and trauma patient care.
(c) Develop a statewide process to establish
				  regional trauma networks comprised of local medical control authorities in a
				  manner that integrates into existing regional emergency preparedness, EMS, or
				  medical control systems.
(d)
				  Implement and maintain a statewide trauma systems plan
.
(e) Develop a statewide process for the
				  verification of trauma resources based on criteria as defined in the "American
				  College of Surgeons-Resources for Optimal Care of the Injured Patient; 2014,"
				  including any subsequent amendments and editions of this publication. This
				  document is available online at the ACS website or from ACS, P.O. Box 92425,
				  Chicago, IL 60675.
(f) Develop a
				  statewide process for the designation of trauma facilities.
(g) Develop an appeals process for facilities
				  contesting their designation.
(h)
				  Establish state trauma recommendations and approve regional trauma triage
				  protocols which are established and adopted by the local medical control
				  authority.
(i) Maintain the
				  established regional trauma networks to provide system oversight of the trauma
				  care provided in each region of the state. Regional trauma networks shall be
				  comprised of collaborating local medical control authorities (MCAs) in a
				  region. The collaborating MCAs in a region shall apply to the department for
				  approval and recognition as a regional trauma network. The department, with the
				  statewide trauma care advisory subcommittee and emergency medical services
				  coordination committee, shall review the regional trauma network application
				  for approval every 3 years. The establishment of the regional trauma networks
				  shall not limit the transfer or transport of trauma patients between regional
				  trauma networks.
(j) Require field
				  triage protocols which are established and adopted by local medical control and
				  regional trauma networks, and shall be developed based on triage criteria
				  prescribed by the department upon the recommendation of the STAC and emergency
				  medical services coordination committee, and following the procedures
				  established by the department under MCL
				  333.20919(3).
(k) Verify the trauma care resources of
				  designated trauma facilities or health care facilities seeking designation in
				  this state for a 3-year period.
(l)
				  Establish a mechanism for periodic redesignation of all health care trauma care
				  facilities.
(m) Develop a
				  comprehensive statewide data collection system.
(n) Formulate recommendations for the
				  development of performance improvement plans by the regional trauma networks,
				  consistent with those in
				  R
				  325.135.
(o) Develop a process for trauma system
				  performance improvement, which will include responsibility for monitoring
				  compliance with standards, maintaining confidentiality, and providing periodic
				  review of trauma facility standards. The standards as specified in R
				  325.129(2)(1)(e) and
				  R
				  325.135 are incorporated by reference in these
				  rules.
(p) Develop a process for
				  the evaluation of trauma system effectiveness based on standards that are
				  incorporated by reference in these rules, as specified in subdivision (b) of
				  this subrule and
				  R
				  325.135.
(q) Coordinate and integrate appropriate
				  injury prevention initiatives and programs.
(r) Support the state trauma system and
				  provide resources to carry out its responsibilities and functions.
(s) Support the training and education needs
				  and resources of trauma care personnel throughout the state.