Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0010 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
As used in OAR 333-200-0000  through 333-200-0295:
(1) "Area Trauma Advisory Board" (ATAB) means
			 an advisory group appointed by the Authority for each established trauma area
			 to represent providers of trauma care and members of the public.
(2) "Authority" means the Oregon Health
			 Authority.
(3) "Categorization"
			 means a process for determining the level of a hospital's trauma care
			 capability and commitment which allows any hospital which meets criteria to
			 receive trauma patients.
(4)
			 "Communications coverage area" means a geographic region representing a primary
			 radio service area for emergency medical communications. When primary service
			 areas substantially overlap they will be considered as one coverage
			 area.
(5) "Coordinated care
			 organization" has the meaning given that term in OAR 410-141-0000.
(6) "Designation" means a competitive process
			 for determining the level of a hospital's trauma care capability and
			 commitment, allowing the Authority to select a limited number of hospitals
			 which meet criteria to receive trauma patients.
(7) "Emergency medical condition" means a
			 medical condition that manifests itself by symptoms of sufficient severity that
			 a prudent layperson possessing an average knowledge of health and medicine
			 would reasonably expect that failure to receive immediate medical attention
			 would place the health of a person, or a fetus, in the case of a pregnant
			 woman, in serious jeopardy.
(8)
			 "Emergency Medical Responder" means a person who is licensed by the Authority
			 as an Emergency Medical Responder.
(9) "Emergency Medical Services provider"
			 (EMS provider) means a person who is licensed by the Authority as an Emergency
			 Medical Responder or an Emergency Medical Technician.
(10) "Emergency Medical Technician" (EMT)
			 means a person who is licensed by the Authority as an Emergency Medical
			 Technician.
(11) "Glasgow Coma
			 Scale" (GCS) means an internationally recognized scoring system for the
			 assessment of head injury severity and degree of coma.
(12) "Hospital" has the meaning set forth in
			 ORS
			 442.015(15).
(13) "Injury Severity Score" (ISS) means a
			 method for quantifying the degree of anatomic injury. As described in Baker,
			 S.P., O'Neill B., Haddon W. Jr., et al: The Injury Severity Score, Journal of
			 Trauma, 1974, 14: 187-196.
(14)
			 "Level I (regional) trauma hospital" means a hospital which is categorized or
			 designated by the Authority as having met the trauma hospital resource
			 standards for a Level I hospital, as described in Exhibit 4. Level I hospitals
			 manage severely injured patients, provide trauma related medical education and
			 conduct research in trauma care.
(15) "Level II (area) trauma hospital" means
			 a hospital categorized or designated by the Authority as having met the trauma
			 hospital resource standards for a Level II hospital, as described in Exhibit 4.
			 Level II hospitals manage the severely injured patient.
(16) "Level III (local) trauma hospital"
			 means a hospital categorized or designated by the Authority as having met the
			 trauma hospital resource standards for a Level III hospital, as described in
			 Exhibit 4. Level III hospitals provide resuscitation, stabilization, and
			 assessment of the severely injured patient and provide either treatment or
			 transfer the patient to a higher level trauma system hospital as described in
			 Exhibit 5.
(17) "Level IV
			 (community) trauma hospital" means a hospital categorized or designated by the
			 Authority as having met the hospital resource standards for a Level IV
			 hospital, as described in Exhibit 4. Level IV hospitals provide resuscitation
			 and stabilization of the severely injured patient prior to transferring the
			 patient to a higher level trauma system hospital.
(18) "Managed health care organization" means
			 a health care provider or a group or organization of medical service providers
			 that provide for the delivery of an agreed upon set of medical or referral
			 services for an enrolled group of individuals and families in a defined
			 geographic area at a fixed periodic rate paid per enrolled individual or
			 family.
(19) "Medical direction"
			 means physician responsibility for the operation and evaluation of prehospital
			 emergency medical care performed by emergency care providers.
(20) "Off-line medical direction" means the
			 direction provided by a physician to prehospital emergency medical care
			 providers through communications such as written protocols, standing orders,
			 education and quality improvement reviews.
(21) "On-line medical direction" means the
			 direction provided by a physician to prehospital emergency medical care
			 providers through radio, telephone, or other real time communication.
(22) "Oregon Trauma Registry" means the
			 trauma data collection and analysis system operated by the Authority.
(23) "Prehospital response time" means the
			 length of time between the notification of a provider and the arrival of that
			 provider's emergency medical service unit(s) at the incident scene.
(24) "Stabilization" means that, within
			 reasonable medical probability, no material deterioration of an emergency
			 medical condition is likely to occur.
(25) "State Trauma Advisory Board" (STAB)
			 means an advisory group appointed by the Authority to represent providers of
			 trauma care.
(26) "Trauma patient"
			 means a person who at any time meets field triage criteria for inclusion in the
			 Oregon Trauma System, as described in Exhibit 2 of these rules.
(27) "Trauma system hospital" means a
			 hospital categorized or designated by the Authority to receive and provide
			 services to trauma patients.
(28)
			 "Trauma system plan" means a document which describes the policies, procedures
			 and protocols for a comprehensive system of prevention and management of
			 traumatic injuries.
(29) "Triage
			 criteria" means the parameters established to identify trauma patients for
			 treatment in accordance with the trauma system plan. These criteria are set
			 forth in Exhibit 2.
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Statutory/Other Authority:
ORS
				  431A.065
Statutes/Other Implemented:
ORS
				  431A.065