![]() The volume threshold is the same (1,200 patients), but the definition is changing from “admissions” to “patients who meet National Trauma Data Standard (NTDS) inclusion criteria.” The new standards make a small change to the patient volume requirement for Level I trauma centers. (Under the previous standards, centers were required to have 1.0 FTE registry professional for every 500 to 700 admitted patients.) Trauma centers will now be expected to have 0.5 FTE dedicated registry professionals for every 200 to 300 annual patient entries in the registry. The new standards have also increased the required staffing level for trauma registrars (Standard 4.30). “The expectation is that you actually have enough personnel to comply with the standards in Category 7, which is the PI category.” “Greater trauma center volumes might very well call for additional personnel,” he said. Nathens clarified during his TQIP presentation that the new staffing requirements are minimums. If the annual patient volume exceeds 1,000, the center must have a least 1.0 FTE dedicated to PI.ĭr.If the annual patient volume exceeds 500, the center must have at least 0.5 FTE dedicated to PI.This new requirement is tied to the number of patients in the trauma registry: The new ACS standards will require all trauma centers to have a dedicated performance improvement (PI) coordinator (Standard 4.34). Meet new staffing and staff education requirements Please note that the details presented here may change prior to the official release of Resources for Optimal Care of the Injured Patient: 2022 Standards. "This is who we are and what we do.Thank you to the staff of the American College of Surgeons for their generous assistance in reviewing this summary ahead of publication. "What we do here ensures our medical personnel are ready to do what's needed to save a life whether stateside or downrange for full scale military operations or humanitarian assistance," Johnson said. This readiness enables BAMC professionals to respond quickly and efficiently when called upon, whether here in San Antonio or deployed overseas, he said. "There is no other place within the DoD that has the volume of trauma in their hospital to accomplish our wartime training and sustainment of health professionals' mission," he said. The trauma center is not only an asset within the community, but is "absolutely critical" to military medical readiness, Johnson said. "Due to our daily trauma mission and the experience we've garnered downrange, we were ready when needed and honored to provide care," the commander said. Eight patients from the shooting were cared for at BAMC with wounds similar to those sustained in war. Johnson cited the recent Sutherland Springs church shooting as an example of BAMC's readiness to provide care. Of the over 4,000 trauma patients admitted each year, 85 percent are community members without military affiliation. Alongside University Health System, BAMC administers lifesaving care to more than 4,000 trauma patients each year, including 750 burn patients, from an area that stretches across 22 counties in Southwest Texas and encompasses 2.2 million people. BAMC's "team of teams" includes orthopedic, cardiothoracic, vascular, otolaryngology, oral and maxillofacial, plastic, and neurologic surgeons, in addition to anesthesia, emergency medicine, internal medicine, infectious disease, critical care, pulmonology, physical therapy, neurology, rehabilitation, radiology, nursing and operative technician teams.īAMC is the only Level I trauma center within the Department of Defense and one of two Level 1 trauma centers within San Antonio. Bret Ackermann, Deputy Commander for Surgical Services. "We are fortunate to have incredible teams of trauma surgeons and supporting specialists at BAMC," said Army Col. To be verified, the hospital must demonstrate its ability to provide a broad spectrum of trauma care resources to address the needs of all injured patients. Hospitals seeking verification must undergo intense scrutiny by reviewers from the American College of Surgeons Committee on Trauma every three years. "It's also a testament to our trauma staff's teamwork, professionalism and expertise." "This accomplishment reaffirms our ongoing commitment to providing the highest quality trauma care for our civilian and military patients," said BAMC Commanding General Brig. JOINT BASE SAN ANTONIO-FORT SAM HOUSTON, Texas - Brooke Army Medical Center has again been verified as a Level I trauma center by the American College of Surgeons for its dedication to providing top-quality care for critically injured patients.
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