reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.202 - Application Process

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility
				seeking designation shall submit to the Department a completed application and
				Pre-Review Questionnaire (PRQ). The application shall include the applicant's
				oath assuring that the contents of the application and PRQ are accurate and
				true and that the applicant will comply with this regulation. The application
				shall be authenticated as follows:
1. The
				application shall be signed by the owner(s) if an individual or
				partnership;
2. If the applicant is
				a corporation, the application shall be signed by two (2) of its
				officers;
3. If the applicant is a
				governmental unit, the application shall be signed by the head of the
				governmental unit having jurisdiction.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.203 - Designation Renewal

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior to
				July 1, 2018, unless directed otherwise by the Department, all designations
				shall be renewed every five (5) years by application in accordance with Section
				202.
B. After July 1, 2018, the trauma center
				shall renew their designation requirements at timeframes as required by the ACS
				and in accordance with Section
				202.
C. Any facility designated prior to July 1,
				2018, shall be designated for a period of five (5) years.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.204 - Categories of Designation

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				designations available are the adult and pediatric designations listed in
				Chapter 2 of the 2014 ACS "Resources for Optimal Care of the Injured
				Patient."
B. Until July 1, 2018, a
				trauma center may be granted full designation or provisional designation.
				Designation levels are granted based on the factors prescribed in the 2014 ACS
				"Resources for Optimal Care of the Injured Patient."
C. Prior to July 1, 2018, applicants may
				obtain provisional designation at any of the levels prescribed in Section
				204.A. To receive provisional designation status, a hospital shall have no more
				than one (1) Type I deficiency and/or no more than five (5) Type II
				deficiencies.
1. Provisional designation may
				be granted for a period not to exceed one (1) year except as granted by the
				Department. The Trauma Advisory Council shall provide oversight during the
				provisional period.
2. Provisional
				trauma centers shall have a written work plan of objectives to rectify
				deficiencies and to demonstrate progress on the work plan throughout the one
				(1) year designation period.
3. At
				the end of the provisional designation period, the Department may grant full
				designation, extend the provisional period, or suspend the trauma center for
				cause.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.205 - Designation

Current through Register Vol. 48, No. 6, June 28, 2024
The designation processes delineated herein are the same
				  regardless of designation level sought, including pediatric.
A. Prior to July 1, 2018, after receipt and
				acceptance of the application, the Department shall provide a Pre-Review
				Questionnaire (PRQ) to the hospital seeking designation which shall be
				completed and returned to the Department in accordance with Section 205.C. The
				information in the PRQ shall be reviewed by the Department and team prior to
				the site visit, and the information provided in the PRQ by the hospital shall
				be verified by the site review team. Any misrepresentation and/or false
				information provided by the hospital in the PRQ is grounds for denial of
				designation.
B. After July 1, 2018,
				any new hospital that wishes to become a trauma center, and any existing trauma
				center wishing to renew its designation, shall be required to provide to the
				Department an American College of Surgeons (ACS) verification notice. The
				hospital shall notify the Department prior to the associated ACS visit. A
				Department representative shall conduct a state verification
				simultaneously.
C. The PRQ shall be
				submitted no later than thirty (30) days prior to the scheduled site
				visit.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.206 - Site Review

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Department will work with the hospital requesting designation to establish a
				date for a designation site visit. All costs associated with the site visit and
				team expenses, excluding costs associated with Department personnel, are the
				responsibility of the applicant.
B.
				The onsite review for designation shall be conducted by the review team
				verifying the requirements for designation.
C. Any facility wishing to become a trauma
				center, or remain a trauma center after July 1, 2018, shall undergo the ACS
				verification process. Centers current as of July 1, 2018, shall obtain ACS
				verification prior to the expiration of their state designation. No extensions
				shall be granted for failure to schedule appropriately.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.207 - Review Team Composition

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				The review team shall include, but not be limited to:
1. Two (2) general surgeons (at least one (1)
				pediatric surgeon for pediatric facilities), who do not live or work in the
				same state as the applicant and who currently work in a designated trauma
				center and who are a FACS or member of the ACS; and
2. A Department representative.
3. Prior to July 1, 2018, additional members
				may be assigned at the discretion of the Department or request of the facility.
				Any additional cost(s), with the exception of costs for Department
				representative(s), shall be the responsibility of the facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.208 - Protocol for Inspections

Current through Register Vol. 48, No. 6, June 28, 2024
The applicant's administration, faculty, medical staff,
				  employees and representatives shall not have any contact with any onsite review
				  team member in regards to the designation process after the announcement of the
				  team members and prior to the onsite review, except as authorized by the
				  Department. A violation of this provision may be grounds for denying the
				  applicant's proposal as determined by the Department. If a review team member
				  contacts the facility representative directly for information, the facility may
				  respond as requested and shall notify the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.209 - Content of Inspection

Current through Register Vol. 48, No. 6, June 28, 2024
The onsite review team shall evaluate the appropriateness and
				  capabilities of the applicant to provide trauma care services and validate the
				  hospital's ability to meet the responsibilities, equipment, and performance
				  standards for the level of designation sought and to meet the overall needs of
				  the trauma system in that region. Any evidence of inadequate performance or
				  trauma patient care shall be presented to the TAC and this alone is grounds for
				  denial of designation or re-designation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.210 - Designation Criteria

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Department shall use the designation criteria of the 2014 ACS "Resources for
				Optimal Care of the Injured Patient" for each trauma center level. These
				provisions apply to all designation levels, including pediatric.
B. As part of the designation process and
				site review, the review team shall perform a comprehensive chart review. At
				least ten (10) charts shall be reviewed by the site review team. All site team
				members shall review charts.
C. The
				charts reviewed by the review team shall be in accordance with the latest ACS
				Review Agenda.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.211 - Designation Process

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior to
				completion of the site visit, the team shall meet and develop a draft report
				and provide feedback to the facility. The format shall be the same as the
				official written report.
B. On
				completion of the site visit, the team shall have ninety (90) days to submit a
				written report of their recommendation to the Department. The report shall
				include deficiencies listed by criteria number, opportunities (shall not be
				counted as deficiencies and shall not be used in consideration of designation
				status), strengths, and recommendations.
C. Within thirty (30) days of receipt of the
				written report from the site review team, the report shall be forwarded to the
				TAC, or appropriate subcommittee, to review for the purpose of providing the
				Department a recommendation. The final report shall also be forward to the
				facility at the same time. The report shall be sent to the hospital Trauma
				Program Manager, Trauma Medical Director, and Administrator as identified on
				the application.
D. As soon as
				practical, but no later than ninety (90) days after receipt of the onsite
				report document, the TAC, or subcommittee of the TAC, shall make written
				recommendations to the Department regarding trauma center designation based on:
1. Evaluation of the pre-review
				questionnaire;
2. Evaluation of
				deficiencies, including deficiencies in trauma patient care, and supporting
				statements from the onsite review team; and
3. The ability of each hospital to
				demonstrate compliance with the designation criteria at the level of
				designation they are seeking.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.212 - Process of Re-designation

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Scheduled re-designation inspections of currently designated trauma centers
				shall occur in an interval no greater than five (5) years. After July 1, 2018,
				the designation interval shall coincide with the ACS verification cycle and
				shall not exceed three (3) years.
B. Designated trauma centers shall be
				notified by the Department within six (6) months of the trauma center's
				scheduled date for the submission of the application for
				re-designation.
C. The hospital
				shall follow the application procedure outlined in Section
				202.
D. All hospitals requesting re-designation
				shall follow the designation procedures outlined in Section
				211.
E. If a change in the designated trauma
				center's staffing or resource capabilities occurs at any time during the trauma
				center's designation period, an inspection may be conducted by the Department
				as needed to ensure compliance with the regulatory requirements. If such
				inspection reveals that the trauma center may not be meeting regulatory
				requirements, the Department may require that the trauma center undergo a
				complete trauma center re-designation verification inspection prior to the next
				scheduled re-designation date.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.213 - Change in Trauma Center Designation Status

Current through Register Vol. 48, No. 6, June 28, 2024
A. A designated trauma center shall have the
				right to withdraw as a trauma center or to request a designation lower than its
				current designation level by giving a ninety (90) day written notice to the
				Department.
B. A designated trauma
				center shall: (II)
1. Notify the Department
				within ten (10) calendar days if it is unable to provide the level of care or
				services for its level of designation, the reasons, and plans to
				correct;
2. Notify the Department
				if it chooses to no longer provide trauma services commensurate with its
				designation level.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.200 - DESIGNATION PROCESS › Section 61-116.200.214 - Public Notification of Trauma Center Designation Status

Current through Register Vol. 48, No. 6, June 28, 2024
A. At the time of
				designation, revocation of designation, or of any change in the status of a
				hospital's designation as a trauma center, the Department shall report such
				changes to the public by means of public record within thirty (30) days of the
				change of said hospital's trauma center designation status. The Department
				shall also notify licensed emergency medical service providers of the change of
				trauma center designation status.
B. The Department, Trauma Advisory Council,
				and the members of the onsite inspection team shall maintain confidentiality of
				information, records, and reports developed pursuant to onsite reviews as
				permitted by state and federal laws.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.300 - CERTIFICATE OF DESIGNATION REQUIREMENTS › Section 61-116.300.301 - Certification Requirements (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				No person, private or public organization, political subdivision, or
				governmental agency shall establish, operate, maintain, or market itself or
				represent itself as a trauma center or use similar terminology, for example,
				"trauma hospital" or "trauma facility," in South Carolina without first
				obtaining a certificate of designation from the Department. When it has been
				determined by the Department that an entity claims, advertises, or represents
				itself as a trauma center and is not designated by the Department, the entity
				shall be ordered by the Department to cease operation immediately. False
				representation as a trauma center may result in monetary penalties as
				determined by the Department.
B. A
				certificate of designation shall not be issued to an entity until the owner
				and/or operator of that entity has demonstrated to the Department that the
				facility is in substantial compliance with these standards through the
				designation process.
C. No provider
				that has been issued a certificate for a trauma center at a specific address
				shall relocate or establish a new trauma center without first obtaining
				authorization from the Department.
D. No trauma center shall, in any manner,
				advertise or publicly assert that its trauma designation affects the hospital's
				care for non-trauma patients or that the designation would influence the
				referral of non-trauma system patients.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.300 - CERTIFICATE OF DESIGNATION REQUIREMENTS › Section 61-116.300.302 - Issuance and Terms of the Certificate of Designation (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A certificate
				shall be issued by the Department and shall be displayed in a conspicuous place
				in a public area in the trauma center.
B. The issuance of a certificate does not
				guarantee adequacy of individual care, treatment, procedures, and/or services,
				personal safety, fire safety or the well-being of any patient.
C. A certificate is not assignable or
				transferable and is subject to revocation at any time by the Department for the
				provider's failure to comply with the laws and regulations of this
				State.
D. A certificate shall be
				effective for a specific trauma center, at a specific physical location, for a
				period of up to five (5) years following the date of issue. A certificate shall
				remain in effect until the Department notifies the certificate holder of a
				change in that status or until the expiration of such certificate. Certificates
				issued after July 1, 2018, shall expire on the date of expiration of the ACS
				verification.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.300 - CERTIFICATE OF DESIGNATION REQUIREMENTS › Section 61-116.300.303 - Exceptions to the Standards

Current through Register Vol. 48, No. 6, June 28, 2024
The Department has the authority to make exceptions to these
				  standards when it is determined that the health, safety, and well-being of the
				  patients will not be compromised and provided such standard is not specifically
				  required by statute.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.400 - ENFORCEMENT OF REGULATIONS › Section 61-116.400.401 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall utilize inspections, investigations,
				  consultations, and other pertinent documentation regarding a hospital trauma
				  center in order to enforce this regulation. Such areas of review may include,
				  but not be limited to, trauma patient records, hospital trauma registry data,
				  trauma process improvement plans, educational records, committee minutes, and
				  physical facilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.400 - ENFORCEMENT OF REGULATIONS › Section 61-116.400.402 - Inspections and Investigations

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				An onsite inspection shall be conducted prior to designation of a hospital
				trauma center in accordance with Sections 207 and 208. Subsequent inspections
				may be conducted as deemed appropriate by the Department.
B. All facilities are subject to inspection
				or investigation at any time without prior notice by individuals authorized by
				the Department.
C. Individuals
				authorized by the Department shall be granted unobstructed access to all
				properties and areas, objects, and records. If photocopies are made for the
				Department, they shall be used only for purposes of enforcement of regulations
				and/or ensuring compliance with designation criteria, and confidentiality shall
				be maintained as permitted by state and federal laws. The physical area of
				inspections shall be determined by the extent to which there is potential
				impact or effect upon patients as determined by the Department.
D. A facility found noncompliant with this
				regulation shall submit a written plan of correction to the Department, signed
				by the administrator and returned by the date specified on the report of
				inspection or investigation. The written plan of correction shall describe:
1. The actions to correct each cited
				deficiency;
2. The proposed actions
				to prevent similar recurrences; and
3. The actual or expected completion dates of
				those actions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.400 - ENFORCEMENT OF REGULATIONS › Section 61-116.400.403 - Investigation Procedures

Current through Register Vol. 48, No. 6, June 28, 2024
A. Any
				person or entity may communicate a complaint or knowledge of an incident of any
				alleged violation of these regulations to the Department. Complaints shall be
				submitted in written form to the Department. The Department may begin an
				investigation without a written complaint if there is sufficient
				cause.
B. All designated trauma
				centers and EMS providers are subject to investigation at any time without
				prior notice by individuals authorized by the Department.
C. An authorized representative of the
				Department, upon presentation of valid identification, shall be permitted to
				examine equipment, vehicles, physical plant, and records. Any other requests
				shall be complied with so long as it is pertinent to the care of trauma
				patients and consistent with the requirements within the applicable
				regulations.
D. At the conclusion
				of the Department's investigation, the Department shall report its findings to
				the trauma center in writing, including any requirements for corrective
				action.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.500 - ENFORCEMENT ACTIONS › Section 61-116.500.501 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. When the
				Department determines that a designated trauma center is in violation of any
				statutory provision, rule, or regulation relating to the duties therein, the
				Department may, upon proper notice to that entity, impose a monetary penalty
				and/or deny, suspend, and/or revoke its certificate of designation. This
				includes failure to comply with designation criteria and/or failing to comply
				with previously approved corrective plans.
B. The Department may impose monetary
				penalties on any licensed emergency medical service provider found noncompliant
				with this or other related statute or regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.600 - STAFFING (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Trauma centers
			 shall have adequate staff, to include physicians, a Trauma Program Manager,
			 Registrar, and other staff necessary to meet criteria for designation as
			 outlined in the 2014 edition of "Resources for Optimal Care of the Injured
			 Patient," by the American College of Surgeons.
B. Detailed components of support services
			 and medical, nursing, and ancillary staffing for each level shall, at a
			 minimum, meet the criteria for the applicable designation as outlined in the
			 2014 edition of "Resources for Optimal Care of the Injured Patient," by the
			 American College of Surgeons.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.700 - FACILITY, EQUIPMENT, AND CARE REQUIREMENTS › Section 61-116.700.701 - Physical Facilities (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Environment, equipment, supplies, and procedures utilized in
				  the care of trauma patients shall meet the criteria outlined in the 2014
				  edition of "Resources for Optimal Care of the Injured Patient," by the American
				  College of Surgeons unless required otherwise by these
				  regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.700 - FACILITY, EQUIPMENT, AND CARE REQUIREMENTS › Section 61-116.700.702 - Trauma Care of the Patient (Transfers) (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Trauma patients arriving at non-designated trauma centers
				  shall be transferred to the appropriate level of trauma center. Patients
				  arriving at a designated trauma center and having care needs exceeding the
				  capabilities of that center shall be transferred to a higher level of care.
				  Each hospital providing trauma care services shall establish and implement a
				  written plan that outlines the process, providers, and methods of providing
				  risk-appropriate stabilization and transfer of any patient requiring
				  specialized services as well as reciprocal transfer of those patients when
				  specialized services are no longer required. These plans shall be developed in
				  collaboration with the receiving trauma centers and may include specific crew
				  configuration for transport. The plan shall outline the following:
A. Communication between referring hospitals
				(must be physician to physician), transport teams, medical control, patients,
				and families;
B. Indications for
				both acute phase and reciprocal transfer between trauma centers, to include
				essential contact persons and telephone numbers for referrals and transfers;
				and
C. A list of all medical record
				copies and additional materials to accompany each patient in
				transport.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.700 - FACILITY, EQUIPMENT, AND CARE REQUIREMENTS › Section 61-116.700.703 - Trauma Care Services (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Each trauma care facility shall provide adequate staffing and equipment to meet
				criteria established by the Department, guided by the recommendations outlined
				in the 2014 edition of "Resources for Optimal Care of the Injured Patient," by
				the American College of Surgeons.
B. No person, regardless of his ability to
				pay or location of residence, may be denied trauma care if a member of the
				admitting hospital's medical staff or, in the case of a transfer, a member of
				the accepting hospital's staff determines that the person is in need of trauma
				care services.
C. If the care
				required for any patient is not available at the facility, arrangements shall
				be made for transfer to a more appropriate facility. Prior to the transfer of a
				patient to another facility, the receiving trauma center shall be notified of
				the impending transfer.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.800 - TRAUMA TRIAGE AND TRANSPORT GUIDELINES (I) › Section 61-116.800.801 - Purpose

Current through Register Vol. 48, No. 6, June 28, 2024
The Department, with the advice of the Trauma Advisory
				  Council, shall establish Trauma Triage and Transport Guidelines to improve the
				  quality of trauma care being provided to patients by ensuring that EMS
				  providers transport patients to the appropriate level of trauma care. Such
				  guidelines shall be established using the 2011 version of the Center for
				  Disease Control's "Guidelines for Field Triage of Injured
				  Patients."
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.800 - TRAUMA TRIAGE AND TRANSPORT GUIDELINES (I) › Section 61-116.800.802 - Required Participation

Current through Register Vol. 48, No. 6, June 28, 2024
All licensed Emergency Medical Services (EMS) providers
				  shall, at a minimum, use the Department's trauma triage and transport
				  guidelines that shall be based on the guidelines established by the 2011
				  version of the Center for Disease Control's "Guidelines for Field Triage of
				  Injured Patients." The EMS providers may edit the guidelines to identify the
				  local trauma centers, but must use the Department-approved policy
				  otherwise.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.800 - TRAUMA TRIAGE AND TRANSPORT GUIDELINES (I) › Section 61-116.800.803 - Required Transport

Current through Register Vol. 48, No. 6, June 28, 2024
Emergency medical service personnel shall transport a trauma
				  patient directly to a trauma center that is qualified to provide appropriate
				  care, unless one (1) or more of the following exceptions apply:
A. It is medically necessary to transport the
				patient to another hospital for initial assessment and stabilization before
				transfer to a trauma center;
B. It
				is unsafe or medically inappropriate to transport the patient directly to a
				trauma center due to adverse weather or ground conditions;
C. Transporting the patient to a trauma
				center would cause a shortage of local emergency medical service resources
				(defined as no resources available for longer than thirty (30) minutes in a
				reasonable response area) and air transport is unavailable;
D. No appropriate trauma center is able to
				receive and provide trauma care to the trauma patient without undue delay;
				or
E. Before transport of a patient
				begins, the patient requests to be taken to a particular hospital that is not a
				trauma center or, if the patient is less than eighteen (18) years of age or is
				not able to communicate, such a request is made by an adult member of the
				patient's family or a legal representative of the patient.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.800 - TRAUMA TRIAGE AND TRANSPORT GUIDELINES (I) › Section 61-116.800.804 - Triage Tag System

Current through Register Vol. 48, No. 6, June 28, 2024
All 911 EMS providers shall utilize a universal triage tag
				  recommended by the Department. Such a tag shall have a barcode to scan for
				  patient tracking and shall have the ability to show only one (1) color of
				  triage category at any given time. The initial supply of these tags shall be
				  provided by the Department and requests shall be granted on a first come first
				  served basis. It shall be the responsibility of each agency to replenish their
				  supply as necessary. Any other emergency response agencies, such as law
				  enforcement, fire, and private EMS, may also request issuance of such tags to
				  participate in the system and ensure consistency.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.900 - PATIENT RIGHTS (III) › Section 61-116.900.901 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall comply with all relevant federal, state,
				  and local laws and regulations concerning discrimination, for example, Title
				  VII, Section 601 of the Civil Rights Act of 1964.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.900 - PATIENT RIGHTS (III) › Section 61-116.900.902 - Grievances and Complaints

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				facility shall establish a written grievance and complaint procedure and make
				this procedure available to patients upon request.
B. Upon receipt of a complaint by the
				Department, the Department shall:
1. Notify
				the hospital of the complaint;
2.
				Initiate a review of the complaint which may consist of an onsite review by the
				Department;
3. Develop a written
				report of the review; and
4. Notify
				the hospital of the results and provide a copy of the final report.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1000 - STATEWIDE TRAUMA REGISTRY (II) › Section 61-116.1000.1001 - Purpose of Trauma Registry

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				The Department shall establish a trauma data collection and evaluation system,
				known as the "Trauma Registry." The Trauma Registry shall be designed to
				include, but not be limited to, trauma studies, patient care and outcomes,
				compliance with standards of verification, and types and severity of injuries
				in the state. The data elements collected in the state registry shall be
				determined by the Department with collaboration from the TAC and defined in the
				data dictionary.
B. The Department
				may collect, as considered necessary and appropriate, data and information
				regarding trauma patients admitted to a facility through the emergency service,
				through a trauma center, or directly to a special care unit. Data and
				information shall be collected in a manner that protects and maintains the
				confidential nature of patient and staff identifying information.
C. Any South Carolina hospital may
				participate in submitting to the Trauma Registry.
D. The Department shall establish and
				maintain a current data dictionary and provide it to all trauma centers to
				define required data points.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1000 - STATEWIDE TRAUMA REGISTRY (II) › Section 61-116.1000.1002 - Requirement to Submit Data

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each
				designated trauma center shall participate in the System Trauma Registry by:
1. Identifying a person to be responsible for
				coordination of trauma registry activities;
2. Participating in and submitting data to
				the National Trauma Data Bank (NTDB); and
3. Downloading required trauma data as
				stipulated by the Department in the state data dictionary. Each trauma center
				designated by the Department shall provide data to the Department at least
				quarterly as listed below. The trauma center shall provide the data to the
				Department no later than ninety (90) days following the end of each quarter.
				The trauma center shall establish measures to ensure that the data entered in
				the trauma registry is accurate and complete.
Admission Period
Due Date
January - March
July 1
April - June
October 1
July - September
January 1
October - December
April 1
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1000 - STATEWIDE TRAUMA REGISTRY (II) › Section 61-116.1000.1003 - Inclusion and Exclusion Criteria

Current through Register Vol. 48, No. 6, June 28, 2024
Patient inclusion and exclusion criteria shall be established
				  by the Department under the guidance of the Trauma Advisory Council and
				  maintained in the state data dictionary. Such data shall include, at a minimum,
				  the information and data points required by the National Trauma Data
				  Bank.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1000 - STATEWIDE TRAUMA REGISTRY (II) › Section 61-116.1000.1004 - Confidentiality Protection of Data and Reports

Current through Register Vol. 48, No. 6, June 28, 2024
Information that identifies individual patients shall not be
				  disclosed publicly without the patient's consent. Reports that do not contain
				  protected health information or any identifiable information may be generated
				  and distributed. Such reports shall show only general information and shall not
				  identify any protected information or hospital information.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1100 - HOSPITAL RESOURCES DATA BASE (II) › Section 61-116.1100.1101 - Purpose

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Hospital
				Resources Data Base shall be used to monitor hospital resources on a continuous
				basis, disseminate information throughout South Carolina's healthcare system,
				and inform users of the clinical services offered, laboratory capabilities, and
				bed capacity.
B. The Department
				shall manage the Hospital Resources Data Base for South Carolina
				participants.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1100 - HOSPITAL RESOURCES DATA BASE (II) › Section 61-116.1100.1102 - Required Participation

Current through Register Vol. 48, No. 6, June 28, 2024
All trauma centers designated by the Department shall utilize
				  the Hospital Resources Data Base. Information shall be updated on a daily
				  basis, which shall include, but not be limited to: hospital bed availability,
				  specialty service capability, and disaster resources.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1200 - TRAUMA CARE FUND › Section 61-116.1200.1201 - Eligible Recipients of Fund

Current through Register Vol. 48, No. 6, June 28, 2024
Trauma centers, rehabilitation centers, physicians, Emergency
				  Medical Services providers licensed by the Department, Regional EMS Councils,
				  Regional Trauma Councils, and the Division of EMS and Trauma are eligible to
				  receive trauma care funds appropriated by the South Carolina General
				  Assembly.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1200 - TRAUMA CARE FUND › Section 61-116.1200.1202 - Allocation of Fund

Current through Register Vol. 48, No. 6, June 28, 2024
The Department may authorize and allocate the distribution of
				  funds as directed by the General Assembly in the Appropriations Act to trauma
				  centers, rehabilitation centers, physicians, Emergency Medical Services
				  providers licensed by the Department, air ambulance providers licensed by the
				  Department that always use a certified paramedic on all flights and maintain a
				  licensed South Carolina medical director on staff, Regional Trauma Councils,
				  and Regional EMS Councils. The Department, with the advice of the Trauma
				  Advisory Council and its subcommittees and/or workgroups, shall determine the
				  priority of distributions after Department operating expenses, as well as a
				  distribution formula.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1300 - PERFORMANCE IMPROVEMENT SYSTEM › Section 61-116.1300.1301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
Performance improvement (PI) programs shall be developed,
				  maintained, and executed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1300 - PERFORMANCE IMPROVEMENT SYSTEM › Section 61-116.1300.1302 - Statewide Trauma System Performance Improvement Plan

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall develop and maintain a Statewide Trauma
				  System PI Plan with input from the state Trauma Advisory Council and its
				  subcommittees or workgroups. This plan shall, at a minimum, report:
A. Summary statistics and trends for
				demographic and related information about trauma care for the state Trauma
				Advisory Council; and
B. Outcome
				measures for evaluation of clinical care and system-wide quality assurance and
				performance improvement programs.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1300 - PERFORMANCE IMPROVEMENT SYSTEM › Section 61-116.1300.1303 - Trauma Center Performance Improvement Plan (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Each trauma center shall have in place an ongoing performance
				  improvement process consistent with the designation requirements. Performance
				  improvement records must be available for inspection by the Department upon
				  request. Records shall include the process for identification and review,
				  documentation or disposition of issues found, and summaries of changes
				  implemented to include, but not be limited to, patient care practice, policies,
				  and/or operating procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1300 - PERFORMANCE IMPROVEMENT SYSTEM › Section 61-116.1300.1304 - Performance Improvement and Feedback

Current through Register Vol. 48, No. 6, June 28, 2024
Each trauma center shall develop functional relationships
				  with all potential referring facilities and is required to provide feedback.
				  Any process issues shall be identified and a written cooperative plan shall be
				  established when needed. Sufficient documentation of other lesser process
				  issues shall be maintained and available for review upon
				  request.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1400 - ADVISORY COMMITTEES › Section 61-116.1400.1401 - State Trauma Advisory Council

Current through Register Vol. 48, No. 6, June 28, 2024
A. The State Trauma Advisory Council shall
				act as an advisory body for trauma care system development and provide
				technical support to the Department in areas of trauma care system design,
				trauma standards, data collection and evaluation, performance improvement,
				trauma system funding, and evaluation of the trauma care system and trauma care
				programs.
B. The State Trauma
				Advisory Council (TAC), the State EMS Advisory Council, and the Department
				shall adopt similar guidelines for its operations. These guidelines shall
				include attendance, maintenance of minutes, and other guidelines necessary to
				ensure the orderly conduct of business. The TAC shall have other functions as
				follows:
1. Review and comment on the
				Department's regulations, policies, and standards for trauma;
2. Advise the Department regarding trauma
				system needs and progress throughout the state;
3. Review state and local pre-hospital trauma
				triage guidelines; and
4. Advise
				the Department on injury prevention and public information and/or educational
				programs.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1400 - ADVISORY COMMITTEES › Section 61-116.1400.1402 - Medical Control Committee

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				The Medical Control Committee is a subcommittee of the Trauma Advisory Council
				and the EMS Advisory Council composed of medical control physicians from each
				of the state's four (4) EMS regions, physician members of the EMS and Trauma
				Advisory Councils, and the State Medical Control Physician.
B. The Medical Control Committee is an
				advisory board responsible for the establishment of approved pre-hospital
				equipment and skills, the State EMS Formulary and other issues pertaining to
				EMS and trauma care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1500 - TRAUMA SYSTEM PLANS › Section 61-116.1500.1501 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Department
				shall establish and maintain a state trauma system plan with input from the TAC
				and its working groups.
B. The
				Department shall use the state trauma system plan as the basis for establishing
				a statewide inclusive trauma system.
C. In developing the state trauma system
				plan, the Department shall consider any available federal model trauma
				plans.
D. The Department shall
				provide technical assistance and support to the TAC, the Medical Control
				Committee, hospitals or other healthcare facilities, and EMS providers as
				necessary to carry out the State Trauma Plan.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1500 - TRAUMA SYSTEM PLANS › Section 61-116.1500.1502 - Trauma Center Internal Disaster Plan (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Each designated trauma center shall develop an internal
				  disaster plan that is based on data supplied by the trauma registry and other
				  sources and shall provide for the ongoing assessment and improvement of
				  performances of the trauma center. Such plan shall be made available to the
				  site survey team at the time of their visit.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1600 - SEVERABILITY

Current through Register Vol. 48, No. 6, June 28, 2024
In the event that any portion of these regulations is construed
				by a court of competent jurisdiction to be invalid, or otherwise unenforceable,
				such determination shall in no manner affect the remaining portions of these
				regulations, and they shall remain in effect, as if such invalid portions were
				not originally a part of these regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-116 - SOUTH CAROLINA TRAUMA CARE SYSTEMS › Sec2 61-116.1700 - GENERAL

Current through Register Vol. 48, No. 6, June 28, 2024
Conditions which have not been addressed in these regulations
				shall be managed in accordance with the best practices as interpreted by the
				Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-117 - Access to Restricted Information › Section 61-117.A - Purpose and Scope; Applicability

Current through Register Vol. 48, No. 6, June 28, 2024
This regulation applies to information that has been designated
				pursuant to Code Section
				30-4-45(A)
				or (B) for release.