Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.104 - EMERGENCY MEDICAL SERVICES › Subchapter 37.104.30 - Trauma Facility Designation › Rule 37.104.3001 - DEFINITIONS

Current through Register Vol. 13, July 5, 2024
In addition to the definitions in
				  50-6-401, MCA, the following
				  definitions apply to this subchapter:
(1) "Application" means the submission of
				written information by a health care facility, on forms required by the
				department, requesting designation as a specific level of trauma facility and
				providing information regarding its compliance with the Montana Trauma Facility
				Designation Criteria concerning the resources a facility must have to qualify
				as that level of trauma facility.
(2) "Area trauma hospital" means a health
				care facility that is designated by the department as having met the essential
				standards for area trauma hospitals as specified in the Montana Trauma Facility
				Designation Criteria.
(3)
				"Community trauma facility" means a health care facility that is designated by
				the department as having met the standards for a community trauma facility as
				described in the Montana Trauma Facility Designation Criteria.
(4) "Comprehensive trauma center" means a
				health care facility that is designated by the department as having met the
				standards for a comprehensive trauma center as described in the Montana Trauma
				Facility Designation Criteria.
(5)
				"Corrective action plan" means the specific actions that are required of a
				health care facility by the department in order to be in compliance with trauma
				facility requirements and that are included in a plan written by the health
				care facility and approved by the site review team.
(6) "Designated facility" refers to a health
				care facility that has been determined by the department to satisfy the
				requirements of one of the four categories of trauma facilities as described in
				the Montana Trauma Facility Designation Criteria.
(7) "Designation" means a formal
				determination by the department that a health care facility has met the
				requirements for a level of trauma facility as described in the Montana Trauma
				Facility Designation Criteria.
(8)
				"Designation subcommittee" means members of the State Trauma Care Committee's
				Performance Improvement Subcommittee that are selected by the Trauma Care
				Committee's chairperson to evaluate a site review team's report and who make
				recommendations to the department concerning a health care facility's
				designation.
(9) "Emergency
				department" means an area of a licensed health care facility that customarily
				receives patients in need of emergency evaluation or care.
(10) "Focused review" means a method
				established by the department to assess a health care facility's compliance
				with a corrective action plan to meet the resource criteria in the Montana
				Trauma Facility Designation Criteria.
(11) "Montana Trauma Facility Designation
				Criteria" means the document within the Montana Trauma System Plan that
				contains the requirements for a facility to meet in order to be designated as a
				particular type of trauma care facility. The department adopts and incorporates
				by reference the department's Montana Trauma Facility Designation Criteria
				(2024). A copy of the Montana Trauma Facility Designation Criteria (2024) may
				be obtained from the Department of Public Health and Human Services, Public
				Health and Safety Division, Emergency Medical Services and Trauma Systems
				Section, 1400 Broadway, P.O. Box 202951, Helena, MT 59620-2951 or
				electronically at
https://dphhs.mt.gov/publichealth/emsts/Trauma/Regulation
.
(12) "Nurse practitioner" means a person who
				is licensed as a professional registered nurse and approved by the Montana
				Board of Nursing as a nurse practitioner.
(13) "Peer review" means the confidential
				review by health care practitioners from multiple disciplines of provider
				performance in order to reduce morbidity and mortality and to improve the care
				of patients.
(14) "Physician" means
				a person licensed to practice medicine in Montana by the Montana Board of
				Medical Examiners.
(15)
				"Physician's assistant" means a person who is licensed to practice as a
				physician assistant by the Montana Board of Medical Examiners.
(16) "Practitioner" means a physician, nurse
				practitioner, or physician's assistant.
(17) "Provisional designation" means that a
				health care facility has substantially, although not completely, complied with
				the requirements for a given level of trauma facility, that a corrective action
				plan has been submitted by the facility to the department, and that the
				facility has been authorized by the department to serve as a trauma facility on
				a temporary basis.
(18) "Regional
				trauma center" means a health care facility that is designated by the
				department as having met the criteria for a regional trauma center as described
				in the Montana Trauma Facility Designation Criteria.
(19) "Regional Trauma Care Advisory
				Committee" means a regional committee composed of representatives from each of
				the region's trauma facilities established pursuant to
				50-6-411, MCA.
(20) "Site review team" means a group of
				individuals selected by the department who have expertise in trauma care and
				trauma program administration and that evaluates a medical facility's
				compliance with required trauma facility criteria.
(21) "Site survey" means the process by which
				the site review team visits a health care facility that has applied for trauma
				facility designation, reviews the compliance of the medical facility with the
				applicable trauma facility criteria, and makes recommendations regarding
				designation to the department.
(22)
				"Trauma diversion" means a health care facility that temporarily does not have
				all the resources available to optimally resuscitate a seriously injured
				patient, with the result that such a patient is diverted from that hospital
				prior to arrival there and arrangements are made simultaneously for the patient
				to be received and treated at another facility that can provide more readily
				available and appropriate medical care.
(23) "Trauma patient" means an individual
				suffering from a trauma as defined in
				50-6-401, MCA.
(24) "Trauma receiving facility" means a
				health care facility that is designated by the department as having met the
				criteria for a trauma receiving facility as described in the Montana Trauma
				Facility Designation Criteria.
AUTH:
					 50-6-402, MCA; IMP:
					 50-6-401,
					 50-6-402,
					 MCA