Article Figures & Data
Figures
- Figure 1
Aerial photo of the current Harborview Medical Center campus, Seattle, Washington.
- Figure 2
Eight emergency medical service regions in Washington State that were used to establish the regional council structure for the state trauma system.
- Figure 3
Geographic distribution of trauma centers in King County, Washington (central region).
- Figure 4
Current map of designated trauma centers in Washington State.
Tables
- Table 1
Guiding principles and recommendations for Washington State trauma system implementation
Guiding principles Recommendation System needs to engage the continuum of trauma care Set standards and designation requirements for prehospital agencies, acute care hospitals, and rehabilitation centers
Make injury prevention activities a priority in the regionsSystem needs to be inclusive to allow access to care in rural regions Designation of adult facilities levels I through V
Pediatric centers levels I to III, IV, and V centers designed for stabilization and transferTrauma care personnel are the most valued trauma care resource Financial support needs to be provided to the regions to implement a comprehensive trauma care education plan Flexibility is needed in implementation to meet the varying needs across the state Use existing EMS regions to establish regional implementation plans to be approved by the DOH and EMS and Trauma Steering Committee All providers and organizations need representation in the governance of the system Establish an EMS and Trauma Steering Committee with all stakeholders at the table and the DOH as the lead agency Continuous system and quality improvement needs to be based on high-quality data Establish a statewide trauma registry with mandatory reporting by all designated facilities
Establish regional QI committees with protection from discovery for QI activitiesDistribution of trauma centers and prehospital agencies should be based on defined population need Each region will establish minimum and maximum numbers for designation of each level of trauma center, and for prehospital agencies modifications to min/max numbers need to be justified by population need The system needs dedicated trauma system funding to maintain operations and address gaps in reimbursement of undercompensated care Create and allocate a source of funding for a dedicated trauma system fund DOH, Department of Health; EMS, emergency medical service, QI, quality improvement.
- Table 2
Representation on the Washington Emergency Medical services (EMS) and Trauma Steering Committee
Organizations Number of representatives American College of Surgeons Committee on Trauma 3 American College of Emergency Physicians 3 Washington State Hospital Association (urban and rural representatives) 2 WA Chapter of American Academy of Pediatrics 1 EMS Medical Program Directors 1 Neurosurgery society 1 Orthopedic society 1 Neurology society 1 Emergency cardiac and stroke system (one physician, one nurse) 2 WA State Emergency Nurses Association 1 WA State Nurses Association 1 WA State Trauma Nurse Network 1 Washington Fire Chiefs Association 1 WA State Council of Fire Fighters 2 WA State Fire Commissioner 1 WA State Fire Fighter’s Association 1 General EMS representative 1 Association of Rehabilitation Facilities 1 WA State Poison Control Center 1 Law Enforcement – Washington State Patrol 1 Washington Ambulance Association 1 Association of Washington Cities 1 Air Medical Services 1 General public member 1
Audio Supplement
The History of Harborview Medical Center and the Washington State Trauma System: interview with Eileen Bulger
Files in this Data Supplement:
