HomeMy WebLinkAbout981309.tiff RESOLUTION
RE: APPROVE AREA TRAUMA ADVISORY COUNCIL (ATAC) BIENNIAL PLAN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with the Area Trauma Advisory Council
(ATAC) Biennial Plan from the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Weld County Ambulance Service, to
the Colorado Department of Public Health and Environment, with terms and conditions being as
stated in said plan, and
WHEREAS, after review, the Board deems it advisable to approve said plan, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Area Trauma Advisory Council (ATAC) Biennial Plan from the County
of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,
on behalf of the Weld County Ambulance Service, to the Colorado Department of Public Health
and Environment be, and hereby is, approved.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 29th day of July, A.D., 1998.
BOARD OF COUNTY COMMISSIONERS
WE COUNTY, COLORADO
LuATTEST: I< i. Constance L. Harb rt, Chair
Weld County Clerk to th- B.: ,( °`" '`
ot: , el ed. G SPX
�, 'S el
% W. Webster, Pro-Tem
BY: t z.'. • a n,
Deputy Clerk to the a,tiat EXCUSED DATE OF SIGNING (AYE)
Amps-
soi e E. Baxter
R ED 0 FORM: '&4
Da e . Hall
1L
County Attc ney EXCUSED DATE •F SIGNING (AYE)
Barbara J. Kirkmeyer
981309
j' ' nt?% 5 -t�J AM0010
WELD COUNTY AMBULANCE SERVICE
PHONE (970) 353-5700, EXT. 3200
FAX: (970) 353-5700, EXT. 3215
1121 M STREET
GREELEY, COLORADO 80631
July 20, 1998
To: BOCC
From: Gary McCabe l
RE: ATAC Biennial Plan
Mitch Wagy (Weld ATAC Rep) and I have reviewed and made corrections in the ATAC
Biennial plan. The enclosed contains those corrections. We recommend signature by
the Board.
981309
Northeast Colorado Area Trauma Advisory Council `�t13 t urft11t
Larry A. Lund, Coordinator p �g To '
130 Cortez ot�!-t ge4%,
Sterling, Colorado 80751 rh
f
(970)522-5512 ' p L.0 m •v
Fax (970)522-4872 �C y' ()47 w
E-mail llund@henge.com Erc �
�/} °ve page
July 17, 1998 �i �7 .A.1110tP
lii
Gary McCabe
Weld County Ambulance Service
1 121 M Street
Greeley, CO 80631
Gary:
Please find enclosed a revised copy of the ATAC Biennial Plan. I believe I have all of the
corrections made on it that you indicated.
If you can give this to the county commissioners as soon as possible so that they can sign
and return the included signature sheet, I would greatly appreciate it.
If there is anything else, please let me know.
Thanks,
Larry A. Lund
- •
981309
NCATAC BIENNIAL PLAN
APPROVAL SIGNATURE SHEET
By our signature(s) below, we the Commissioner(s) of Weld
County do affirm that we have reviewed and do approve the Biennial Plan of the
Northeast Colorado Area Trauma Advisory Council as submitted to our Office.
Signature Date
j July 29. 1998
Constance L. rbert, Chair
*
W. ebster, Protemil
dr
( i
tirifFICIWIT
Da e K. Hall
4
ow Q '_, A' - /L___.i
, :arbara J. Ki, meyer
9S 309
COLORADO STATEWIDE TRAUMA SYSTEM
AREA TRAUMA ADVISORY COUNCIL (ATAC)
BIENNIAL PLAN
This plan is mandated by section 25-3.5-704, Colorado Revised Statutes (1995).
All ATACs must submit completed plans biennially, beginning July 1, 1998.
Such plans must be submitted to the Colorado Department of Public Health and
Environment, Emergency Medical Services and Prevention Division, Colorado
Trauma Program Director, 4300 Cherry Creek Drive South, Denver, Colorado
80222-1530.
Plans submitted without approval of county commissioners in all the counties
in the ATAC will be considered incomplete and returned to the ATAC for
commissioner approval.
NOTE: This document was created on WordPerfect 6.1 for Windows. Using
this disk with other programs/operating systems may change the formatting of
this document to varying degrees or cause other unforeseen changes. If the
document format appears too large for individual monitors, reduce to 75%
before beginning. Saving changes often will ensure that no loss of material will
occur if problems are encountered. Please follow the provided directions.
Directions: Insert cursor inside of each topic box (listed alphabetically). Tab to answer each
specific question. Be as brief as possible. At the end of each section, click mouse to remove cursor
and place it in the next topic box. Do not tab to exit each table unless you need to continue with
more information for which there is not enough space provided. If more information is essential,
press tab to add it.
PLEASE NOTE: ALL EXAMPLES GIVEN ARE FICTIONAL.
This section is intended to summarize your assessment of area trauma resources.
I. EXISTING AREA RESOURCES
A. POPULATION
Major towns/cities Population:
1. Larimer county (Fort Collins, Loveland) 2601 sq.mi. 217,215
2. Weld county (Greeley) 4032 sq.mi. 148.014
3. Morgan county (Ft. Morgan) 1286 sq.mi. 23,729
4. Logan county (Sterling) 1839 sq.mi. 17,869
5. Yuma county (Yuma, Wray) 2366 sq.mi. 9,264
6. Sedgwick county (Julesburg) 548 sq.mi. 2,606
7. Phillips county (Holyoke& Haxtun) 688 sq.mi. 4,309
8. Jackson (Walden) 1623 sq.mi. 1,537
9. Washington (Akron) 2521 sq.mi. 4,687
Total Population: 429,230
Population per Square Mile: 24.6
Unusual/exceptional additional information (bullets):
r n »,1 a 4 [
4!1
s... .., �E,. �.f�., „via ,.,, ...
B. MAP: On an additional sheet(s) of paper (which you should identify as item`B"), submit a
detailed map of the area, showing cities and towns as well as any geographical barriers
to air and ground transportation of trauma patients.
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C. HOSPITALS
List of Hospitals Identify if OR/ER
Total Services are Trauma
Staffed Total Available Center
Beds Staff 24 hrs/day (y/n) Status
1. Poudre Valley Hospital 250 OR its. ED yes Level II
2. McKee Medical Center 104 OR yes ED yes Level III
3. Colorado Plains Medical Center 40 OR yes ED yes Level III
4. North Colorado Medical Center 326 OR yes ED yes
5. Sterling Regional Medical Center 38 OR yes ED yes
6. Wray Community District Hospital 16 OR yes ED yes
7. Yuma District Hospital 22 OR yes ED y_es
8. Haxtun Hospital District 16 OR yes ED yes
9. Melissa Memorial 24 85 OR yes ED yes
10 East Morgan County 6 98 OR yes ED yes
6 swing
11. Sedgwick County Memorial Hospital 26 68 OR yes ED yes
12. Estes Park Medical Center 76 223 OR yes ED yes
fr yi h tf i t 34 i V I :° k i 4,. .Elt viNl>. i e
$P4 5its sr4� �° Rs � flE I kI ► eab 9`?E $ x . _. �
3
98/30 9
D. CLINICS PROVIDING TRAUMA CARE
Indicate nature Indicate if
and number of EMTs or
Clinics: Staff: Doctors, Paramedics
Hours of Nurses - PAs staff clinics
operation (list which) (list which)
1. Akron clinic M&F 8-5 1 PA, 1 NP, 1
TWTh 8-7 visiting MD
2. Northpark Medical Clinic MWF 8-5 1 NP 1 EMT-I
TTh 7-12
D. CLINICS PROVIDING TRAUMA CARE (CONT.)
Total Annual Volume (average) trauma patients @ clinics in the ATAC
By Clinic: Average Annual Volume:
1. Akron Clinic
2. Northpark Medical Clinic
3.
4.
5.
.t:.!;:f*Atocp • - — 14 4o:- • * t-•••q.4
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E. EMS SERVICES
For each agency indicate whether it is a transporting agency by adding+; sample: AMR+
Use of or
access to air
transport?
(AT)
Specialized
24 hr. BLS rescue
# of Paid # Of ALS? service? services?
Agencies (list ALS or BLS) Employees Volunteers (Yes/No) (Yes/No) (SRS)
1. Life Care 20 0 yes no AT,
2. Weld County 49 0 yes no AT,
3. Thompson Valley 26 0 yes no AT,
4. Poudre Valley Hospital 32 0 yes no AT,
5. Sedgwick Co. Amb. 0 38 yes yes AT,
6. East Phillips Co. Amb. 0 20 no yes AT,
7. City of Yuma Amb. 3 23 yes no AT
8. City of Wray Amb. 1 12 no yes AT
9. Air Life 13 0 yes no AT
10. ldalia Amb. 0 13 no yes
11. Haxtun Amb. 0 9 no yes AT
12. South Y-W Amb. 0 6 no yes
13. Washington County Amb. 2 28 yes yes AT
14. Estes Park Med. Amb. 21 yes yes AT
15. Morgan County Amb. 2 40 yes yes AT
16. Tri-Area Amb. 17 0 yes no AT
17. Jackson County Amb. 1 9 yes yes AT
Location: On separate maps, show location of ALS and BLS agencies. Use"A"for ALS and"B"for
BLS.
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F. TRAUMA CENTERS- TRANSFER PATTERNS
Check which centers (if
any)are used for staff
Identify where facilities in ATAC transfer trauma patients: education:
1. Denver Health Medical Center x
2. St. Anthony's Central x
3. Swedish Medical Center x
4. University Hospital x
5. Children's Hospital x
6. Poudre Valley Hospital x
7. North Colorado Medical Center x
8. Sterling Regional MedCenter x
9. Colorado Plains Medical Center x
G. VOLUME OF TRAUMA PATIENTS
Stratify total annual volume of trauma patients according to severity of <9 1555
injury(ISS number):
10-15 789
16-25 167
>25 48
6
9yi3oigt
Separate volume per facility in each ATAC:
10-15 16-25 >25
ISS 0=9 CPMC 123 44 it 3
NCMC 561 248 65 21
69 18
256
PVH 487 MMC 178 118 15 4
0 0
East Morgan 15 4 0
Estes Park 8 3 0
Haxtun 9 2 0 00
Melissa 4 1 1
Sedgwick 11 5 0 02
Sterling 134 93 6
0 0
Wray 15 10 0
Yuma 10 5 0
7
98/309
Stratify all area trauma patients by age distribution: 0-6 70
7-12 75
13-24 382
25-44 531
45-64 395
65-84 784
85+ 357
„ 5):I 11 F30( 15r!"1 35 t 6 iitji2.1.14:ii
gLugi,g0 15
H. AREA TRAUMA CENTERS
List any recognized specialties
List Area Trauma Centers: (burns,peds.,limb preservation)
1. Poudre Valley Hospital Level II (limb pres./rehab)
2. McKee Medical Center Level III
3. Colorado Plains Medical Center Level III
4.
5.
”1' t 4. 1
I. COMMUNICATIONS SYSTEMS
1) Citizen Access: How do citizens/visitors 911, Fire Bars, Direct phone calls
access emergency medical and trauma
assistance via public communications
systems?
2) Identify which channels are used to dispatch UHF and VHF channels, state wide channelMed 2
emergency medical personnel to
medical/trauma incidents?
3) Identify which channels are utilized by on- Varies, dedicated phone lines and channels, UHFMed
scene personnel for communication between frequencies, VHF car to car and car to dispatch.
field personnel for communication between
field personnel and local trauma center?
8
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4) Identify which channels are used for UHF and VHF channels, varies
communications between ambulances.
5) Identify which channels are utilized for Varies, UHF and VHF
communications between EMS and Law
Enforcement and Fire.
6) Identify the training required for dispatchers Varies depending upon the county requirements and whether
receiving calls for emergency and trauma private vs. county dispatch. Example: EMD, Priority
services. dispatch, some no specific training.
7) Identify what communication equipment is 2 way radios, cell phones, mobilecom-centers.
used in the event of a multiple-casualty
incident or disaster(channels, repeaters,
etc.)
8) Identify what methods are used for pagers, radio,phone, overhead paging system in-house
activating:
a) trauma teams
b) fixed and rotary wing emergency
services
(pagers,telephones, radio, other)
9) Identify the methods of communication telephone, fax
used between trauma facilities in the area.
10) identify the methods of communications telephone, fax, radio
used to interface with other regions.
(Adjacent and otherwise)
11) List telemetry ortelemedicine systems in PVH and NCMC broadcast trauma grand rounds and trauma
place that are used for trauma purposes education, also usingtelemedicine for broadcast of ATAC
(summary form). meetings. All facilities havetelemedicine capabilities.
12) Identify how provider personnel Dedicated phone lines, radio(VHF & UHF)
communicate when transporting patients.
13) List backup communications methods used Cell phone, UHF &VHF, system failure, dead spots,patient
and summarize what circumstances most confidentiallity.
often drive the need for backup system use.
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.I, TRAUMA PREVENTION PROGRAMS/DISASTER MANAGEMENT PLANS
1) List and briefly describe any known 1. ENCARE Drinking & Driving
prevention programs related to trauma 2. Child seat safety through Life Care Ambulance, City of
currently in place in the area: Yuma Ambulance and Washington County Ambulance.
a) hospital based prevention programs 3. Proposed bicycle safety inWray.
and what subjects
b) prehospital based prevention 4. Anti-drunk driving program for high school students
programs &topic through Morgan County Ambulance(mock crash).
c) private organization programs & 5. State Patrol seat belt checks.
topic
2) List and briefly describe disaster Each county has an Office of Emergency Management,
management programs/plans currently in Statewide OEM, Red Cross. ATAC would communicate
place. State whom the ATAC would with the Emergency Manager of each county and local
communicate with in the event of such a Sheriff's Departments.
disaster.
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K. TRAUMA DATA COLLECTION/CAPACITY FOR EXPANSION
Please answer as briefly as possible
To determine what reporting systems facilities Capacity for expansion-Whether all
are currently utilizing,identify which facilities in facilities have the resources/staff/interest,
your area report by each source. Note etc. in expanding current reporting to
exceptions. (Example- CHA: all except encompass each source.
Lutheran Hospital)
1. CHA x
2. UB92 x
3. Trauma CPMC, NCMC, SRMC, In the near future,providing that legal obstacles can be
Base PVH, MMC overcome,there will be minimal reporting to the ATAC from
Level IVs and non-designated facilities. System is in place and
ready for use.
4. MVA Department of Transportation Department of Transportation hasacces to data through
Report accident reports from law enforcement.
5. Other Prehospital High Plains Regional EMS and proposed Weld County
system. Each agency in the HPREMS is training data
collection tool to eventually replace hand written trip reporting
forms. Weld County is doing same.
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L. IMPROVING TRAUMA CARE
Briefly describe any current quality improvement/assurance activities for trauma that are in place at
area facilities and EMS agencies. Please summarize. (Example- X hospital has a QA regular
committee meetings,special QA performance measures have been adopted and are monitored on all
trauma cases,etc.)
All facilities listed above are doing QI/QA activities. Ambulance services as well do some form of QI.
ATAC QI is on hold waiting for determination from Attorney General(discoverability anchonfidentiallity).
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II. RESOURCES NEEDED
Please answer as briefly as possible.
M. Identify the predicted population growth or loss that would impact trauma service delivery in your area in
the next 5 years.
Population is expected to grow along the front range and inMorgan and Logan counties. Would expect the
plains to remain stable. Will be impact from the prison in Sterling yet to be determined.
N. Describe any changes in layout of population and any new barriers to trauma care that are expected due to
these changes (append a map of area if possible).
Do not anticipate barriers, but will need to match growth with increase in EMS vehicles, personnel,hospital
staffing and services, etc., depending on growth caused by prison in Sterling not known at present.
O. Identify hospital resources that are needed in your area to address trauma patient and/or system needs
effectively.
Education in the form of ATLS for physicians and TNCC for appropriate nursing staff. Aliterfacility
communication system for dealing with trauma patients and transfers.
P. Identify prehospital services that are needed for proper transfer and care of trauma patients. (Not intended
as organizational assessment-but to summarize major service gaps. ExampleSilverton area lacks adequate
number of volunteers to assure appropriate response to calls. ATAC needs to develop plan for how to
address this need.)
Education in the form of PHTLS/BTLS, multi -county mutual aid and disaster drills. Better education for the
prehospital about the trauma triagealgorythm. Example: destination policies, facility capabilities, etc.
Q. Identify the types of services (from key resource facilities or otherwise)that are needed for essential trauma
care in your area. (Same as above. ExampleWray needs ATLS , TNCC training, and ongoing support in
order to maintain trauma center status. Such status is needed in the area due to large distances between
providers and to and from other designated centers.)
Educational assistance, consultation, exchange system or clinical timde;medical personnel in smaller facilities
and agencies go to the larger facilities to experience hands on trauma care with trauma team
R. Identify what specialized trauma care services are needed in your area to serve the patient population.
Better pediatric traumaeducastion.
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S. Identify what communications capability is needed to operate the area trauma system effectively;note where
shortfalls exist.
Logan county needs a coordinated communication center,this is in progress. Need single channel. An Ad-hoc
memeber of the NCATAC council who is experience in communications (UHF, VHF and 911).
T. Identify what disaster management programs or protocols are needed in your area to improve trauma care.
(By topic-not by actual marketed program. Example: Our ATAC has no protocols for where to transport
patients from a large disaster other than to each local hospital. Protocols are needed.)
Organized efforts at the ATAC to work closely with the county or Regional Offices of Emergency Management
to develop a plan for disaster management. which could include patient destinations, facility capabilities and
cooperative agreements(mutual aid agreements).
U. Identify what type of community resources,prevention, and public information programs are needed to raise
awareness about trauma and educate about prevention.
Public information about the ATAC and trauma system. As above,topics specific to the county needs as yet not
identified.Work closely with EMS-P of the Colorado Dept. of Health, CDOT and NHTSA to develop or
investigate existing prevention programs.
V. Specify if data collection systems must be enhanced or changed in order to capture the data needed for the
trauma system (essential minimum data specified by the Board of Health) and estimate what it would take to
make this happen (> finances,personnel,training).
There is a pilot EMS data collection/reporting system. Some counties will receive lap top computers and will be
using the same system to collect data. Is a need for standardization of agency identifiers and hospital
identifiers. For the ATAC to monitor(QI)facilities or ATAC will need to dedicate personnel to address
data collection and communicate with the ATAC. Standardization of communications throughout ATAC
Example: computers, software, servers, intranets and staff trained to support. Standardized education and
ongoing training for abstractors and registrars to insure that data is being coded consistently and uniformly.
W. Identify what changes need to be made in quality improvement assurance activities to ensure accurate
quality assessment.
Standardization of education and ongoing training about QA/QI/CQI. Resolution of the issues surrounding
discoverability and confidentiality to allow the ATAC to proceed with doin?QI
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III. AREA ANALYSIS
This section is intended to elicit regional planning strategies for trauma management based upon
the data collected in the previous sections.
1. Identify the 2 most important goals of the ATAC over the next 2 year period . State why
these goals were chosen.
1) Continue development of the ATAC infrastructure. This will make the ATAC efficient and
effective.
2) Work with key resource facilities to develop didactic and clinical education for physicians, nurses
and EMS providers. Examples may include but are not limited to: ATLS, TNCC, staff rotation
through ED, ORs, Trauma Services and ambulance clinical time.
3) Consider options to improve communication through out the ATAC. At present there is no one
media or method of communication within the ATAC. This should provide more effecient way for
ATAC to carry out its responsibilities and duties.
4) Begin QA/QI process and data collection as soon as legal issues are resolved. This is very
important in order to aid the ATAC in identifying problem areas toward which their efforts can be
directed to achieve resolution.
5) Work within in the region with all applicable agencies to improve the response to disaster
situations. Create an ad hoc seat on the Council for Office of Emergency Management.
2. Explain how the goals promote cooperation and coordination among area trauma providers.
1) Strengthening, expanding, and continuing to develop the ATAC infrastructure will allow for the
ATAC to be able to communicate more readily and create an enviroment in which the ATAC can
work more efficiently.
2) Trauma education provided by key resource facilities and other sources at all levels on an ongoing
and continuous basis will help to improve trauma care in the ATAC.
3) Establishing a single method by which to efficiently communicate within the ATAC provide the
ability for the ATAC to keep all of its members better informed in an environment that is constantly
changing.
4)By using the QA/QI process, the ATAC may be able to identify issues that need attention of the
ATAC in order to provide the best care possible in the region.
5)By working with all applicable agencies, this will help to meet the needs of all of the counties in
the ATAC to provide a unified disaster response when one occurs. By having an ad hoc seat on the
Council for Emergency Management, this would provide for two way communication between the
ATAC and the Council.
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3. Explain how the goals selected relate to the "resources needed" portion of the plan.
1) Infrastructure is necessary in order to provide the matrix within which the ATAC can carry out its
duties and responsibilities.
2) The goal of effective trauma education should promote appropriate triage, transfer and care.
3) Improving communication systems is needed to facilitate communication through out the ATAC.
4)By acquiring data, analyzing the data and making decisions based on the results of the data review,
the ATAC should be able to identify problem areas which require their attention.
5) Working with applicable agencies should help to provide a more uniform and timely response to
all communities in the region. Having a seat on the Council of Emergency Management will help
toward coordinating resources and efforts in a disaster.
4. Identify (list) all counties invited to participate in the ATAC. Note any county invited to
join that decided not to join.
Larimer, Weld, Morgan, Washington, Logan, Sedgewick, Phillips, Yuma, and Jackson (Jackson
County has not participated in the ATAC actively.)
5. State how the current ATAC composition promotes greater integration and coordination of
trauma services. (ie. Why is this particular group of counties going to improve trauma care
in this area?)
Geographic proximity, history of referral patterns that are already established within this area, like-
mindedness since all county areas are considered "rural"
6. State whether trauma service could be enhanced even more by the addition of other adjacent
counties. If so, name which counties.
None
7. State what the ATAC believes is the optimal number of trauma centers needed in the area,
the ideal location of such centers, and the rationale for any additional centers beyond what are
currently available.
By having the trauma system be an inclusive system rather than an exclusive system, provides for a
better"buy-in" in improving trauma care, therefore, it makes sense not to limit the number of trauma
centers in the region, even though it is placing an additional drain on already limited and scarce
resources in some situations.
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8. State how the ATAC will discourage duplication of services in the area. (duplication for this
purpose= proliferation of services already available that are not operating at reasonable
maximum capacity)
There has been duplication of services in the ATAC, but with the cooperation of the various agencies
and facilities the opportunity for sharing resources may present itself
9. State what efficiencies are anticipated by multicounty participation in the ATAC.
Consolidation of resources to more effectively address issues as they arise and provide needed
assistance to agencies and facilities.
10. State how the ATAC will prevent and resolve problems caused by multiple and/or different
sets of protocols from different providers and physician advisors in the area.
1. The curriculum to teach and train providers in relation to the trauma triage algorithm should be
standardized by the state
2. Development of standardized regional EMS trauma protocols.
11. State how the ATAC will address back up issues (to ensure area coverage, appropriate
divert, address problems) among the various ATAC providers (especially when back up is not
completely available within each provider organization).
A goal would be to link each communication center so that information could be passed from
different communication centers to the providers and upgrade existing mutual aid agreements to
address concerns as they arise.
12. Identify how the ATAC will elicit input, cooperation, and participation from all providers in
the system. (Trauma centers and nondesignated facilities).
1) Written communication
2) Open meetings
3) Rotating meetings between counties
4)Use of the telemedicine system to broadcast ATAC meetings
5) Utilization of the paid personnel to network and develop relationships with facilities and
organizations.
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13. Identify how the ATAC will coordinate care and resolve issues with adjacent ATACs,
facilities in neighboring states where relevant, and facilities not within the ATAC area. (Refer
to the example on page 15 when completing this information)
ENTITY ACTIONS
Adjacent ATAC: Contact chairperson/exchange minutes,joint
meetings, phone conferences, chairpersons meet,
written agreements
Neighboring States:
Wyoming, Nebraska, Kansas Invite to meetings, phone, visit facilities, phone
conferences, written agreements
Key Resource Facility:
Poudre Valley Hospital Phone, ID consistent contact person, regular
meetings
Other Transfer Facilities:
Denver Health Medical Center Written transfer agreements, ID contact person
St. Anthony's Central
Swedish Medical Center
University Hospital
Childrens Hosptial
Poudre Valley Hospital
North Colorado Medical Center
13. Identify how the ATAC will monitor appropriate triage and transport according to the
minimum regulations.
At ATAC meetings, review all appropriate trauma related interfacility transfers. Create specific
criteria for EMS agencies to review all appropriate trauma transports.
14. Explain how the ATAC will compile the area incidence of index cases requiring transfer or
consultation pursuant to the minimum regulations.
Require facilities to keep track as well as in the ATAC data base. Abstracting of charts by paid
ATAC personnel.
15. Identify two other system elements the area will monitor, and describe of what use that data
will be to the ATAC.
To identify systems elements would require QA and the without resolution, present legal
environment precludes this.
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16. From the items referenced in the"Resources needed" portion of this plan, identify the first
five things the ATAC will address and state the time line for completing the activity.
(Example: Population of Eagle Co. projected to continue to grow @ x%. By 1999, this will
overpower current prehospital capability in the area. Action: Get on county commissioner's
agenda to discuss feasibility of adding cars to the service and other options. Time line:
Complete by 3/98.)
1. Education and training Ongoing
2. CQI System is in place to begin but is on hold
until legal issues are resolved.
3. Transfer agreements Pending designation process
4. EMS Data collection January 1999
5. Recommend at large membership on the council of Propose at June meeting
experts(OEM, Communications)
NOTE: In some cases, data is not available at this time or is not collected or retrievable.
Revised 7/17/98 lal
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