The Ohio Trauma System is designed to get severely injured patients to the “right hospital, in the right manner, in the right amount of time.” These three factors increase the patient’s chances of survival while minimizing chances of suffering severe disabilities and death. Trauma is the leading cause of death for people between the ages of 1 and 44 years and is a leading cause of death and disability among all age groups. Research studies of other state trauma systems have shown a person’s chances of dying or suffering a severe disability drop sharply if they are injured in a state with an organized trauma system like the Ohio Trauma System.
The Ohio Trauma System is made up of injury prevention experts, disaster preparedness and response agencies, emergency medical services, hospitals, trauma centers, rehabilitation facilities, researchers and many others.
Free-standing Emergency Department Trauma Reporting Requirement
The recent addition of Free-standing Emergency Departments (FSEDs) in many areas has increased capacity and reduced the time to delivery of trauma services for many patients. However, it has caused some confusion concerning the need to report patient encounters through FSEDs to the Ohio Trauma Acute Care Registry.
The Ohio Board of Emergency Medical, Fire, and Transportation Services is charged with development and maintenance of a state trauma registry as outlined in Ohio Revised Code 4765.06 (B):
(B) The board shall establish a state trauma registry to be used for the collection of information regarding the care of adult and pediatric trauma victims in this state. The registry shall provide for the reporting of adult and pediatric trauma-related deaths, identification of adult and pediatric trauma patients, monitoring of adult and pediatric trauma patient care data, determination of the total amount of uncompensated adult and pediatric trauma care provided annually by each facility that provides care to trauma victims, and collection of any other information specified by the board. All persons designated by the board shall submit to the board any information it determines is necessary for maintaining the state trauma registry. At the request of the board any state agency possessing information regarding adult or pediatric trauma care shall provide the information to the board. The board shall maintain the state trauma registry in accordance with rules adopted under section 4765.11 of the Revised Code.
Compliance with this law requires reporting all care provided to adult and pediatric trauma victims who are evaluated and treated in any of Ohio’s FSEDs. A separate facility identification code must be issued by the Ohio Department of Public Safety Division of EMS for each FSED in order to comply with this law and to ensure accurate documentation of the delivery of trauma care throughout the state.