A Partnership For Saving LivesKANSAS TrAumA SySTem

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Trauma CenterTypical Patient

injuries Treated:Multiple Fractures

ParalysisPunctured Lung

Stab WoundBrain Injury

rehabilitation

Hospital emergency Department

Typical Patient injuries Treated:

Broken LegBack SprainBroken RibLaceration

Concussion

emergency medicalServices

(Pre-hospital)• Triage• Stabilization• Communication• Transportation

injury

interfacility Transport

if injuries can not be addressed by resources at hospital emergency

department. • Stabilize & Transport

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The trauma system is comprised of all hospitals, EMS agencies and health departments. The Trauma Program was established in 1999 as a result of legislation, and KDHE was authorized to serve as the lead agency.

The Trauma Program provides leadershipfor the trauma system

The Kansas Trauma Program Integrates Trauma Care Statewide

“Why should trauma care be limited to a location or two in the rural parts of Kansas that can perform at this level when we can expand it and provide that level of care to everybody.”

Dr. Craig Concannon M.D., F.A.C.P.Mitchell County Hospital

The regional trauma councils invite your participation in state and local life-saving efforts. Trauma teams at

every level provide the opportunity for those interested in trauma system development to get involved, whether it’s planning for trauma education, providing community education, identifying solutions to address the needs of the trauma patient, analyzing data to target injury prevention efforts or updating regional trauma plans. Why not contact your regional trauma

council today to see how you can get involved and make a difference in the lives of those injured in Kansas?

For more information contact the State Trauma Office at 785-296-3180 or visit our web site at: http://www.kstrauma.org

Components of the Trauma Program

The Governor appoints members to the Advisory Committee on Trauma (ACT) to provide input and guidance to KDHE on developing a comprehensive, statewide trauma system. There are 4 subcommittees of the ACT: the Kansas Trauma Registry subcommittee, the Public information subcommittee, the Regional Trauma Plan subcommittee, and the Hospital Designation subcommittee. To address issues related to trauma care and training at the local and regional level, there are 6 regional trauma councils.

The Trauma Program supports development of community trauma centers statewide

Regulations established in 2006 give KDHE the authority to designate Kansas hospitals as either a Level I , II or III trauma center based on trauma care resources. The next step in the development of the trauma system is the establishment of Level IV trauma centers.• Level I trauma centers provide a full range of medical procedures 24 hours a day, 7 days a week and conducts research on trauma care.• Level II trauma centers provide the same level of treatment as Level I trauma centers but does not have the same research responsibility.• Level III trauma centers are regional trauma hospitals with general surgery capability to care for trauma

patients. They transfer only the most severely injured patients.• Level IV trauma centers are community hospitals that commonly serve to stabilize the most severely injured patients and transfer them to a higher level of care.

The Kansas Trauma registry

The Kansas Trauma Registry is a statewide data collection system that gathers information on severely injured patients from all Kansas hospitals that treat trauma patients.

Findings from the Trauma Registry data are used to recommend system enhancements and modifications and to develop evidence based injury prevention strategies. Regional level data drives regional performance improvement, regional system improvement and regional injury prevention programs.

Want to make a difference? ... Get involved

The six regional Trauma Councils provide regional leadership and training opportunities at the local level.

CHEYENNE

SHERMAN

WALLACE

GREELEY

HAMILTON

STANTON

MORTON STEVENS SEWARD MEADE COMANCHECLARK

GRANT HASKELL

KEARNEYFINNEY

GRAY FORD

EDWARDS

KIOWAPRATT

BARBER

HODGEMANPAWNEE

STAFFORDRENO

HARVEY

SEDGWICKBUTLER

COWLEYSUMNER

KINGMAN

HARPER

WICHITA SCOTT LANE NESS RUSH BARTON

ELLSWORTH

RICE McPHERSON MARIONCHASE

MORRIS

LYON

GREENWOOD

ELK

CHAUTAUQUA

SALINEDICKINSON

GEARY

RILEYPOTTAWATOMIE

WABAUNSEELOGAN GOVE TREGO ELLIS RUSSELL

THOMAS SHERIDAN GRAHAM ROOKS OSBORNEMITCHELL

LINCOLNOTTAWA

CLOUDCLAY

RAWLINS DECATUR NORTON PHILLIPS SMITH JEWELL REPUBLICWASHINGTON MARSHALL NEMAHA

JACKSON

JEFFERSON LEAVENWORTH

WYANDOTTE

SHAWNEE

OSAGE

DOUGLAS JOHNSON

MIAMI

LINN

BOURBON

CRAWFORD

CHEROKEE

FRANKLIN

ANDERSON

ALLEN

NEOSHO

LABETTE

COFFEY

WOODSON

WILSON

MONTGOMERY

BROWN DON PHAN

ATCHISON

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Trauma Program Timeline

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

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NHTSA EMS/Trauma System Assessment was completed.

Trauma Systems Plan was developed by

KHA, KMS, and KDHE.

Legislation enacted authorizing the Kansas Trauma system.

Governor appoints 1st Advisory Committee on Trauma.

Program director hired Kansas Trauma Plan approved by legislation.

State Trauma registrar hired.

Kansas Version of Collector distributed to participating hospitals (9 hospitals).

First Regional Trauma Council Meeting.

The remainder of the regional trauma councils are established.

Data Dictionary developed.

Regional Coordinator Hired.

Phased in hospital trauma registry training.1st trauma registry sub-committee meeting.

1st download of data from hospitals to central site.

1st annual meeting of RTC executive councils.

Inclusion Criteria for registry was changed to include all children.

Stakeholder Strategic planning meeting held.

Data linkage committee established.

Grant funds for EMD training awarded. Public information campaign implemented.

1st TOPIC class held.

1st Regional Plans developed and approved.

Legislation passed giving the state the ability to develop regulations for facility designation – Levels I, II, III.

1st Benchmark Report released.

Web based version of registry becomes available.

State designated trauma centers: Stormont-Vail HealthCare, Via Christi Regional Medical Center, Wesley Medical Center, University

of Kansas Hospital, and Overland Park Regional Medical Center.

1st Level III trauma center grant distributed.

BIS assessment.

1st annual report released.

Trauma Regulations approved for trauma center designation.

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Trauma Affects All KansansData from the State Trauma Registry contains information about the serious injuries treated in Kansas hospitals. It shows that trauma occurs in all parts of the state —urban and rural—and that no age, social or economic group is spared. Each day, approximately 25 Kansans are injured severely enough to require the services of a trauma center.Injuries in Kansas are a leading cause of death for people 1-44 years old and are life altering events for the elderly. The Centers for Disease Control and Prevention estimates that for every two people who die of traumatic injuries, another six are permanently disabled.

Falls are the leading cause of unintentional trauma. While fall-related trauma affects all ages, a disproportionate number of those needing trauma care are 65 years old or older. Women are twice as likely to sustain fall traumas as their male counterparts.

Percent Distribution of Trauma by Intent and Type,Kansas 2005-2007

Unintentional Injuries91%

Assault7%

Self Inflicted1%

Other/Unknown1%

Falls 49%

MVC Occupant 23%

Other Traffic 7%

Non-Traffic Transport 8%

Other Unintentional 13%

0

20

40

60

80

100

Rat

es p

er 1

00,0

00

0-14 15-24 25-34 35-44 45-54 55-64 65-74 75+

Age

MVC Occupant Rates, Kansas 2005-2007

Note: rates should be used for comparison purposes only.

Motor vehicle occupant injury is the second most common unintentional injury in Kansas. In 2006 alone, 416 people died on Kansas roads. 71% were killed in rural areas of the state. Trauma related hospitalizations for young occupants (15-24 year olds) are almost twice that of any other age group.

Trauma in Kansas is primarily unintentional

Almost 1/2 of unintentional trauma in Kansas is fall-related, followed by motor vehicle crash occupant trauma.

0-14, 10%

65-74, 13%

15-24, 4%

55-64, 11%

25-34, 3%

35-44, 5%

45-54, 9%

75+, 45%

Percent Distribution of Falls by Age

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Name organization, member City locationDr. Paul Harrison KS Medical Society, Wichita(Chairperson)

Dr. Craig Concannon KS Medical Society, Beloit

Dr. Scott Sellers KS Association of Osteopathic Medicine, Hutchinson

Mr. Saad Ehtisham KS Hospital Association, Wichita

Mr. Terry Siek KS Hospital Association, Hays

Mr. Leslie Lacy KS Hospital Association, St. Francis

Ms. Darlene Whitlock KS Nurse Association, Silver Lake

Ms. Debra Pile KS Nurse Association, Haysville

Mr. Robert Prewitt KS Emergency Medical Technician Association, Garden City

Mr. Kerry McCue KS Emergency Medical Services Association, Hays

Mr. Dennis Mauk Urban EMS Administrator, Wichita

Ms. Pam Kemp Rural EMS Administrator, Clay Center

Name (Cont.) organization, member City locationMs. Cathy Heikes SW RTC Rep., Dodge City

Ms. Kris Hill SC RTC Rep., Peck

Mr. Chris Way SE RTC Rep., Parsons

Ms. Kimberla Nutting NW RTC Rep. Bogue

Dr. Pamela Steinle NC RTC Rep. Smith Center

Dr. James Longabaugh NE RTC Rep. Sabetha

Designees Dr. Dennis Allin Board of EMS, Lenexa(Vice Chairperson)

legislators Senator Susan Wagle District 30

Senator David Haley District 4

representative Brenda Landwehr District 91

representative Geraldine Flaharty District 98

Advisory Council on Trauma Members

Lee and Denise Miller know first hand how important it is to have a functioning trauma system. In July, 2008, their 16 year old son, Wyatt was involved in a head-on collision while returning home from the county fair. “As soon as the ambulance got Wyatt to the emergency room at the Santanta Hospital, they realized he had a brain injury and immediately airlifted him to Wesley Medical Center,” a Level I trauma center, in Wichita about 200 miles away, said Denise. “If Santanta had not acted as aggressively in getting him stabilized and transferred, he likely would not have made it through the day. Because Wyatt received the treatment he did, he is back at school today.”

A Success Story:

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Regional Trauma Councils North Central Kansas regional Trauma Council executive Committee members

Title & Name OrganizationPhysicians:Kris Canfield, MD, FACS Mitchell County HospitalPamela Steinle, MD, FACS Smith County General Surgery Nurses:Kim Davis, RN (Secretary) Clay County Medical CenterEmma Doherty, RN, MSN (Chairperson) Salina Regional Health CenterEMS:Patrick Eastes Smith County EMSDon Lieb (Treasurer) Republic County EMSAdministrators:Ron Bender Clay County Medical CenterCharlie Grimwood (Vice-Chairperson) Salina Regional Health CenterHealth Department:Suzette Brotton, RN Salina-Saline County Health DepartmentPatricia Dowlin, RN, BSN Mitchell County Health Department

Northeast Kansas regional Trauma Council executive Committee members

Title & Name OrganizationPhysicians:W. Christopher Bandy, MD, FACS (Chairperson) Stormont-Vail HealthcareJames Longabaugh, DO (Vice-Chairperson) Sabetha Community HospitalNurses:Dan Murray, RN St. Francis Health CenterDarlene Whitlock, RN Stormont-Vail HealthcareEMS:Jeanette Hornung (Treasurer) Life Star of KansasNatalie Hartig Johnson County Med ActAdministrators:Elizabeth Carlton, RN, MSN, CCRN University of Kansas HospitalLois Towster, RN, MSN, ARNP, CCRN (Secretary) Overland Park Regional Medical CenterHealth Department:Patricia Hunter, RN Junction City-Geary County Health DepartmentBrett Starbuck Shawnee County Health Agency

Northwest Kansas regional Trauma Council executive Committee members

Title & Name OrganizationPhysicians:Michael Machen, MD Gove County Medical CenterCharles Schultz, MD Hays Medical CenterNurses:Carol Groen, RN (Treasurer) Hays Medical CenterAnnie Staats, RN Sheridan County HospitalEMS:Deborah Kaufman (Secretary) Sheridan County EMSKimberla Nutting, RN (Chairperson) Graham County EMSAdministrators:Shelley Boden (Vice-Chairperson) Russell Regional HospitalGeorge Stover Rush County Memorial HospitalHealth Department:Marilyn Gamblin, RN Decatur County Health DepartmentCheryl Goetz, RN Gove County Health Department

South Central Kansas regional Trauma Council executive Committee members

Title & Name OrganizationPhysicians:James Haan, MD, FACS Via Christi Regional Medical CenterWilliam Waswick, MD, FACS (Chairperson) Wesley Medical Center & Via Christi Regional Medical Center Burn Center Nurses:Kris Hill, RN (Treasurer) Via Christi Regional Medical CenterDaryl Patrick, RN (Secretary) Memorial HospitalEMS:Randy Easter McPherson EMSRandall Miller Promise Regional Medical Center- Hutchinson-Reno County EMSAdministrators:Terri Griffiths, RN, BSN Anthony Medical CenterSam Serrill Wesley Medical CenterHealth Department:Rita Flickinger, RN, BS Harvey County Health DepartmentJudy Seltzer, RN, MS Reno County Health Department

Southeast Kansas regional Trauma Council executive Committee members

Title & Name OrganizationPhysicians:Sonya Culver, DO Labette HealthRobert Dodson, MD (Vice-Chairperson) St. John’s Maude Norton Memorial HospitalNurses:Tereasa DeMeritt, RN (Secretary) Labette HealthJanelle Dimond, RN (Treasurer) Mount Carmel Regional Medical CenterEMS:Rod Pace MedFlight-ARCH Air MedicalChristopher Way (Chairperson) Labette Health EMSAdministrators:Sharon Gonzales, RN, MSN Coffeyville Regional Medical CenterDrew Talbott Mount Carmel Regional Medical CenterHealth Department:Betha Elliott, BS Cherokee County HealthTeresa Star Neosho County Health Department

Southwest Kansas regional Trauma Council executive Committee members

Title & Name OrganizationPhysicians:Marie McEntee, PA Wichita County Health CenterJim Moffitt, MD Family Practice AssociatesNurses:Nicki Klein, RN (Secretary) Hodgeman County Health CenterAshley Rich, RN (Vice-Chairperson) St. Catherine HospitalEMS:Jerry Jo Deckert Grant County EMSEliz Snoke Lane County EMSAdministrators:Lance McGowan (Chairperson) Lane County HospitalRobert Ohlen Bob Wilson Memorial HospitalHealth Department:Rosemary Bachman, RN (Treasurer) Kearny County Health DepartmentKristi Schmitt, RN Finney County Health Department

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www.kstrauma.org

level i Trauma CenterThe University of Kansas Hospital3901 Rainbow BoulevardKansas City, KS 66160-7220(913) 588-5000www.kumed.com

level i Trauma CenterVia Christi Regional Medical Center929 N. St. FrancisWichita, Kansas 67214(316) 268-7000www.via-christi.org

level i Trauma CenterWesley Medical Center550 N. HillsideWichita, KS 67214(316) 962-2000www.wesleymc.com

level ii Trauma CenterOverland Park Regional Medical Center10500 Quivira RoadOverland Park, KS 66215(913) 541-5000www.oprmc.com

level ii Trauma CenterStormont-Vail HealthCare1500 SW 10th AvenueTopeka, KS 66604(785) 354-6000www.stormontvail.org

www.kdheks.gov

Kansas Trauma Centers

Coffeyville regional medical Center1400 W 4thCoffeyville, KS 67337620-252-1187www.crmcinc.com

Hays medical Center2220 CanterburyHays, KS 67601785-623-5000www.haysmed.com

labette Health1902 S US Highway 59Parsons, KS 67357620-421-4880www.labettehealth.com

mt. Carmel medical Center1102 E Centennial DrPittsburg, KS 66762620-232-6100www.mtcarmel.org

Promise regional medical Center1701 E 23rd AveHutchinson, KS 67502620-665-2000www.promiseregional.com

Salina regional Health Center400 S. Santa Fe Ave.Salina, KS 67401785-452-7000www.srhc.com

Prospective Trauma Centers