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Celebrating 30 Yearsof Excellence
PTSF/PaCOT Annual Conference and MeetingOctober 27th and 28th, 2016
Harrisburg, PA
Juliet Altenburg, RN, MSN Executive Director
Pennsylvania Trauma System Foundation
William Hoff, MDPTSF Board Chairman
Chief, Division of Trauma & Acute Care SurgeryST. Luke’s University Health Network
Denise Torres, MDTrauma Medical Director
Geisinger Medical Center, Danville PA
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Celebrating the PTSF Board of Directors
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Who they represent• Hospital and Health System Assoc. 0f PA (5)
• Pa Medical Society (5)
• Pa State Nurses Association(2)
• Pa Trauma Nurse Advisory Council
• Pa Department of Health
• Pa Emergency Health Services Council
• Pa Chapter of American College of Emergency Physicians
• Legislators
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Dr. William E. DeMuth, Jr
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Celebrating our Trauma Centers
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Lehigh Valley Hospital Hazleton
Level IV Trauma Center
11/1/15
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St. Luke’s Quakertown
Level IV Trauma Center
11/1/16
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Guthrie Troy Community Hospital
First Level IV Critical Access Hospital
11/1/16
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Meadville Medical Center
Level III Trauma Center
9/1/16
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Lankenau Medical Center
Level II Trauma Center
9/1/16
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Celebrating our Staff
Data: Nate, Lyndsey, Gaby, StephanieAccreditation/PI: Amy, Terry, Dave
Operations: Kevin, Linda, Dor
NEWTrauma CenterDevelopmentSpecialist
NEWTrauma RegistryAuditor
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Celebrating our Accomplishments:
The PTSF Strategic Plan
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Strategic Imperatives2015-2017
• Trauma System Development and Enhancement
• Using Data to Enhance Clinical Outcomes, PI and Research
• Optimizing the Use of Technology
• Quantifying the Value of a Trauma Center
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Trauma System DevelopmentGoals
• Improving Access to Trauma Center Care
• Improving Standards of Care
• Education
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Hospitals Pursuing Trauma Center
Accreditation
Total Number of Trauma Centers: 38Adult Level I = 10 Adult Level II = 15Pediatric Level I = 3 Combined Adult 1/Peds II = 2Combined Adult I/Peds I = 1 Level III = 2
Level IV = 5
Gold Pursuing L4 accreditation (12)
White Pursuing L2 accreditation (3)
Updated October 7, 2016
11/1/16
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Using Data to Enhance Clinical Outcomes, PI and Research
• Promote Trauma Research
• Optimize the Collection of Key Data
• Efficiently and Effectively Analyze and Report Data
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Research/Data Collection
• Establish annual research priorities• Geriatric Trauma
• Radiation exposure in trauma patients
• Impact of Level III/IV trauma center accreditation on patient outcomes
• Capturing of trauma data from non-trauma centers to measure quality of care.
• Support publication and presentation
• Create PTSF Website research area
• Explore funding opportunities
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Data Reporting and Analysis
• Create additional risk adjusted data sets…and benchmarking reports.
• Integrate POPIMS into Collector database
• Create POPIMS reports to showcase best practices…
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Promoting Quality
Denise Torres, MD
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PTSF history of quality assurance
• 1996 Ad Hoc Committee to develop site survey outcome measures
• 2003 Renamed Outcomes Committee
• 2006 POPIMS Standardization Committee
• 2007 Use of POPIMS software mandated
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Outcomes Committee
• Chair: Patrick Reilly, MD
• Vice Chair: Denise Torres, MD
• Charged with developing a standardized system for performance improvement enabling outcomes approach to accreditation
• TQIP PA Collaborative resides under the auspices of this committee
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PIPS Committee
• Formerly POPIMS Standardization Committee (founded in 2006)
• Aims to position PA for success in meeting new ACS standards and embrace a broader focus of inclusive, multidisciplinary, collaborative performance improvement.
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PIPS CommitteeWork Groups
• POPIMS Central Site Standardization
• PIPS Core Measure Report Reference
• Management Guidelines (ACS/PTSF required)
• POPIMS Software Standardization
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POPIMS Central Site Standardization
• Group Leader: Sandi Garrett
• Goals:
– Analyze data points previously submitted to the Central Site Pilot to identify utility and impact of trending practice & care events, and evaluating outcomes
– Establish standardized data and submission process
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PIPS Core Measure Report Reference
• Group Leader: Kerry Larkin
• Goal:
– Compile, review, standardize and create a reference tool of currently used reports by POPIMS/Collector software users that meet required PIPS Core Measures
– Create gap analysis of content in current reports and data needed to satisfy Standard VI PIPS indicators requirement
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Management Guideline Committee
• Group Leader: Terry Snavely
• Goals:
– Obtain, submit and post a minimum sampling of various ACS practice management guidelines
– Obtain and post variance indicators for each guideline to illustrate methods of variance trending and utilization to improve patient care outcomes
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POPIMS Software Standardization
• Group Leader: Nathan McWilliams
• Goals:
– Review proposed POPIMS carve out from current V5 Collector
– Active involvement in the design process, beta testing and implementation
– Continue to analyze, design and refine POPIMS fields and data elements
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State Risk PTOS Adjusted Mortality Report
• Second annual report will be sent out to every trauma center by Nov 18.
• Satisfies requirement that all centers have risk-stratified data
• Replaced with TQIP report going forward
• Compare report to last years report
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Future Meetings and Networking• PA-TQIP Collaborative Luncheon
– Sunday, November 6, 2016 from Noon until 1 p.m. at TQIP meeting in Orlando
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PA-TQIP Meeting—First in-state meeting!
– Thursday, December 1, 2016 from 1p.m. until 2:30 p.m., Meeting details, RSVP—to be posted
– Sheraton Harrisburg-Hershey Hotel
– Review the Collaborative Report in detail, identify and discuss opportunities, and establish State goals – ALL PA TRAUMA CENTERS ARE WELCOME
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Thank You!