Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 118 - Trauma Care › Subchapter II - Statewide Organization for Trauma Care › Section DHS 118.06 - Regional trauma advisory councils

Current through June 24, 2024
(1) PURPOSE. The
				  purpose of a regional trauma advisory council is to develop, implement, monitor
				  and improve the regional trauma system.
(2) PARTICIPATION IN RTAC ACTIVITIES. A
				  regional trauma advisory council may include facilities or organizations
				  located in a neighboring state that provide trauma care to Wisconsin
				  residents.
(3) REGIONAL TRAUMA
				  ADVISORY COUNCIL RESPONSIBILITIES. A regional trauma advisory council shall do
				  all of the following:
(a) Submit an
				  application to the department for approval as an RTAC pursuant to s.
				  DHS 118.04 (2) (b)
				  3.
Note:
To obtain an application, contact the
					 statewide trauma care coordinator by calling 608-266-0601 or by writing to
					 Statewide Trauma Care System Coordinator, Bureau of Local Public Health
					 Practice and Emergency Medical Services, Room 118, 1 West Wilson St., Madison,
					 WI 53701, or by sending a fax to 608-261-6392.
(b)
1.
				  Establish an executive council that has all of the following characteristics:
a. Reflects professional representation from
				  out-of-hospital trauma care providers, trauma care facilities, education and
				  injury prevention.
Note:
Out-of-hospital trauma care providers
					 include emergency medical services practitioners, emergency medical responders,
					 or air medical personnel.
b.
				  May have representation of an out-of-state hospital or ambulance service
				  provider if the hospital or ambulance service provider regularly provides care
				  for persons injured in Wisconsin.
c. Includes representation from both urban
				  and rural areas.
d. Does not have
				  more than 50 percent of its representation from any single organization. In
				  this subdivision paragraph, "organization" means corporate affiliation, entity
				  or ownership.
e. Is responsive to
				  the input of its primary membership and participants.
f. Has officers who either live or work in
				  Wisconsin.
g. Has representatives
				  who serve only on that single executive council.
Note:
The Department believes that limiting
					 primary service to the executive council of one RTAC will promote a
					 representative's focus on and allegiance to that RTAC. Any person, however, may
					 participate in the activities of more than one RTAC.
2. Submit the names and
				  affiliations of council members to the department for review and approval
				  pursuant to s.
				  DHS 118.04 (2) (b)
				  4.
(c)
1.
				  Select a coordinating facility. The coordinating facility shall be or do all of
				  the following:
a. Work in collaboration with
				  the department and the regional trauma advisory council to meet the needs
				  required for the development, implementation, maintenance and evaluation of the
				  regional trauma system.
b. Except
				  as provided in subd. 1. c. and d., be a Wisconsin-based ACS-verified level I or
				  II trauma facility.
c. If a
				  regional trauma advisory council area contains no ACS-verified level I or II
				  trauma facility, the coordinating facility may be an entity that provides
				  written commitment to the department that the entity will become an
				  ACS-verified level I or II trauma facility within 3 years of that
				  assurance.
d. If a regional trauma
				  advisory council area contains no ACS-verified level I or II trauma facility,
				  and no entity can provide the department the assurance under subd. 1. c., the
				  coordinating facility may be an entity that assures the department in writing
				  that the entity will obtain the department's recognition as a level III trauma
				  facility within the time frame specified in the RTAC application.
e. Have an ACS-verified level I or II
				  hospital, or an equivalent hospital from an adjoining state, serving as its
				  resource hospital if a level III hospital is serving as the coordinating
				  facility.
f. If 2 facilities agree
				  to serve as co-coordinating facilities, one of the facilities shall be an
				  ACS-verified level I or II trauma facility.
2. Submit the name of the facility selected
				  under subd. 1. to the department for review and approval pursuant to s.
				  DHS 118.04 (2) (b)
				  4.
3. Notify the department and the RTAC
				  executive council at least 30 days before relinquishing the title of
				  coordinating facility if the coordinating facility is unable to fulfill the
				  duties required by the regional trauma advisory council.
(d)
1.
				  Select a Wisconsin fiscal agent and submit the name of the fiscal agent to the
				  department for review and approval pursuant to s.
				  DHS 118.04 (2) (b)
				  4.
2. Ensure that the fiscal agent holds and
				  distributes funds only for the purpose of RTAC activities by not commingling
				  RTAC funds with other funds or using RTAC funds for personal
				  purposes.
3. Ensure that the fiscal
				  agent notifies the department and the executive council at least 30 days before
				  relinquishing the title of fiscal agent if the fiscal agent is unable to
				  fulfill the duties required by the regional trauma advisory
				  council.
(e) Select a
				  resource hospital and submit the name of the hospital to the department for
				  review and approval pursuant to s.
				  DHS 118.04 (2) (b)
				  4.
(f) Transmit all pertinent materials to all
				  regional trauma advisory council members in a timely manner.
(g) Develop a format for meetings, agendas
				  and minutes, and provide the department with all RTAC meeting times, agendas
				  and minutes.
(h) Designate a
				  liaison with the department.
(i)
				  Analyze local and regional trauma registry data collected under s.
				  DHS
				  118.09.
(j) Create a local and regional performance
				  improvement process that is consistent with that specified in s.
				  DHS
				  118.10.
(k) Develop and implement injury prevention
				  and education strategies based on performance improvement findings.
(L)
1.
				  Develop and submit to the department by June 1, 2006, a regional trauma plan
				  based on a needs assessment and with the structure specified by the
				  department.
2. Update the regional
				  trauma plan specified under subd. 1. and submit the plan to the department
				  every 2 years beginning June 1, 2008 following the submittal of the of the
				  initial plan on June 1, 2006.
3.
				  Beginning June 1, 2005, submit a yearly progress report to the department, in
				  the format specified by the department, that contains a description of the
				  progress being made towards achieving the actions specified under the most
				  recent regional trauma plan.
(m) Resolve conflicts concerning trauma care
				  and injury prevention within the region through a process having the following
				  characteristics:
1. Conflicts needing
				  resolution by the RTAC shall be addressed by the executive council.
2. If the executive council is unable to
				  resolve a contested issue, the executive council chair shall submit the issue
				  to the department for resolution.
(n) Notify the department within 30 days of
				  any changes in leadership, bylaw revisions or other substantive revisions to
				  the RTAC policies or operations.
(o) Develop regional triage and transport
				  protocols.