San Francisco General Hospital and Trauma Center Robert Mackersie - PowerPoint PPT Presentation

San Francisco General Hospital and Trauma Center Robert Mackersie MD FACS Trauma Medical Director Patti O’Connor RN MS Trauma Program Manager

Trauma • Leading cause of death, ages 1 – 44 • Leading cause of productive years of life lost • 180,000 deaths/year • 400,000 disabled/year • Accounts for billions of dollars in healthcare costs “A Disease of the Young”

San Francisco General Hospital and Trauma Center History • 1972: National Institute of Health (NIH) Designated Trauma Research Center • 1991 – present: Designated Level I Trauma Center by San Francisco EMSA • 1993 – present: ASCOT Level I Verification • 2003 – present: Nationally Recognized as a Leader in Trauma Treatment, Trauma Research, Trauma Prevention

Level I Trauma Center SFGH is the only Trauma Center in San Francisco Provider of Trauma Care for Northern San Mateo County

Trauma Care is a Team Effort NURSING LAB & BLOOD RADIOLOGY BANK GENERAL NEUROSURGERY SOCIAL SERVICES SURGERY PHARMACY TRAUMA CARE EMERGENCY ANESTHESIOLOGY MEDICINE CRITICAL CARE & TRAUMA NURSE DIETARY ORTHOPEDICS SUBSPECIALTIES PRACTITIONERS INJURY PREVENTION OUTPATIENT PROGRAMS REHABILITATION CLINICS NSU NURSE PRACTITIONERS

Performance Improvement • Trauma Treatment •Identifies variations in the process / outcome of care • Public Health Information / Injury Prevention •Incidence, care, cost, outcome in region / state • Outcomes Research •Cause of death, disability, trends • Resource Utilization •Justify institutional / government funding / support

Priorities in Trauma Treatment ↓ Deaths ↓ Morbidity Optimize Recovery Maximize Cost Effectiveness

Trauma Patient Volume Admitted ED Discharged

Traumatic Blunt Injury Types Penetrating Thermal

Patient Injury Types

Trauma Patient Acuity

Mechanism of Injury

SFGH Trauma Deaths by Mechanism of Injury

Trauma Program Performance Improvement External Title 22 American College State and National EMSA Contract Regulations Surgeons, COT Trauma Data Base Internal Weekly Monthly Biannually Annually Performance Medical Executive M & M ED/Trauma PI Improvement & Committee, JCC Patient Safety NP/TMD/Trauma Trauma Peer Program Staff Review Trauma System PI As Needed: Risk Management / Sentinel Event Review

Key Performance Improvement Initiatives • Massive Transfusion Protocol • CT scan prioritization • Revised Trauma Team Activation Criteria • Trauma Nurse Practitioners

Trauma Prevention and Research San Francisco Injury Center for Research and Prevention Wraparound Violence Prevention Program

Every Agency Every Discipline Every Service Every Department Every Person Who Cares for Injured Patients Directly and Indirectly Throughout the Trauma Continuum Is a vital member of San Francisco General Hospital’s “Team for Life”

San Francisco General Hospital Level I Trauma Center “Welcome to our Team”