reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.8 - Trauma Card Trust Fund Hospital Variable Distribution

Current through June 25, 2024
1. Fifty percent (50%) of the amount reserved
					 for distribution to hospitals shall be distributed according to a "Variable
					 Distribution" formula.
2. Using
					 patient data collected in the Trauma Registry, assign all trauma cases of each
					 Level I, Level II, and Level II Trauma Center an ISS severity index and
					 category of A, B, C, or D according to the following table:
ISS
ISS Severity Index
ISS Severity Category
1-9
1.02
A
10-15
2.02
B
16-24
3.80
C
>24
6.57
D
3. Using patient data collected in the Trauma
					 Registry, Calculate the number of cases treated by each trauma center which
					 fall within each ISS Severity Category.
4. 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.
5. 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.
6. 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.
7. 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.
8. Add the points from Categories A, B, C,
					 and D to arrive at a total number of points for each trauma center.
9. Sum the number of points from all
					 categories and all hospitals to arrive at a total number of points for all
					 trauma centers.
10. Take the number
					 of points for each hospital and multiply that number by the total dollar amount
					 for the 50 percent of the TCTF available for distribution to participating,
					 eligible trauma centers. Take the product of that calculation and divide the
					 resulting number by the total number of points for all trauma
					 centers.
11. The resulting quotient
					 is the dollar amount of the Hospital Variable Fund to be distributed to that
					 trauma center.
12. Sum all the
					 amounts to be distributed pursuant to the Hospital Variable Fund Calculation.
					 The sum of all distributions should not exceed fifty percent (50%) of the
					 eighty-five percent (85%) of the TCTF available for distribution to
					 hospitals.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.9 - Trauma Care Trust Fund Burn Center Distribution

Current through June 25, 2024
Five percent (5 %) of the amount reserved for
						distribution to hospitals shall be distributed to designated burn centers
						within the Trauma Care System. If more than one burn center is operating within
						the system, the 5% will be distributed based on a pro-rata share of patients as
						determined by Trauma Registry inputs. (Note: Trauma patients counted toward
						burn center distribution cannot be used to determine hospital variable
						distribution.) If no hospital has been designated as a burn center at the time
						of the distribution, the 5% shall be included in the Hospital Fixed
						Distribution.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.10 - Play or Pay General Requirements

Current through June 25, 2024
1. Every
					 Mississippi licensed acute care facility (hospital) having an organized
					 emergency service or department shall participate in the Mississippi Statewide
					 Trauma Care System. Every hospital having an organized emergency service or
					 department shall submit data to the Trauma Registry.
2. Hospitals with the potential to serve as
					 Level I, II, or III Trauma Centers must participate at the highest trauma
					 designation level consistent with its capabilities as assessed by the
					 Department.
3. Any hospital
					 determined capable of participating as a Level IV Trauma Center may make
					 application to be designated as a Level IV Trauma Center. A Level IV Trauma
					 Center is required to submit data to the Trauma Registry and is eligible for
					 $10,000 for administrative costs and a $10,000 educational credit as a
					 participant in the Trauma Care System.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.11 - Annual Capability Assessment

Current through June 25, 2024
1. Each year, all
					 licensed acute care facilities shall complete a survey on forms provided by the
					 Department. The facility will attest to the presence or absence of clinical
					 services. Based on the facility's response, as well as other supporting
					 evidence, the Department shall render an assessment of the facility's potential
					 to participate in the Trauma Care System.
2. Each facility shall receive a
					 pre-assessment survey during the first week of July of each year to be
					 completed and returned to the appropriate Trauma Care Region by the first week
					 of August.
3. Each Trauma Care
					 Region will review the survey of each facility within the region, and will
					 forward comments on the Department approved form, detailing the level that each
					 facility is capable of participating in the Trauma Care System by the first
					 week of September.
4. On or about
					 the third week in September an invoice and application (as applicable) will be
					 sent by the Department to each facility in response to their respective
					 survey.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.12 - Annual Assessment Criteria

Current through June 25, 2024
For the purposes of the annual assessment, clinical
						services must be available 24 hours per day, seven days per week to be
						considered.
1. Level I Trauma
					 Center required services:
a. Emergency
					 Medicine
b. General
					 Surgery
c. Orthopedic
					 Surgery
d. Neurological
					 Surgery
e. Anesthesia
f. Post Anesthesia Care Unit (PACU)
g. Intensive Care Unit (ICU)
h. Surgical Residency Program
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.13 - Play or Pay Non-Participation Fee

Current through June 25, 2024
1. Any hospital
					 that chooses not to participate in the Trauma Care System as a Level I, II, or
					 III Trauma Center, or participates at a level lower than the level at which it
					 is capable of participating, as determined by the Department, or fails to
					 maintain or becomes incapable of maintaining its designation as a Level I, II
					 or III Trauma Center, or has its designation as a Level I, II, or III Trauma
					 Center suspended by the Department, or becomes "non-designated" as a Level I,
					 II, or III Trauma Center, shall be assessed and shall pay a non-participation
					 fee as defined by this regulation.
2. All fees are due and payable annually
					 before January 1 of each year. Any event above, occurring during the calendar
					 year shall result in the hospital owing a pro-rata portion of the fee. The fee
					 assessed shall be pro-rated on a monthly basis. The fee shall be paid in full
					 upon written notification from the Department.
3. The fee schedule shall be reassessed and
					 adjusted, as necessary, each year by the Mississippi Trauma Advisory
					 Committee.
4. The fee schedule is
					 as follows:
Current Level
Projected Level
Fee for Non Participation
Non Designated
Level II
$1,492,000.00
Non Designated
Level III
$ 758,000.00
Level III to
Level II
$ 423,500.00
Level IV to
Level II
$1,492,000.00
Level IV to
Level III
$ 758,000.00
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 3 - Financial Support for the Trauma Care System › Rule 15-12-32-1.3.14 - Play or Pay Appeal Process

Current through June 25, 2024
1. Following the
					 receipt of an invoice from the Department for a Non-Participation fee, the
					 hospital assessed the fee may request a due process hearing on the assessment.
					 Any such request for hearing must be filed by the assessed facility with the
					 Director of Emergency Medical Services, Mississippi State Department of Health,
					 within twenty (20) days of the date of the assessment.
2. The date of the assessment is defined as
					 the date which the assessment is placed in the United States Mail, postage
					 pre-paid, addressed to the facility assessed, at the address furnished by the
					 hospital to Trauma Registry, or to the address published by the party as its
					 usual and customary business address. The date of the postmark shall be prima
					 facie evidence of the date of the assessment.
3. The Director of Emergency Medical
					 Services, upon receipt of a valid, timely request for a hearing, shall set a
					 date no more than ten (10) calendar days from the receipt of the request for
					 hearing.
4. The hearing officer
					 appointed to conduct the hearing shall be a person chosen or appointed by the
					 Director of the Office of Health Protection. A stenographic record of the
					 hearing shall be made by a certified reporter/stenographer. The record shall
					 consist of all sworn testimony taken, written, documentary or other relevant
					 evidence taken at said hearing.
5.
					 The only issues for adjudication are:
a. The
					 timeliness of notice of the assessment and delivery of the same;
b. The trauma classification of the party;
					 and
c. The calculation of the
					 amount of the assessment.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 4 - Mississippi State Trauma Registry › Rule 15-12-32-1.4.1 - Applicability to Hospitals and Pre-Hospital Providers

Current through June 25, 2024
1. All Mississippi-licensed hospitals which
					 have an emergency service or department shall participate in the Trauma
					 Registry data collection process, whether or not they participate in the Trauma
					 Care System. All out-of-state hospitals designated as Mississippi Trauma
					 Centers shall participate in the Trauma Registry. Specialized treatment
					 centers, either in-state or out-of-state, that have contracts with the
					 Department to provide care to Mississippi trauma/burn patients, shall
					 participate in the Trauma Registry.
2. All trauma data collection instruments
					 shall include the collection of both pre-hospital and hospital patient care
					 data, and shall be integrated into the Department's data management systems.
					 Trauma registry inclusion criteria can be found on the Department's
					 website.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 4 - Mississippi State Trauma Registry › Rule 15-12-32-1.4.2 - Timeliness of Submissions

Current through June 25, 2024
Trauma Registry data shall be submitted by all hospitals
						to the Department no later than one (1) month plus six (6) days after the end
						of the current month. For example, Trauma Registry data for the month of
						January is due on March 6th.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 4 - Mississippi State Trauma Registry › Rule 15-12-32-1.4.3 - Trauma Registrar staffing

Current through June 25, 2024
Each trauma center shall have a sufficient number of
						trauma registrars to ensure all registry entries are submitted on time and are
						accurate. Registrars must complete initial training within six (6) months of
						hire/assignment. All registrars must complete four (4) hours of continuing
						registrar education annually.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.1 - Implementation of a Regional Trauma Care System

Current through June 25, 2024
1. The
					 Mississippi Trauma Care Plan documents the need for a regional approach toward
					 the development of a statewide trauma care system. This regional development
					 will be coordinated and supported by the legislatively designated "lead trauma
					 agency," the Mississippi State Department of Health.
2. The Mississippi Trauma Care Plan
					 recognizes the uniqueness within differing parts of the state with regard to
					 personnel, resources, environmental issues, distance to tertiary care and
					 population. Accordingly, the Mississippi Trauma Care Plan provides for a system
					 that allows for flexibility at the regional level, incorporates the use of
					 regional leadership to establish regional/local guidelines, and is sensitive to
					 regional needs and resources. As a result the Mississippi Trauma Care Plan
					 ensures a statewide trauma system design that is based on the resources
					 available within each region, while ensuring optimal care to the trauma victim
					 through transfer agreements when resources may not be available within a
					 certain geographical area.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.2 - Designation of Trauma Care Regions

Current through June 25, 2024
To receive state designation as a Trauma Care Region, the
						hospitals and their respective medical staffs intending to establish the Trauma
						Care Region shall send a letter of intent to the Department which
						includes:
1. A description of the area
					 to be served;
2. The names of all
					 Trauma Centers and hospitals participating in the region; and
3. The form of regional administration for
					 the proposed Trauma Care Region.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.3 - Establishment of a Region Board of Directors

Current through June 25, 2024
1. All Trauma
					 Care Regions designated by the Department shall establish a Board of Directors,
					 which shall be recognized as the lead administrative body of that Region. Board
					 members shall be representative(s) of participating and designated trauma care
					 centers, physicians, or any other person deemed appropriate by the Board. The
					 Board shall have administrative authority over the operation of the Trauma Care
					 Region and subsequent trauma system programs.
2. Trauma Care Region boards are authorized
					 to receive funds and to expend funds as may be available for any necessary and
					 proper trauma care program purposes in the manner provided for in these
					 Regulations or in law. Non compliance will result in loss of funding to the
					 region for each corresponding activity.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.4 - Administration of the Trauma Care Region

Current through June 25, 2024
1. After formation
					 of a Trauma Care Region board, the board shall appoint an administrator who
					 shall have authority over the operation of the Trauma Care Region and
					 subsequent trauma care programs, all under the direction of the Trauma Care
					 Region board. Such management may be carried out by an appointed executive
					 manager, by contracting for management services, or by some other means, to be
					 approved by the Department.
2. The
					 functions of a Trauma Care Region include, but are not limited to, the
					 following:
3. Track and assist in
					 the distribution of the Trauma Care Trust Fund to hospitals, physicians, and
					 EMS agencies;
4. Maintain a
					 regional database including, but not limited to, hospitals in the region,
					 designation status, and expiration date;
5. Monitor pre-hospital triage and transport
					 of the trauma patient;
6. Maintain
					 and ensure compliance of the Regional Trauma Plan;
7. Provide training opportunities for
					 physicians, nurses, and EMS and support personnel, maintain a schedule, and
					 ensure notification to qualifying personnel;
8. Monitor the ongoing PI program of each
					 trauma program in the respective region; and
9. Other such activities as may be required
					 by the Department in the annual contractual agreement.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.5

Current through June 25, 2024
Performance of each trauma region shall be evaluated
						annually with continued financial support contingent on adequate performance
						based on outcome measures.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.6 - Region Trauma Plans

Current through June 25, 2024
1. A Trauma Care
					 Region intending to implement a trauma care system shall submit its Regional
					 Trauma Plan to the Department and have it approved prior to implementation.
					 Within 30 days of receiving the plan, the Department shall provide written
					 notification to the Trauma Care Region of the following:
a. That the plan has been received by the
					 Department;
b. Whether the
					 Department approves or disapproves of its Regional Trauma Plan; and
c. If disapproved, the reason for disapproval
					 of the Regional Trauma Plan;
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.7 - Required Elements of a Region Trauma Plan

Current through June 25, 2024
The Region Trauma Plan shall be comprehensive and the
						objectives shall be clearly outlined. The Plan shall contain, at the minimum,
						the following elements:
1. Table of
					 contents;
2. Plan
					 summary;
3. Objectives;
4. Implementation schedule;
5. Administrative structure;
6. Medical organization and
					 management;
7. Inclusive regional
					 design which includes all facilities involved in the care of acutely injured
					 patients, including coordination with neighboring Trauma Care
					 Regions;
8. Documentation of all
					 inter-facility transfer protocols;
9. Written documentation of participation
					 (hospital/medical staff);
10.
					 System design which addresses the implementation of the policies
					 developed;
11. Description of the
					 critical care capability within the Region including but not limited to burns,
					 spinal cord injury, rehabilitation, and pediatrics;
12. Performance improvement process;
					 and
13. General policies of the
					 Trauma Care Region Board of Directors.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.8 - General Policies of the Trauma Care Region

Current through June 25, 2024
A designated Trauma Care Region shall develop policies
						which provide a clear understanding of the structure of the trauma system and
						the manner in which it utilizes the resources available to it. Those policies
						shall address the following:
1. System
					 organization and management;
2.
					 Trauma care coordination within the Region;
3. Trauma care coordination with neighboring
					 Regions and/or jurisdictions, including designated Trauma Care Region
					 agreements;
4. Data collection and
					 management;
5. Coordination of
					 designated Trauma Care Regions and trauma systems for transportation including
					 inter-Trauma Center transfers, and transfers from a receiving hospital to a
					 Trauma Center;
6. The integration
					 of pediatric hospitals, including pediatric triage criteria;
7. Availability of Trauma Center
					 equipment;
8. Availability of
					 trauma team personnel;
9. Criteria
					 for activation of trauma team;
10.
					 Mechanisms for availability/response of clinical specialists;
11. Performance improvement and system
					 evaluation to include responsibilities of the Multidisciplinary Trauma/Peer
					 Review Committee;
12. Training of
					 pre-hospital personnel to include trauma triage;
13. Public information and education about
					 the trauma system;
14. Lay and
					 professional education about the trauma system;
15. Coordination with public and private
					 agencies and Trauma Centers in injury prevention programs; and
16. Expected participation in regional
					 operations by pre-hospital providers and hospitals.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.9 - Additional Standards and Prohibitions

Current through June 25, 2024
1. No health care
					 facility within a Region shall advertise in any manner or otherwise hold itself
					 out to be a Trauma Center unless so designated by the Department.
2. No pre-hospital provider shall advertise
					 in any manner or otherwise hold itself out to be affiliated with the trauma
					 system or a Trauma Center unless the provider of has been so designated or
					 licensed by the Department.
3. All
					 participating hospitals and licensed EMS providers in each Region shall abide
					 by the Region Trauma Plan and policies.
4. Documentation of a pre-hospital provider's
					 Medical Control Plan review and compliance must be submitted to BEMS and the
					 Trauma Care Region annually
5. A
					 Trauma Care Region shall withhold Trauma Care Trust Fund distributions from
					 participating hospitals and licensed EMS providers for non-compliance with
					 Mississippi Trauma Care System Regulations and regional plans and
					 policies.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 5 - Trauma Care Regions › Rule 15-12-32-1.5.10 - Level IV Trauma Center Site Visits

Current through June 25, 2024
At least once during each three (3) year designation
						period, the Trauma Care Region shall conduct a Site Visit at each Level IV
						Trauma Center. The primary purpose of this visit will be to ensure compliance
						with the regulations, with particular emphasis on practitioner training;
						protocols and procedures; and Performance Improvement. A written report of any
						deficiencies shall be forwarded to the Department with 30 days of the
						visit.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 6 - Inter-facility Transfers Of Trauma Patients › Rule 15-12-32-1.6.1 - Inter-facility Transfers

Current through June 25, 2024
1. Patients may be
					 transferred from Trauma Centers to other Trauma Centers and/or specialty
					 referral centers provided that any such transfer is medically prudent, as
					 determined by the transferring Trauma Center physician of record.
2. All designated Trauma Centers, Pediatric
					 Trauma Centers, and Burn Centers shall accept patients transferred from Trauma
					 Centers of equal or lower levels of designation without regard to the patient's
					 ability to pay for treatment.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 1 - Mississippi Trauma Care System › Subchapter 6 - Inter-facility Transfers Of Trauma Patients › Rule 15-12-32-1.6.2 - Inter-facility Transfer Policies

Current through June 25, 2024
1. Trauma Center
					 hospitals shall develop written criteria for consultation and transfer of
					 patients needing a higher/specialty level of care. Trauma Center/specialty
					 referral centers that repatriate trauma patients shall provide data required by
					 the Trauma Registry to the receiving Trauma Center.
2. Trauma Centers/specialty hospitals
					 receiving transferred trauma patients shall provide written feedback to the
					 transferring facility and shall participate in the regional and state
					 performance improvement process.
Miss. Code Ann.
						§
												41-59-75
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-2.1.1 - General

Current through June 25, 2024
1. Level I Trauma Centers shall act as
					 regional tertiary care facilities at the hub of the trauma care system. The
					 facility must have the ability to provide leadership and total care for every
					 aspect of injury from prevention to rehabilitation. As a tertiary facility, the
					 Level I Trauma Center must have adequate depth of resources and
					 personnel.
2. The Level I Trauma
					 Centers in the State of Mississippi have the responsibility of providing
					 leadership in education, trauma prevention, research and system
					 planning.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-2.1.2 - Hospital Departments/Divisions/Sections

Current through June 25, 2024
1. The Level I
					 Trauma Center must have the following departments, divisions, or sections:
a. Emergency Medicine
b. General Surgery
c. Orthopedic Surgery
d. Neurological Surgery
e. Anesthesia
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-2.1.3 - Trauma Program

Current through June 25, 2024
1. There shall be a
					 written commitment on behalf of the entire facility to the organization of
					 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 trauma care program may be sufficient. The trauma
					 program must be established and recognized by the medical staff and hospital
					 administration. The trauma program must come under the direction of a
					 board-certified surgeon with special interest in trauma care. An identified
					 hospital administrative leader must work closely with the trauma medical
					 director to establish and maintain the components of the trauma program
					 including appropriate financial support. The trauma program location in the
					 organizational structure of the hospital must be such that it may interact
					 effectively with at least equal authority with other departments providing
					 patient care. The administrative structure should minimally include an
					 administrator, medical director, trauma program manager (TPM), trauma registrar
					 and the appropriate support staff. Administrative support includes human
					 resources, education activities, community outreach activities, and research.
					 The trauma program must be multidisciplinary in nature and the performance
					 improvement evaluation of this care should be extended to all the involved
					 departments.
2. Compliance with the
					 above will be evidenced by but not limited 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 trauma patient;
c. Defined trauma team and written roles and
					 responsibilities;
d. Appointed
					 Trauma Medical Director with a written job description;
e. Appointed Trauma Program Manager with a
					 written job description;
f. A
					 written Trauma Performance Improvement plan; and
g. Documentation of Trauma Center
					 representative attendance at the Regional Trauma meetings.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-2.1.4 - Trauma Service

Current through June 25, 2024
The trauma service shall 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 patient. The trauma
						service will vary in each organization depending on the needs of the patient
						and the resources available. The trauma service shall come under the
						organization and direction of a surgeon who is board certified with special
						interest in trauma care. All patients with multiple system trauma or major
						injury shall be evaluated by the trauma service. The surgeon responsible for
						the overall care of the patient must be identified.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-2.1.5 - Trauma Medical Director (TMD)

Current through June 25, 2024
Level I Trauma Centers shall have a physician director of
						the trauma program. The medical director plays an important administrative
						role. The medical director must be a board-certified surgeon with special
						interest in trauma care. The medical director will be responsible for
						developing a performance improvement process and will have overall
						accountability and administrative authority for the trauma program. The medical
						director must be given administrative support to implement the requirements
						specified by the state trauma plan. The director 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 trauma team. He should cooperate with nursing
						administration to support the nursing needs of the trauma patient and develop
						treatment protocols for the trauma patients. The director in collaboration with
						the Trauma Program Manager(TPM) should coordinate the budgetary process for the
						trauma program. The director must be currently certified in Advanced Trauma
						Life Support (ATLS), maintain personal involvement in care of the injured,
						maintain education in trauma care, and maintain involvement in professional
						organizations. The trauma director must be actively involved with the trauma
						system development at the community, regional and state
						level.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-2.1.6 - Trauma Program Manager (TPM)

Current through June 25, 2024
1. Level I Trauma
					 Centers must have a registered nurse working full time in the role of Trauma
					 Program Manager (TPM). Working in conjunction with the TMD, the TPM is
					 responsible for organization of the program and all systems necessary for the
					 multidisciplinary approach throughout the continuum of trauma care. The TPM is
					 responsible for working with the trauma team to assure optimal patient care.
					 There are many requirements for data coordination and performance improvement,
					 education and prevention activities incumbent upon this position.
2. The TPM or his/hers designee should offer
					 or coordinate services for trauma education. The TPM should liaison with local
					 EMS personnel, the Department, Trauma Care Region and other trauma
					 centers.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-2.1.7 - 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 region. Each trauma
					 center may choose to have one or more committees as needed to accomplish the
					 task. One committee should be multi-disciplinary and focus on program oversight
					 and leadership. The major focus will be on PI activities, policy development,
					 communication among all team members, and establishment of standards of care,
					 and education and outreach programs for injury prevention. The committee has
					 administrative and systematic control and oversees implementation of 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 from:
a. Emergency Medicine
b. General Surgery
c. Orthopedics
d. Neurosurgery
e. Anesthesia
f. Operating Room
g. Intensive Care
h. Respiratory Therapy
i. Radiology
j. Laboratory
k. Rehabilitation
l. Pre-hospital Care Providers
m. Administration
n. Pediatrics
o. Nursing
p. Trauma Program Manager
q. Trauma Medical Director (Chairman; must be
					 present >50%)
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 1 - Hospital Organization › Rule 15-12-32-2.1.8 - 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. 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 the
					 task. One committee should be multi-disciplinary and focus on program oversight
					 and leadership. The major focus will be on PI activities, policy development,
					 communication among all team members, and establishment of standards of care,
					 and education and outreach programs for injury prevention. The committee has
					 administrative and systematic control and oversees implementation of 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 from:
a. Emergency Medicine
b. General Surgery
c. Orthopedics
d. Neurosurgery
e. Anesthesia
f. Operating Room
g. Intensive Care
h. Respiratory Therapy
i. Radiology
j. Laboratory
k. Rehabilitation
l. Pre-hospital Care Providers
m. Administration
n. Pediatrics
o. Nursing
p. Trauma Program Manager
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-2.2.2 - Qualifications of Surgeons on the Trauma Team

Current through June 25, 2024
1. Basic to
					 qualification for trauma care for any surgeon is Board Certification in a
					 surgical specialty recognized by the American Board of Medical Specialties, the
					 Advisory Board for 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 trauma director to serve on the trauma
					 team.
e. The surgeons' experience
					 in caring for the trauma patient must be tracked by the PI program.
f. The TMD must attest to the surgeons'
					 experience and quality as part of the recurring granting of trauma team
					 privileges.
g. The TMD, using the
					 trauma PI program, is responsible for determining each general surgeon's
					 ability to participate on the trauma team.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 2 - Clinical Components › Rule 15-12-32-2.2.3 - Qualification of Emergency Physicians

Current through June 25, 2024
1. For those
					 physicians providing emergency medicine coverage, board certification in
					 Emergency Medicine is desirable. However, career emergency medicine physicians
					 who are board certified in a specialty recognized by the American Board of
					 Medical Specialties, a Canadian Board or other equivalent foreign board meets
					 the requirements.
2. Alternative
					 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 physician must
					 meet all criteria established by the trauma and emergency medical director to
					 serve on the trauma team.
d. The
					 physician's experience in caring for the trauma patient must be tracked by the
					 PI program.
e. The trauma and
					 emergency medical director must attest to the physician's experience and
					 quality as part of the recurring granting of trauma team privileges.
f. Residency in Emergency Medicine is
					 desirable.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-12-32-2.3.1 - Emergency Department

Current through June 25, 2024
1. The facility
					 must have an emergency department, division, service, or section staffed so
					 trauma patients are assured immediate and appropriate initial care. The
					 emergency physician and/or mid-level provider (Physician Assistant/Nurse
					 Practitioner) 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 Trauma Medical Director, will establish trauma-specific
					 credentials that should 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 trauma team based on predetermined response
					 protocols. He will provide team leadership and care for the 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 adult and 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) and participate in the
					 ongoing PI process of the trauma program. There must be a written plan ensuring
					 nurses maintain ongoing trauma specific education. Nurses must obtain TNCC
					 within 18 months of assignment to the ER.
5. The list of required equipment necessary
					 for the ED can be found on-line at
http://msdh.ms.gov/msdhsite/static/49.html
.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 2 - Level I Trauma Centers › Subchapter 3 - Facility Standards › Rule 15-12-32-2.3.2 - Surgical Suites/Anesthesia

Current through June 25, 2024
1. The operating
					 room (OR) must be staffed and available in-house 24 hours/day.
2. The OR nurses should participate in the
					 care of the trauma patient and be competent in the surgical stabilization of
					 the major trauma patient.
3. The
					 surgical nurses are an integral member of the trauma team, and must participate
					 in the ongoing PI process of the trauma program and be represented on the
					 Multidisciplinary Trauma Committee.
4. The OR supervisor must be able to
					 demonstrate a prioritization scheme to assure the availability of an operating
					 room for the emergent trauma during a busy operative schedule. There must be an
					 on-call system for additional personnel for multiple patient
					 admissions.
5. The anesthesia
					 department in a Level I Trauma Center should be ideally organized and run by an
					 anesthesiologist who is highly experienced and devoted to the care of the
					 injured patient. If this is not the director, an anesthesiology liaison with
					 the same qualifications should be identified. Anesthesiologists on the trauma
					 team must have successfully completed an anesthesia residency program approved
					 by the Accreditation Council for Graduate Medical Education, the American Board
					 of Osteopathic Specialties and have board certification in anesthesia. One
					 anesthesiologist should maintain commitment to education in trauma related
					 anesthesia.
6. Anesthesia must be
					 available in-house 24 hours/day with a mechanism established to ensure early
					 notification of the on-call anesthesiologist. Anesthesia requirements may be
					 fulfilled by anesthesia chief residents or Certified Registered Nurse
					 Anesthetist (CRNA) who are capable of assessing emergent situations in trauma
					 patients and of providing indicated treatment, including initiation of surgical
					 anesthesia. When the CRNA or chief resident is used to meet this requirement,
					 the staff Anesthesiologist will be advised and promptly available at all times
					 and present for operations. Trauma centers must document conditions when the
					 anesthesiologist must be immediately available for airway emergencies and
					 operative management of the trauma patient. The availability of the
					 anesthesiologist and the absence of delays in operative anesthesia must be
					 documented and monitored by the PI process. The anesthesiologist participating
					 on the trauma team must participate in the Multidisciplinary Trauma Committee
					 and the trauma PI process.
7. The
					 list of required equipment necessary for Surgery can be found on line at
http://msdh.ms.gov/msdhsite/_static/49.html
.
Miss. Code Ann.
						§
												41-59-5