Southern Nevada Trauma System MountainView Hospital Jeremy - - PowerPoint PPT Presentation

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Southern Nevada Trauma System MountainView Hospital Jeremy - - PowerPoint PPT Presentation

Oct 14, 2023 151 likes •304 views

Southern Nevada Trauma System MountainView Hospital Jeremy Bradshaw, CEO Comparing Regional Trauma Centers per 1 Million Population 3 2.1 2.1 2 1.7 1.7 1.7 1.6 1.5 1.4 1.4 1.4 2 0.9 1 0.8 1 0 St. Louis Sacramento Pittsburg

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Southern Nevada Trauma System

MountainView Hospital Jeremy Bradshaw, CEO

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Comparing Regional Trauma Centers per 1 Million Population

2.1 1.7 1.7 1.5 1.4 0.9 2.1 1.6 1.7 1.4 1.4 0.8 1 1 2 2 3

  • St. Louis

Sacramento Pittsburg San Diego Baltimore Las Vegas 2017 2025

Source: www.FACS.org; US Census Bureau/Fact Finder; American Business Journal

 Poor access to a trauma center is linked to higher death rates in the US (Source: American College of Surgeons)  The American College of Surgeons recommends 1-2 trauma centers per 1 million people  Adding a Level III trauma center would move the Southern Nevada Trauma System from 0.9 to 1.36 trauma centers per 1 million people, closer to the US average  Nevada ranks last among U.S. states in preparedness for health disasters (Source: National Health Security

Preparedness Index)

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Population Growth

The Las Vegas Valley population increased an average of 3.6% per year 2000-2016, compared to 4.9% average annual growth in the NW region. (TNAT

1A-B – Source: US Census Bureau, City-Data)

The Las Vegas Valley population is expected to increase an average of 1.5% per year through 2023, compared to 1.8% average annual growth in the NW region. (TNAT 1C-D – Source: US

Census Bureau, City-Data; Intellimed)

Northwest Region Growing Faster than Las Vegas Valley

3.6% 4.9%

2.0% 2.5% 3.0% 3.5% 4.0% 4.5% 5.0% 5.5% Las Vegas Valley Northwest Region Average Annual Growth Rate 2000-2016

1.5% 1.8%

1.0% 1.2% 1.4% 1.6% 1.8% 2.0% Las Vegas Valley Northwest Region Projected Annual Growth Rate 2018-2023

Source: US Census Bureau, City-Data Source: US Census Bureau, City-Data; Intellimed

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Growth of Senior Population

The senior population (65+ years) in Las Vegas is growing faster than the general population (6.7% annual growth compared to 3.6%). The senior population in the Northwest region is growing faster than the general population in the Northwest region (7.7% annual growth compared to 4.9%).

Senior Population Growing Faster than General Population

3.6% 4.9% 6.7% 7.7%

0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 9.0%

Las Vegas Valley - All Ages NW Region - All Ages Las Vegas Valley - Ages 65+ NW Region - Ages 65+

Average Annual Growth Rate 2000-2016

Source: US Census Bureau, City-Data Source: US Census Bureau, City-Data; Intellimed

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TFTC Growth

TFTC incidents in the Las Vegas Valley increased 141% from 2010-2018 (TNAT

1E – Source: SNHD TFTC Transports, RTAB Jan 2019)

TFTC incidents for Step III and Step IV patients in the Las Vegas Valley increased 101% from 2015-2017 (TNAT

1F – Source: SNHD TFTC)

Incidents of patients meeting trauma criteria for Step III and Step IV at MountainView Hospital increased 33% from 2017-2018 (TNAT 1G – Source:

MountainView Trauma Registry)

TFTC Incidents are Increasing in the Las Vegas Valley

4,771 5,462 5,222 5,848 5,975 6,109 6,770 11,060 11,498

2,000 4,000 6,000 8,000 10,000 12,000 14,000 2010 2011 2012 2013 2014 2015 2016 2017 2018 TFTC Incidents in Las Vegas 2010-2018

Source: SNHD TFTC

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Transport Times

The Las Vegas Valley demonstrated average transport times of 17.8 minutes from 2013-2018 (TNAT 2A) Transport times for Step III and Step IV averaged 16 minutes in 2017 (TNAT 2B) Transport times for the Northwest Region are above average (18.3 minutes in 2018) and increasing (TNAT

2C)

Transport Times are Increasing in the Las Vegas Valley

15.9 16.5 16.8 17.9 18.3 11.3 11.8 11.7 12.8 12.7

11 13 15 17 19 2014 2015 2016 2017 2018 Transport Response Times 2014-2018

NW Metro Goal 15% increase 2014-2018

Source: SNHD TFTC

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 MountainView Level III trauma designation will have limited impact

  • n current trauma providers

 UMC admitted 2,931 trauma patients in 2017  ACS minimum admissions for a Level I is 1,200  Even with a Level III trauma center in the NW region with volume of 500 annual trauma admissions, UMC trauma volumes will double the ACS minimum

Minimal System Impact

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5,253 1,680 1,342 959 939

Metro Northwest Northeast Southeast Southwest

Trauma Patients by Region

1,680 trauma patients originated from the Northwest region in 2017, more than any non-urban area, including the Southeast 75% more trauma patients

  • riginated from the Northwest

region than from the Southeast region (St. Rose – Siena)

Northwest Region is Underserved for Trauma

2 Trauma Centers 1 Trauma Center No Trauma Centers

Source: NV Annual Trauma Report

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Benefits to the Northwest Region

Quicker transport tim es Low-acuity patients treated locally Appropriately resource UMC and Sunrise for high-acuity cases EMS crews return to service faster Enhanced disaster response Im proved

  • utcom es for

patients in the NW region

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Costs include: physician call panel, medical directorships, staffing, education, equipment, infrastructure, etc.

Costs

01

Trauma Activation

Key Considerations

Pre-hospital notification must

  • ccur prior to

transport or transfer

Criteria

02

Insurance companies cannot deny coverage, regardless

  • f hospital contracting
  • status. Account

adjustments are allowed

Patient Responsibility

03

Will mirror existing Level III trauma center in the market

Amount

04

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Southwest Summerlin Northwest Aliante Southern Highlands Henderson North Las Vegas Sunrise

7

MountainView Hospital Sunrise Hospital

MountainView Hospital Current Trauma Center

Dignity - Sienna UMC

  • Immediate access to I-95
  • 8.5 miles to nearest trauma

center

  • Located in already underserved

region of the valley

  • Northwest population growth

expected to outpace Las Vegas growth

  • ACS consultative site visit
  • completed. Level III Trauma

Center requirements met

Why MountainView

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Why MountainView

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MountainView Trauma Capabilities

MountainView Hospital meets all ACS Trauma Requirements

  • 1. Trauma Staffing
  • Trauma Medical Director
  • Trauma Program Manager
  • Trauma/General surgeons
  • ED physicians and nurses
  • Anesthesia call panel w/ backup
  • Orthopedic call panel w/ backup
  • Neurosurgery call panel w/ backup
  • 2. GME Program
  • Emergency medicine
  • General surgery
  • Anesthesia
  • 3. Trauma Quality Program
  • Participate in national trauma registry
  • Analysis and process improvement
  • Participates in TQIP
  • 4. Trauma Education
  • TNCC and TCAR completed for nursing staff
  • 5. Injury Prevention/Community Outreach
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ACS Site Visit Feedback

Jan 9-10, 2019 13 key strengths identified ACS Consultative Team:

  • Dr. Michael McGonigal
  • Dr. Andre Campbell
  • Ms. Jorie Klein, RN

ACS Consultative Site Visit – MountainView Strengths

  • 1. Strong leadership – Medical Director and Program Manager
  • 2. Support from hospital administration
  • 3. Five (5) supporting neurosurgeons
  • 4. Seven (7) on-call orthopedic surgeons
  • 5. Residency programs in surgery and emergency medicine
  • 6. SBIRT completed on 90% of trauma patients
  • 7. TNCC nursing education in the ED
  • 8. TCAR nursing education in the PACU
  • 9. Well-developed and consistent PI program

10.Robust FAST exam system 11.Strong rehabilitation 12.Participation in regional trauma system meetings and prevention 13.Strong partnership with other trauma centers

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