Hawaii Trauma System Report Tiffany Lightfoot RN, MS Hawaii State - - PowerPoint PPT Presentation

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Hawaii Trauma System Report Tiffany Lightfoot RN, MS Hawaii State - - PowerPoint PPT Presentation

Dec 02, 2023 138 likes •386 views

Hawaii Trauma System Report Tiffany Lightfoot RN, MS Hawaii State Department of Health Emergency Medical Services and Injury Prevention System Branch Pali Momi Medical Center DOH Emergency Medical Services and Injury Prevention System Branch

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SLIDE 1

Hawaii Trauma System Report

Tiffany Lightfoot RN, MS Hawaii State Department of Health Emergency Medical Services and Injury Prevention System Branch Pali Momi Medical Center

DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 2

Hawaii Trauma System Continuum of Care

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  • Injury Prevention
  • EMS
  • Trauma Centers and hospitals
  • Rehabilitation

DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 3

Fall Prevention

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 4

Traffic Safety

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 5

Drowning Prevention

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 6

CORE SVIPP

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 7

Suicide Prevention

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

Oahu 808-832-3100 Islands of Kauai, Lanai, Molokai, Maui & Hawaii 800-753-6879

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SLIDE 8

Hawaii Trauma System Website

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

https://health.hawaii.gov/emsipsb/

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SLIDE 9

Update

  • DOH Administrative Rules
  • Trauma Center Designation
  • Draft completed
  • 5/15/20 HTAC public comment
  • Trauma System Special Fund Distribution
  • Draft rules after Trauma Center Designation
  • ACT 140 Administrative Rules
  • Stakeholder group meetings started
  • Drafting rules for EMS treat and no transport, transport to alternate

destinations, and community paramedicine

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 10

Update

  • FY 21 Trauma System Special Fund contract scope of

work

  • EMSC performance measures
  • Include data from all hospitals
  • Clarify injury prevention activity expectations
  • Measurable performance goals
  • Evaluating insurance requirements

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 11

NHTSA Recommendations

  • Opportunities
  • Trauma
  • Continue with 2017 ACS recommendations
  • Establish single trauma center standard (ACS)
  • Designate Level 4 trauma centers
  • Publish an annual report
  • Automate EMS/trauma data linkage
  • Publish quality metrics
  • Publish clinical management guidelines (e.g., head injury)

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 12

2020 HTAC Meetings

09:00 AM – 3:00 PM

  • Friday, February 7 -Thank you Pali Momi
  • Friday, May 15
  • Thursday, August 13
  • Trauma Symposium August 14 and 15
  • Friday, November 6

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 13

Mahalo and Questions

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 14

ACT 140

Alvin C. Bronstein MD, FACEP Tiffany Lightfoot RN, MS Hawaii State Department of Health Emergency Medical Services and Injury Prevention System Branch

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 15

Hawaii E i EMS Leg egislation

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  • HB 1453
  • ACT 140 (19)

DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 16
  • Alternative Destination
  • Treatment without

Transport

  • Community Paramedicine

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ACT 140 ( 140 (19 19)

DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 17

Current E EMS System

  • Emergency

Department

  • Refusal/AMA

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 18

Future E EMS S Syst ystem

  • Emergency

Department

  • Alternative

Destination

  • Treatment

without Transport

  • Refusal/AMA

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 19

Futur ure future EMS S Sys ystem

UNSCHEDULED SCHEDULED

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MD or Hospital Referral Call Center* Community Paramedic Visit

DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 20

Regul ulation a n and F d Fundi unding

UNSCHEDULED Medicaid Commercial Health Plans

ACT 140

Medicare

ET3

SCHEDULED Medicaid Commercial Health Plans

ACT 140

Medicare

ET3

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MD or Hospital Referral Call Center* Community Paramedic Visit

DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 21

Look

  • oking F

For

  • rward
  • Interim admin rules July 1, 2020
  • Stakeholders meetings
  • Public/private partnerships

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 22

Buil ildin ing t the S System

  • Regulation and Policy
  • Revenue
  • Resource Management
  • Human Resources and Education
  • Transportation
  • Facilities
  • Communications
  • Public Information and Injury Prevention
  • Medical Direction
  • Evaluation

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 23

Your I ur Inpu nput

  • What do you WANT the system to do?
  • What do you NOT WANT the system to do?

System = alternative destination, treatment without transport, community paramedicine

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020

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SLIDE 24

Mahalo

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DOH Emergency Medical Services and Injury Prevention System Branch Hawaii Trauma Advisory Council February 7, 2020