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 118.04 - Lead agency

Current through June 24, 2024
(1) DESIGNATION. The department shall be the
				  lead agency for the development, implementation and monitoring of the statewide
				  trauma care system.
(2) LEAD AGENCY
				  DUTIES. The lead agency shall do all of the following:
(a)
General duties
. Develop
				  and revise guidelines and administrative rules for the statewide trauma care
				  system.
(b)
Organize and
				  structure RTACs
.
1. Approve the
				  designation of all trauma care geographic regions based on consideration of
				  what represents the best care of the trauma patient.
Note:
Wisconsin is divided into 9 trauma care
					 geographic regions. Each region has an RTAC. A trauma care region is defined by
					 the location of the health care providers that have selected a particular RTAC
					 for primary membership and in which the majority of each provider's trauma care
					 and prevention occurs.
2.
				  Review the geographic distribution and organization of regional trauma advisory
				  councils and ensure executive councils that promote the optimal operation of
				  the statewide trauma care system.
3. Approve regional trauma advisory councils
				  under sub. (6) (c).
4. Approve
				  coordinating facilities, fiscal agents, executive councils and resource
				  hospitals under sub. (6) (c).
(c)
Classify trauma care
				  facilities
.
1. Establish and revise
				  the assessment and classification criteria for characterizing a hospital as a
				  trauma facility.
2. Review and
				  approve hospital requests for trauma care facility classification in accordance
				  with standards and guidance provided by the criteria in appendix A and
				  according to the process under sub. (6) (a).
Note:
Hospitals are verified by the ACS as
					 level I or II trauma care facilities based on conformance with the standards
					 and guidelines established by the ACS
.
The department
					 determines its classification of hospitals as level III or IV trauma care
					 facilities in accordance with the standards and guidelines provided in appendix
					 A of this chapter.
Note: Subd. 2. is shown as affected eff. 10-1-21 by
					 CR 19-086. Prior to 10-1-21 it reads:
2. Review and approve hospital applications to be a
					 trauma care facility in accordance with standards and guidance given by the
					 American college of surgeons in the publication Resources for Optimal Care of
					 the
Injured Patient: 1999
and the criteria in appendix A and
					 according to the process under sub. (6) (a).
Notes: 1. The publication,
Resources for
					 Optimal Care of the Injured Patient: 1999,
Committee on Trauma, American
					 College of Surgeons (1998), is on file in the Department's Division of Public
					 Health and the Legislative Reference Bureau, and is available for purchase from
					 the American College of Surgery, 633 W. Saint Clair St., Chicago, Illinois
					 60611-3211.
2. Hospitals are verified by the American College of
					 Surgeons as level I or II trauma care facilities based on conformance with the
					 standards and guidelines contained in the publication,
Resources for
					 Optimal Care of the Injured Patient: 1999.
The Department bases its
					 classification of hospitals as level III or IV trauma care facilities on
					 appendix A of this chapter.
3. Review and approve a hospital's selection
				  of an RTAC with which the hospital will participate under s.
				  DHS
				  118.08(1).
(d)
Guide RTAC plan
				  development
.
1. With the advice of
				  the STAC, establish the guidelines for RTAC needs assessments and trauma plans
				  developed pursuant to s.
				  DHS 118.06(3)
				  (L) and triage and transport protocols
				  developed pursuant to s.
				  DHS 118.06(3)
				  (o).
2. Review and approve regional trauma needs
				  assessments, triage and transport protocols and plans under sub. (6)
				  (c).
(e)
Develop
				  and operate state trauma registry
.
1.
				  Develop, implement and maintain the state trauma registry under s.
				  DHS
				  118.09.
2.
				  Develop and prepare standard reports on Wisconsin's trauma system using the
				  state trauma registry as described in s.
				  DHS
				  118.09(4).
(f)
Guide improvement of regional
				  trauma care performance
.
1. Provide
				  all of the following reports to RTACs:
a.
				  Quarterly standard reports of trauma registry results for the region.
b. Other reports as requested by
				  RTACs.
2. Develop
				  guidelines for a regional performance improvement program under s.
				  DHS
				  118.10 that includes all of the following:
a. The purpose and principles of the
				  program.
b. How to establish and
				  maintain the program.
c. The
				  requirements for membership of the regional performance improvement
				  committee.
d. The authority and
				  responsibilities of the performance improvement committee.
(g)
Maintain statewide
				  trauma care system
.
1. Resolve
				  conflicts concerning trauma care and prevention issues between the RTAC and
				  trauma care providers and any other entity within the RTAC's geographic region
				  according to the process specified under sub. (3).
2. Maintain awareness of national trends in
				  trauma care and periodically report on those trends to RTACs and trauma care
				  system participants.
3. Encourage
				  public and private support of the statewide trauma care system.
4. Assist the RTACs with developing injury
				  prevention, training and education programs.
5. Seek the advice of the statewide trauma
				  advisory council in developing and implementing the statewide trauma care
				  system.
(h)
Enforce chapter requirements
.
1. Regulate and monitor trauma care
				  facilities.
2. Investigate
				  complaints and alleged violations of this chapter.
3. Enforce the requirements of this
				  chapter.