New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 2 - Hospitals › Part 405 - Hospitals-Minimum Standards › Section 405.45 - Trauma centers

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
Definitions.
The following terms when used in this section shall have
						the following meanings:
(1)
Trauma patient
means a patient at high risk of death or
					 disability from multiple and severe injuries.
(2)
Trauma care
means health
					 care provided to a trauma patient.
(3)
Level I trauma center
means a facility verified by the American College of Surgeons Committee on
					 Trauma (ACS-COT), or other entity determined by the Department, and designated
					 by the Department as a facility that is capable of providing the full range of
					 services required of trauma patients; conducts trauma research; and provides
					 training to surgical residents that comports with the ACS-COT's publication
					 entitled
Resources for Optimal Care of the Injured Patient
(2022). The standards set forth in the ACS-COT's publication entitled
Resources for Optimal Care of the Injured Patient
(2022) are
					 hereby incorporated by reference with the same force and effect as if fully set
					 forth herein. A copy of
Resources for Optimal Care of the Injured
					 Patient
(2022) is available for inspection and copying at the
					 Regulatory Affairs Unit, New York State Department of Health, Corning Tower,
					 Empire State Plaza, Albany, New York 12237. Copies are also available from the
					 American College of Surgeons Committee on Trauma, 633 North Saint Clair Street,
					 Chicago, Illinois 60611. A Level I trauma center shall have a transfer
					 agreement with at least one pediatric trauma center for trauma patients whose
					 needs exceed the clinical capabilities of the facility.
(4)
Level II trauma center
means a facility verified by the ACS-COT, or other entity determined by the
					 department, and designated by the department as a facility that is capable of
					 providing comprehensive trauma care. A Level II trauma center shall have a
					 transfer agreement with at least one Level I trauma center and, unless
					 otherwise designated, at least one pediatric trauma center for trauma patients
					 whose needs exceed the clinical capabilities of the facility.
(5)
Level III trauma center
means a facility verified by the ACS-COT, or other entity determined by the
					 department, and designated by the department to serve communities that do not
					 have immediate access to a Level I or II trauma center that is capable of
					 providing prompt assessment, resuscitation, emergency operations and
					 stabilization of trauma patients. A Level III trauma center shall have a
					 transfer agreement with at least one Level I or Level II trauma center,
					 whichever is the most appropriate trauma center, and at least one pediatric
					 trauma center for trauma patients whose needs exceed the clinical capabilities
					 of the facility.
(6)
Level
					 IV trauma center
means a facility located in a rural area verified by
					 the ACS-COT, or other entity determined by the department, and designated by
					 the department as a facility that is capable of providing initial evaluation
					 and stabilization of trauma patients prior to transfer to a higher level trauma
					 center. A Level IV trauma center shall have a transfer agreement with at least
					 one Level I, Level II, or Level III trauma center, whichever is the most
					 appropriate trauma center, and at least one pediatric trauma center for trauma
					 patients whose needs exceed the clinical capabilities of the
					 facility.
(7)
Pediatric
					 trauma center
means a facility verified by the ACS-COT, or other
					 entity determined by the department, and designated by the department as a
					 Level I or Level II trauma center and as a facility that is capable of
					 providing comprehensive pediatric trauma care to pediatric trauma patients. A
					 pediatric trauma center shall have a transfer agreement with at least one Level
					 I or Level II trauma center, whichever is the most appropriate trauma
					 center.
(8)
Region
means a defined geographic area of the State where a regional trauma advisory
					 committee has been established pursuant to PHL section 3065.
(9)
Regional trauma center
means a Level I or Level II trauma center selected by the department to
					 coordinate regional trauma performance improvement activities in its region.
					 The regional trauma center will be selected from facilities in a region that
					 have been successfully verified by ACS-COT, or other entity determined by the
					 department, and designated as a trauma center by the department, with a history
					 of leadership and commitment to the region.
(10)
Transfer agreement
means a written and fully executed agreement between a hospital that has
					 limited capability to receive and treat trauma patients in need of specialized
					 emergency care and a designated trauma center that is capable of providing such
					 care, for the transfer of such patients, that is consistent with the criteria,
					 policies and procedures set forth in the hospitals' trauma affiliation
					 agreement with the regional trauma center.
(11)
Trauma affiliation
					 agreement
means a written and fully executed agreement between the
					 regional trauma center and each of the Level I, Level II, Level III, and Level
					 IV trauma centers and non-designated hospitals in the regional trauma center's
					 region. A trauma affiliation agreement shall include provisions for:
(i) criteria, policies and procedures for the
					 transfer of trauma patients to trauma centers and between levels of trauma
					 center;
(ii) participation in the
					 New York State Trauma Registry including the maintenance of confidentiality and
					 protection of all data provided to the registry;
(iii) cooperation in outreach, education,
					 training and data collection activities; and
(iv) authority for a representative or
					 representatives of the regional trauma center to participate in and receive
					 information from the affiliate hospital's quality assurance committee,
					 participate in other reviews of the quality of trauma care provided by the
					 affiliate, and provide recommendations for quality improvement of trauma
					 care.