TSA S System Performance

Improvement Report, 2010

To view data tables right click on a chart and select “Edit Data”Please see notes section for each slide for additional information on graphs/tables

Prepared 12-1-11Source: Texas EMS/Trauma Registry as of 12/1/11

Trauma Registry OverviewHospital Case Inclusion Criteria

• A spinal cord injury, ICD-9-CM diagnosis codes 806.0-806.9 and 952.0-952.9

OR

• A traumatic brain injury, ICD-9-CM diagnosis codes 348.1, 800.0-801.9, 803.0-804.9, 850.0-854.1, and 994.1

OR

• Another traumatic injury, ICD-9-CM diagnosis codes 800-959.9 excluding 905-909, 910-924, and 930-939,

• AND at least one of the following:– admitted to a hospital inpatient setting (for more than 48 hours)– died after receiving any evaluation or treatment or was dead on arrival– transferred into or out of the hospital

Hospital Transfers TSA S, 2010

Table 1. Patient Destination at Discharge*

Frequency Percent Transfer 369 27%

No Transfer 1,015 73%

Unknown destination

0 0%

Total 1,384 100%

*This includes all trauma records that met the trauma case inclusion criteria AND records for TBI/SCI cases less than 24 hours length of stay. It does not include deaths as based on Condition on Discharge.

Hospital Transfer Type TSA S, 2010Table 2. Transfer Type Frequency Percent

Out of TSA 207 56%

Within TSA 150 41%

Other/Unknown 12 3%

Total 369 100%

*This includes all records that meet the trauma inclusion criteria AND TBI/SCI cases with less than 24 hours length of stay. It does not include deaths as based on Condition on Discharge.

Table 3Transfers Out of TSA S to Another TSABy Trauma Designation of Facility or Type of Facility in the Other TSA Frequency Percent

Higher level designation 155 75%Lower level designation or non-designated 15 7%

Same designation level 8 4%

Children's’ hospitals & specialty facilities 27 13%

Rehab facility 2 1%

Total 207 100%

EMS Runs Out of TSA S, 2010

Table 4Patient Destination Frequency PercentWithin TSA S 9,995 90%

Out of TSA S 334 3%

Unknown 800 7%

Total 11,129 100%

Table 5: The Five Top Non-Fatal Injuries

Table 9: Top Ten Non-Fatal (Fractures, Concussion)s

6767

2625191716151514

0

10

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40

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ICD 9 Code

Freq

uenc

y

820.21 Fracture of unspecified part of neck of femur closed

820.8 Fracture of unspecified part of neck of femur closed

820.09 Other transcervical fracture of femur closed

850.9 Concussion unspecified

807.01 Closed fracture of one rib

808.2 Closed fracture of pubis

813.44 Fracture of lower end of radius with ulna closed

812.01 Fracture of surgical neck of humerus closed

824.6 Fracture of ankle -Trimalleolar fracture closed

813.42 Other closed fractures of distal end of radius (alone)

Table 11 The Five Top E Codes for Fatal Injuries

E Code and Description Frequency Percent885 Fall on same level from slipping, tripping or stumbling 6 23.08

888.9 Unspecified Fall 3 11.54

955 Suicide and self-inflicted injury by firearms, air guns and explosives 3 11.54

816 MVC due to loss of control, without collision on the highway 2 7.69922Accident caused by firearm and air gun missile 2 7.69

Table 12 The Five Top Injury Categories for Fatal Injuries

Injury Category Frequency

Fall – Accidental 10

Motor Vehicle Collision 6

Suicide, Self-inflicted 3

Assault 3Firearm 2