Agenda. South Central Kansas Trauma Region Executive Committee Meeting Conference Call January 26, :00p.m.

Transcription

1 South Central Kansas Trauma Region Executive Committee Meeting Conference Call January 26, :00p.m. Agenda Call to Order Approval of minutes from October 12, 2016 meeting System Finance Treasurer s Report 2017 Budget Plan Trauma Program Update Injury Prevention & Control Daina Hodges, KDHE Emergency Preparedness Sub-committee formation Prehospital Acute Hospital 2016 Education Report Regional Trauma Symposium (April 27) o Location o Topics Special Populations Megan Landwehr Tracy Cleary, EMS-C Rehabilitation Availability Trish Harris System Evaluations Regional PI o PI Policy Document Data submissions James Haan, MD, FACS Nancy Zimmerman Wendy Gronau Ronda Lusk Tom Donnay Scott Fleming & Frank Williams Cara Magness Kayla Keuter Michelle Schrag James Haan, MD, FACS Regional Trauma Plan ( ) James Haan, MD, FACS Begin working on the revision Review of Priorities from o Support EMS and Hospitals through education o Standardization of EMS protocols o Regional PI (develop feedback tool) o Collaboration/networking between I, II, III, and IVs and collaboration/networking with EMS o Maximize partnerships with emergency preparedness o Establish pediatric and geriatric triggers in trauma registry Old Business James Haan, MD, FACS

2 New Business Announcements (Each facility/agency news) James Haan, MD, FACS All Members Adjournment 2017 Region Meeting Dates January 26 12:00 p.m. Conference Call April 27 Regional Trauma Symposium Location TBD April 27 Executive Meeting immediately following Symposium July 13 12:00 p.m. Conference Call October 11 Statewide Trauma Symposium Via Christi-St. Francis, Wichita October 26 12:00 p.m. Conference Call 2017 ACT Meetings February 1 10:00am-3:00pm Kansas Medical Society, Topeka May 3 10:00am-3:00pm Kansas Medical Society, Topeka August 16 10:00am-3:00pm Kansas Medical Society, Topeka November 1 10:00am-3:00pm Kansas Medical Society, Topeka

3 South Central Kansas Regional Trauma Council Executive Committee Meeting Wesley Medical Center October 12, 2016, 3:15 p.m. Minutes Agenda Items Minutes Follow Up Attendance Call to Order Dr. Haan, Frank Williams, Daina Hodges, Carman Allen, Joe House, MaryAnn Keener, Pam Kvas, Dr. Acuna, Mike Valdez, Kris Hill, Scott Fleming, Mai Nguyen, Cara Magness, Nancy Zimmerman Dr. Haan called the meeting to order at 3:15 p.m. Minutes System Finance Trauma Program Update Regional Trauma Plan Priorities Kris Hill made a motion to approve the minutes from the July 21 meeting. Pam Kvas seconded. Motion carried. Treasurer s report was given by Nancy Zimmerman with a balance of $16, Still have several courses which have been encumbered but not yet paid. There are eight on-site reviews scheduled before the end of the year. One of these are in the SC region which is Rice County and is scheduled in November. Two more hospitals have submitted their Letter of Intent. Work will begin soon planning a Trauma Program Manager workshop for Spring Those interested in being on the planning committee should contact Wendy. Review of priorities Support EMS and hospitals through education Sedgwick County EMS has the capability of recording education webinars KDHE has submitted application for program provider through the Board of EMS. We can then have courses on KS-Train and offer EMS continuing education hours. Standardization if EMS protocols (Triage/Transport) There hasn t been much feedback regarding these protocols from KBEMS Nancy Zimmerman Wendy Gronau KBEMS still working on survey results

4 Agenda Items Minutes Follow Up Injury Prevention & Control Emergency Preparedness Regional PI (develop feedback tool) Ongoing process Collaboration/networking between I, II, III, and IVs and collaboration/networking with EMS Continuing process and more ideas are needed Maximize partnerships with emergency preparedness Continuing process and more ideas are needed Establish pediatric and geriatric triggers in the trauma registry Continuing process to discuss transport guidelines, over-triage/under-triage Ronda was not able to attend the meeting. Possible projects: Fund the teen video just as in 2015, SAFE program, Steppin On. Daina gave an update on EMSC. Lori Haskett is the contact person. The emoji communication tool (given to all ambulance services in the state) is being reprinted and will be going out to all hospitals soon. The Kansas Injury Prevention Plan for 2016 is available at their website Stepping On leader training in Topeka October Received a grant through CDC for Prescription Drug Overdose: Data-Driven Prevention Initiative. This is a 3-year grant to help the 13 awardee states advance and evaluate their actions to address opioid misuse, abuse, and overdose. October 15 has been marked at Home Fire Drill Day. Families are encouraged to practice how to evacuate their homes in the event of fire. October 22 is National Prescription Drug Take Back day. There are more than 80 sites in Kansas participating. SAFE Kids Coalitions are seeking partnerships to further their educational programs. Tom was not able to attend the meeting. All agreed a sub-committee should be formed. There are some Danielle Sass, epidemiologist will be able to help with this Ronda Lusk Tom Donnay Next agenda: continue the

5 Agenda Items Minutes Follow Up Prehospital Acute Hospital Special Populations Rehabilitation Availability System Evaluations Old Business projects underway which will benefits many regional trauma partners. Frank spoke with Dave Johnston (Sedgwick County EMS) regarding the collaborative MCI protocol. There are some trigger points depending on where in the region a service is located and the number of patients involved. Communications will be a big factor to work out before the plan can be adopted regionally. Frank will report on this topic at the next meeting. ATLS course for Julie Deering at St. Luke s Hospital has been requested. After discussion was held regarding this course being out of state, no opposition was voiced. Neither Mollie nor Kayla were available for the meeting. Pam has not had a chance to speak with Michelle Schrag about her willingness to lead this committee. Regional PI: Dr. Haan discussed the lack of feedback from regional partners regarding submitting a case for review. It is possible once the regional partners realize PI is happening on a regular basis, more cases will be submitted. Mai Nyugen works for Sedgwick County Health Department and is interested in serving on the SC region executive committee. All agreed she is a welcome addition to the committee. The July 2017 meeting will be on the 13 th. discussion of the emergency management subcommittee Frank Williams / Scott Fleming Cara Magness Kayla Keuter Michelle Schrag Dr. Haan requests ACT to send notification that all partners are protected from discovery New Business Nothing to report at this time. Dr. Haan Announcements Nothing to report at this time. All Members Adjournment With no further business to discuss, Dr. Haan adjourned the meeting.

6 2016 SCKTR Expenditure Spreadsheet February 1, 2016-January 31, Carryover Balance $5, Award $20, Beginning Balance $25, Date Expense/Description Check Payable To Budget Amount Amount Balance $25, Administrative Components System Leadership Statewide Leadership Meeting Hotels Wesley Inn $70.64 $25, Statewide Leadership Meeting Registration Ks Trauma Program Training Fund $ $25, Statewide Leadership Meeting Hotel Scott Fleming $75.51 $24, System Development 6/7/2016 General Membership Meeting SODEXO, Inc. $ $24, /7/2016 CE Materials AHEC $1, $23, /7/2016 Presenter Fee General Membership meeting Don Hauschild $ $22, /7/2016 Presenter Fee General Membership meeting David Seastrom $ $22, $22, $22, System Finance 6/7/ Fiscal agent contract fee Comanche County Hospital $1, $21, Clinical Components Injury Prevention & Control 12/29/2016 SAFE Program DCCCA $1, $20, /29/2016 Teen Driving PSA Via Christi Outreach $1, $18, Emergency Preparedness

7 Prehospital Rec'd 2/1/2016 PHTLS Newton Fire/EMS $ $17, Acute Hospital Rec'd 2/4/2016 ATLS Linder Edwards County Hospital $ $16, Rec'd 11/13/2015 ATLS VanNordan Great Bend Regional $ $16, Rec'd Unknown ATLS Stroh Kiowa Distric Hospital $ $15, Rec'd 11/11/2015 ATLS Conard Hospital Dist. #1 of Rice $ $14, Rec'd 11/5/2015 ATLS Diener Hospital Dist. #1 of Rice $ $13, Rec'd 11/4/2015 ATLS Koch Hospital Dist. #1 of Rice $ $12, Rec'd 11/4/2015 ATLS Stark Hospital Dist. #1 of Rice $ $11, Rec'd 2/12/2016 ATLS Schrag SCKMC Recinded Request $11, /13/2016 ATLS Ashbrook-Deering St. Luke-Marion Recinded Request $11, Commanche County Rec'd 2/10/2016 RTTDC Hospital $1, $10, Rec'd Unknown TNCC McPherson Hospital, Inc. $ $9, Rec'd 11/4/2015 TNCC Hospital Dist. #1 of Rice KENA $1,000 $ $9, /9/2016 ENPC Medicine Lodge Memorial Hospital KENA $1,000 $9, /1/2016 ATLS Larsen St. Luke-Marion $ $8, Special Populations Rehab Availability Balance $8, Note-Red text is encumbered funds.

8 2016 SCKTR Budget Report Budget Item $25, Budgeted Expended Balance Remaining System Leadership $1, $ $ System Development $2, $2, $ Public Information & Education $0.00 $0.00 $0.00 System Finance $1, $1, $0.00 Acute Hospital $12, $9, $3, Injury Prevention & Control $2, $2, $0.00 Prehospital $2, $ $1, System Evaluation $0.00 $0.00 $0.00 Trauma Rehab $0.00 $0.00 $0.00 Other $2, $0.00 $2, Total $25, $17, $8,348.09

9 SCKTR Budget February 1, June 30, 2018 Administrative Components System Leadership System Development System Components & Activities Executive Committee Meetings Statewide Trauma Symposium (Oct 2017) Regional Trauma Symposium (2017 & 2018) Budget Amount $28, $1, $5, Public Information & Education System Finance Clinical Components Injury Prevention & Control Prehospital Trauma Awareness Fiscal Agent Contract Fall Prevention Teen Driving MVC B-Con PHTLS Field Triage Guidelines $1, (2017) $ (1/2 2018) $2, $2, $1, Acute Hospital Special Populations TNCC (3 classes) RTTDC (2 class) ATLS $4, $3, $5, Rehab Availability System Evaluation Other $1, Budget Total: $28,335.00

10 Class Reg Last First Creds Organization Phone Cert Status ATLS SC Dierer Dale PA Rice Hospital Dist #1 RTTDC SC Kerstetter Jennifer Comanche Co TNCC SC Pruitt Joni ENPC SC Sheldon Linda ATLS SC Linder Walter MD ATLS SC VanNorden Mark DO ATLS SC Stroh Melissa PA ATLS SC Conard Melissa APRN ATLS SC Koch Alisha APRN ATLS SC Stark Tracey APRN ATLS SC Larsen Karen PHTLS SC Roberson Steve McPherson Hosptal Medicine Lodge Memorial Hospital Edwards County Hospital Great Bend Regional Kiowa District Hospital Rice Hospital Dist #1 Rice Hospital Dist #1 ail.com onhospital.org h.net com gional.com mail.com ATLS Course Location Course Date Date Documents Verified Date Request Pmt Notes. Award Amt Refresher Via Christi Nov /4/2017 1/6/2017 Reminder sent 1/4/ Coldwater Sep or Oct 1/5/2017 1/6/ McPherson Sep Medicine Lodge Hospital Sep $ Reminder 11/30/2016 // 11/30 REPLY forgot to send docs will gather and send right away// Reminder 1/4/2017 Reminder 11/30/2016 //// 12/5 reply from Joni mailed documents right after course was held /// 12/6 reply to Joni - advised we did not receive please fax or Paid copies // Paid 750 Only $ expenses submitted were for Dec 10 participants. 12/2/2016 KENA Refresher Wesley Mar /25/2016 7/27/ Refresher Via Christi May /15/2016 9/15/ Refresher Wesley Apr 23 9/8/2016 9/15/2016 lbrown@rchlyons.com Initial Via Christi Mar /28/2016 8/1/2016 lbrown@rchlyons.com Initial Via Christi Mar Jul 8/1/2016 Rice Hospital Dist #1 lbrown@rchlyons.com Initial Via Christi Mar Jul 8/1/2016 St. Lukes Marions Oct approved 7/21 Newton Fire/EMS ms.com KENA11/16/2016 Left VM requesting Status / 11/16 waiting on invoice from Life team Newton Fall 2016 $825 Checked with Steve and that is 26-Oct total of all expenses.

11 TNCC SC Schartz Lana Rice Hospital Dist # Lyon Oct /14/2016 $1000 from KNEA/ $500 from SCRTC Phone call 10/19/16: Lead instructor is on east coast w/ hurricane deployment. Will miss the 30-day deadline for paperwork but will submit as soon as possible. ~wg /// 11/16 check requests sent ATLS SC Schrag Debra PA South Central Ks Regional Medical Ctr c.org Refresher Wesley Apr 13 reminder 9/14/2016 /// 2nd request 11/30/2016// 1/4/2016 Note to Wendy I am working on closing out all the trauma education funding and I have 1 for the SC region that I don t think is ever going to provide documentation. I feel we should just close it out but that is probably up to the region. Details are listed below. /// 1/6/2017 Per Holly Harper Debra Schrag is not employed by SCRMC. "Deb did not work for us after 04/01/16. She does still work in the facility, but for Integrity Healthcare (ED Provider group). I do not show we as a hospital paid for this course to Wesley.Notes." ATLS SC Deering Julie APRN St Lukes Marion jashbrook3@ho tmail.com /// Jeremy Ensey Initial` OK City Oct Approved RTC meeting /// 10/17 Julie sent note canceling funding request

12 SOUTH CENTRAL KANSAS REGIONAL TRAUMA SYSTEM REGIONAL TRAUMA PLAN JULY 2015 JUNE 2017 Developed by the SCKTR Executive Committee James Haan, MD, FACS Chairman SCKTR Regional Trauma Plan Page 1

13 State of Kansas Governor Sam Brownback Kansas Department of Health and Environment Susan Mosier, MD, Secretary Bureau of Community Health Systems 1000 SW Jackson, Suite 340 Topeka, Kansas Acknowledgements: Special thanks to the SCKTR Executive Committee: Mike Valdez, RN Nancy Zimmerman, RN Scott Fleming Wesley Medical Center Comanche County Hospital Hoisington EMS Teena Johnston, RN Kris Hill, RN David Acuna, DO Wesley Medical Center Via-Christi Hospital Wesley Medical Center Shari Jellison, RN Comanche County Health Department James Haan, MD, FACS Via-Christi Hospital SCKTR Regional Trauma Plan Page 2

14 Table of Contents Message from the SCKTR Page 4 Executive Summary Page 5 Regional System-Goals-Objectives-Strategies-July 2015-June 2017 Administrative Components System Leadership Page 9 System Development Page 10 System Public Information and Education Page 11 System Finance Page 12 Clinical Components Injury Prevention and Control Page 13 Emergency Preparedness Page 14 Prehospital Page 15 Acute Hospital Page 16 Special Populations Page 17 Rehabilitation Availability Page 18 System Evaluation Page 19 Appendixes Appendix A-SCKTR Hospital and EMS Listing Page 20 Appendix B-2011 CDC Guidelines for Field Triage of Injured Patients Page SCKTR Regional Trauma Plan Page 3

15 Message from the SCKTR On behalf of the South Central Kansas Trauma Region (SCKTR), we present to you the July 2015 June 2017 SCKTR Regional Trauma Plan, as our roadmap for improvement of the SCKTR Trauma System. This plan is an adaptable and evolving document that will change as best practices and opportunities for performance improvement are identified and implemented. The South Central Trauma Region of Kansas is committed to the development and implementation of a cohesive and inclusive trauma system including injury prevention and control, public access to emergency medical dispatch; prehospital emergency response and care, definitive hospital care, rehabilitation access, regional system evaluation, disaster preparedness and trauma registry and research. Each piece of the SCKTR trauma system continuum-of- care is essential to prevent injuries and save lives within our region. The SCKTR and its many trauma system partners have continued to expand partnerships and collaborative efforts to strengthen and ensure the successful implementation of the SC regional trauma system SCKTR Regional Trauma Plan Page 4

16 Executive Summary The Regional Trauma Councils (RTCs) are the cornerstone of the Kansas Trauma System. In accordance to regional bylaws, leadership for the RTCs are elected by the general membership and include physicians, nurses, hospital administrators, EMS and health department representatives. The RTC is comprised of members representing all areas of the trauma system: hospital, prehospital/ems, and health departments. The SCKTR serves as the coordinating and oversight body for the SC regional trauma system and is responsible for development and implementation of a comprehensive/inclusive regional trauma system. In collaboration with stakeholders and trauma system partners, the SCKTR writes the Plan which guides regional system development, implementation and evaluation. The development of this SC regional plan is an orchestrated bringing together of all trauma system stakeholder groups that contribute to the effective and efficient care of trauma patients in our community. The RTC meets at least quarterly to oversee implementation of the Plan, but may meet more frequently as determined by system demands. The Kansas Department of Health & Environment (KDHE) was charged, under K.S.A , as the lead agency for development, implementation and evaluation of the statewide trauma system including support of the RTCs and administering a trauma registry. In 1999, the Kansas legislature established the Advisory Committee on Trauma (ACT) Committee. Members are appointed by the Governor and are advisory to the Secretary of KDHE. The ACT members are recognized for their significant expertise and commitment to trauma care and system development in Kansas. They provide input and guidance to KDHE on developing a comprehensive, statewide trauma system. The ACT gives major stakeholders a voice in the policy process and functions to integrate the activities of the RTCs. A member from the SCKTR represents the region on the ACT. The ACT meets quarterly. The Plan is composed of administrative and clinical components. The Plan goals are adapted from the state trauma plan and the Benchmark, Indicator, and Scoring (BIS) assessment. This plan is used to guide the SCKTR strategic planning priorities. Administrative Components System Leadership: The RTC is responsible for regional assessment, planning and assurance of the trauma system for their region. KDHE is the lead agency of the Kansas Trauma Program and provides coordination, planning, and support to the RTC. The ACT provides input and guidance to KDHE on developing a comprehensive, statewide trauma system and gives major stakeholders a voice in the policy process, and it functions to integrate the activities of the RTC. System Development: The development of a strong, efficient, well-coordinated regional trauma system is vital in providing optimal trauma care. The challenge to the trauma system is to ensure that progress is made in a systematic and measured way. This plan addresses the need for a successful SCKTR Regional Trauma Plan Page 5

17 integration of a quality philosophy in all aspects of the trauma system and implementation of objectives, strategies and performance improvement that move the region toward the accomplishments of identified local and regional goals. Advancing the regional trauma system by being the best we can be through a continuum of care from injury prevention through return to the community with the highest quality of life possible needs to be embedded in all aspects of the regional council work. System Public Information and Education: The SC region strives to provide education and inform local policy makers and members of the public as to the benefits of a trauma system and the importance of prevention. System Finance: The goal of trauma system financing is to provide the public with an efficient system that provides optimal trauma care for injured patients. Trauma systems need sufficient funding to implement a statewide and regional system of care one focused on each component of care from prevention through acute care and rehabilitation, including all-hazards preparedness. A major SCKTR goal and system need is to be a good steward of the contract funds provided through the State and support all system components. Clinical Components Injury Prevention and Control: Injury prevention and control is a key component of the regional trauma system because it offers the greatest potential for reducing the financial burden of trauma care, as well as reducing morbidity and mortality. The RTC focuses on injury prevention based on trauma registry data. Regional data shows that teen motor vehicle crashes and elderly falls are the primary cause of unintentional death and injury in the region and statewide. The RTC has identified the need to continue to provide funding support for evidence based injury prevention activities in the area of teen drivers and falls. Emergency Preparedness: Each disaster is unique and places tremendous strain on communities. Disaster planning requires a cooperative multidisciplinary effort by the local medical community; police and fire departments, local, regional, and national governments and industry to devise a comprehensive strategy to minimize mortality, injury, and destruction of property. Prehospital Care: Prehospital care and access is a critical component of the regional trauma system. The prehospital trauma system is driven by the goal of getting the right patient to the right place at the right time. The goals of the prehospital component of the trauma system are to prevent further injury, initiate resuscitation, and provide safe and rapid transport of injured patients. Treatment protocols should be established to guide trauma patient care, and patients should be taken directly to the center most appropriately equipped and staffed to handle their injuries. Acute Hospital Care: Care of the injured takes place within the health care system ranging from critical access hospitals to designated trauma centers. While it is recognized that hospitals have baring resources committed to the care of the injured patient, rural hospitals are often the port of entry SCKTR Regional Trauma Plan Page 6

18 for many patients and they, as well as other hospitals, should have consistent standards, adequately trained trauma care workforce and a performance improvement program. Special Populations: For the purpose of the Plan, special populations include the elderly, pediatric and morbidly obese populations. The elderly population have different spectrum of injury patterns such as greater number of falls, higher mortality and morbidity from similar injuries when compared to younger adults. There are also significant physiologic changes and a greater number of comorbidities. More children die of injury than of all other causes in Kansas. For injured children who survive, severe disability may become a lifelong problem requiring functional or custodial care. Injured children require special resources. Effective care of injured children requires a comprehensive approach by developing and implementing effective strategies for injury prevention, improving system of emergency medical care for children, and provide the best trauma care at every level available. The prevalence of obesity in the country continues to increase steadily. In trauma, obesity is associated with higher morbidity and mortality. Treatment and care of morbidly obese patients involves compassion, respect, and dignity. Without appropriate equipment, management of these patients can be a risk for both the healthcare provider and patient. Regional trauma councils are encouraged to identify the resources and equipment that are available within the region to assist in providing care for these patients. Hospitals and EMS providers should know the specifications of their equipment for weight, girth, and width limits. Rehabilitation Availability: Trauma rehabilitation plays a key role in returning the injured patient back to their community with the highest quality of life. Acute care should be consistent with preservation of optimal functional recovery. The ultimate goal of trauma care is to restore the patient to pre-injury status. Not only is this effort best for the patient, it also is less costly. When rehabilitation results in independent patient function, there is major cost savings compared with costs for custodial care and repeated hospitalizations. System Evaluation: Data collection, system evaluation, and performance improvement are essential for function of the trauma system. It involves a continuous multidisciplinary effort to measure, evaluate, and improve both the process of care and the outcome. All hospitals collect and submit data to the State trauma registry. Region Demographics The South Central region is comprised of 19 counties: Barber, Barton, Butler, Comanche, Cowley, Edwards, Harper, Harvey, Kingman, Kiowa, Marion, McPherson, Pratt, Pawnee, Reno, Rice, Sedgwick, Stafford, and Sumner. The region is primarily rural with one metro area located in the region: one county classified as urban, three classified as semi-urban, two classified as densely settled rural, eight classified as rural and five classified as frontier. There are 44 EMS agencies and 31 hospitals within the SC region that provide trauma care (Appendix A). The South Central region SCKTR Regional Trauma Plan Page 7

19 has three ACS verified and state designated trauma centers and 11state designated level IV trauma centers ACS Verified and State Designated Trauma Centers Level I Via Christi Hospital Wesley Medical Center 929 N. St. Francis 550 N. Hillside Wichita, Kansas Wichita, Kansas Level III Hutchinson Regional Medical Center 1701 East 23 rd Avenue Hutchinson, Kansas State Designated Trauma Centers Level IV Anthony Medical Center Clara Barton Hospital 1101 E. Spring Street 250 West Ninth Anthony, Kansas Hoisington, Kansas Comanche County Hospital Great Bend Regional Hospital 202 S. Frisco 514 Cleveland Street Coldwater, Kansas Great Bend, Kansas Harper Hospital District #5 Pawnee Valley Community Hospital 700 West 13 th Street 923 Carroll Avenue Harper, Kansas Larned, Kansas Pratt Regional Medical Center Rice County Hospital District Commodore 619 South Clark Pratt, Kansas Lyons, Kansas St. Luke Hospital Susan B. Allen Memorial Hospital William Newton Hospital 535 S. Freeborn 720 West Central Avenue 1300 East Fifth Avenue Marion, Kansas El Dorado, Kansas Winfield, Kansas SCKTR Regional Trauma Plan Page 8

20 Goals-Objectives-Strategies July 2015-June 2017 ADMINISTRATIVE COMPONENTS System Leadership Goal 1 There is a viable and active SCKTR comprised of multi-disciplinary representatives; hospital administrators, physicians, nurses, health departments, and EMS to plan, implement, and evaluate an inclusive regional trauma system. Objective 1: RTC will review council general membership, annually, for compliance with the SCKTR bylaws. Objective 2: SCKTR executive committee will encourage general membership members, stakeholders, and trauma partners to attend executive committee meetings and become engaged in implementing and evaluate regional trauma system initiatives and activities. Strategy 1: Conduct a review of the general membership annually and revise/update membership as appropriate. Strategy 2: Review membership structure for possible other positions needed to advance the regional system. Strategy 1: Identify and maintain a membership recruitment committee. Strategy 2: Ensure that members, stakeholders, and trauma partners have access to regional council and subcommittee meeting dates, agendas, minutes and meeting materials through alerts (sent in advance) and website postings. Strategy 3: Conduct an annual general membership meeting to promote participation in RTC activities, trauma system implementation, and evaluation. Strategy 4: Act as a forum for regional trauma issues to providers and consumers within the trauma care continuum. Strategy 5: Monitor component compliance with the Plan. Strategy 6: Encourage participate by stakeholders in the annual statewide leadership meeting of the executive committees SCKTR Regional Trauma Plan Page 9

21 System Development Goal 2 There is strong, efficient, well-coordinated region-wide trauma system to reduce the incidence of inappropriate and inadequate trauma care and to minimize the human suffering and cost associated with preventable mortality and morbidity. Objective 1: SCKTR will plan, implement, and evaluate a comprehensive trauma system for the South Central region that will complement the statewide system and be revised as needed. Objective 2: Support trauma center standards for Level I, II, III and IV designation. Objective 3: Identify and promote guidelines for resuscitation and early transfer of major trauma patients from emergency receiving facilities to designated Trauma Centers with appropriate resources. Objective 4: Encourage participation in data collection, trauma training, performance improvement programs, and other mechanisms of system improvement. Objective 5: Assure that RTC funds awarded are utilized appropriately to meet the needs of the region. Strategy 1: Encourage input from the trauma community on regional trauma system design, operation, and evaluation, and develop a process to expeditiously implement changes. Strategy 2: Distribute the Plan to appropriate stakeholders in the South Central region. Strategy 1: Facilitate resource development to meet the identified trauma resource needs of the South Central region. Strategy 1: Develop trauma transfer guidelines which can be adopted by all facilities treating injured patients in the South Central region. Strategy 2: Promote best practice resuscitation guidelines. Strategy 3: Promote transfer/communication agreements. Strategy 4: Update the regional transfer card on an annual basis. Strategy 1: Monitor the trauma registry report (missing data & benchmark indicators) at executive committee meetings and address any identified needs. Strategy 2: Review regional benchmark data report and make recommendations for system change. Strategy 3: Monitor progress using a regional priority dashboard. Strategy 4: Encourage active participation in regional PI committees, processes, and planning. Strategy 5: Provide financial support as available for trauma registry and performance improvement training. Strategy 1: Provide oversight to assure that hospital and EMS agencies are accountable and responsible for appropriate use and expenditure of funds SCKTR Regional Trauma Plan Page 10

22 Public Information and Education Goal 3 Educate the public about the SC trauma care system and the purpose of this plan is to inform the general public, decision-makers and the healthcare community about the role and function of the SC Regional Trauma System. Objective 1: Develop a public education plan. Objective 2: Provide information to policy makers on key trauma system initiatives and system needs. Objective 3: Share information with stakeholder organizations on key initiatives (i.e. EMS regional council, regional homeland security council, regional health department council). Strategy 1: Implement a regional public information campaign to educate the public about the regional trauma system. Strategy 2: Identify topics and talking points to increase public awareness of the system and value. Strategy 3: Develop pre-packaged public information messages to send to media. Strategy 4: May is trauma awareness month. Develop media release to recognize trauma awareness month with signing of proclamation with Governor, county and city elected officials and distribute trauma awareness materials. Strategy 5: Develop a comprehensive list of media contacts. Strategy 6: Develop a speaker s bureau. Strategy 1: Identify a regional legislative liaison on an annual basis. Strategy 2: Identify key policy makers and/or advocates for the trauma system. Strategy 3: Develop a priority platform plan for distributing information about the trauma system including the trauma DVD and annual report. Strategy 4: Use the RTC specific trauma registry data to describe the trauma system. Strategy 1: Provide SCKTR information to other stakeholder organizations SCKTR Regional Trauma Plan Page 11

23 System Finance Goal 4 There is adequate, long-term and sustainable funding to ensure a financially viable trauma system. The trauma system will be recognized as a public good and therefore valued and adequately funded not only for the clinical care actually delivered, but also for the level of readiness required to meet the needs of all injured patients in Kansas. Objective 1: On an annual basis, the SCKTR will develop and implement an operation budget Strategy 1: Develop and implement an itemized budget annually based on priority needs. that aligns with the identified goals, objectives Strategy 2: Review financial reports (budget, and strategies of the Plan. expenditure spreadsheet) at each executive committee meeting. Strategy 3: Research alternate funding for initiatives and projects. Strategy 4: Provide a quarterly report of expenditures to the ACT SCKTR Regional Trauma Plan Page 12

24 CLINICAL COMPONENTS Injury Prevention and Control Goal 5 Reduce injury-related morbidity and mortality in the region through primary injury prevention efforts, with trauma system partners, using trauma registry data to identify injury causes and evaluate program outcomes. Objective 1: SCKTR will promote evidencedbased primary injury prevention activities and projects regionally. Strategy 1: Annually, will identify the top injury causes using trauma registry data and other data sources as appropriate. Strategy 2: Work with EMS and public health systems to identify at least one evidence-based strategy in which will decrease the leading cause of injury for the region. Strategy 3: Work with local health departments and identified health care delivery systems, such as rural health clinics and physician offices, to disseminate injury prevention materials. Strategy 4: Identify available funding sources to support evidence-based and/or best practices activities. Strategy 5: Allocate funds (if available) based on identified injury prevention needs through a grant process that includes an evaluation component. Strategy 6: Coordinate with injury prevention partners to compile a regional (statewide) list of trauma center-based primary injury prevention activities, projects, and programs by county and injury mechanism to post on the Trauma program website SCKTR Regional Trauma Plan Page 13

25 Emergency Preparedness Goal 6 Have a trauma system prepared to respond to emergency and disaster situations in coordination with regional and state disaster plans. Objective 1: The trauma system, EMS, and allhazard response plans will be integrated and operational. Strategy 1: Identify ways to integrate trauma system response into all-hazard state and regional disaster plans. Strategy 2: Invite emergency preparedness key stakeholders to participate at regional council meetings (i.e. provide verbal or written reports of activities in the South Central Region). Objective 2: Perform a gap analysis on the resources assessment for trauma emergency preparedness. Strategy 3: Encourage SCKTR leadership involvement in local and regional disaster preparedness planning and training. Strategy 1: Collaborate with regional emergency preparedness coordinators to assess resource gaps SCKTR Regional Trauma Plan Page 14

26 Prehospital Goal 7 Establish and implement guidelines specific to prehospital care and transport of trauma patients that result in timely and safe deliver to trauma centers. Objective 1: Encourage adoption of current standard of care trauma treatment guidelines to provide consistent prehospital trauma patient treatment. Strategy 1: Support the EMS Service Directors and EMS stakeholders in the implementation and education of state recommended prehospital trauma guidelines. Objective 2: Promote the transport of trauma patients to the appropriate facility with the resources available to meet the patient s needs. Objective 3: Promote the availability of an adequate, appropriately-trained, and diverse prehospital workforce. Objective 4: Ensure that EMS personnel have a basic knowledge and awareness of the regional trauma system elements and system functions. Strategy 1: Regionally work closely with the EMS Medical Directors and EMS stakeholders to develop a strategy to implement the CDC field triage guidelines. Strategy 2: Support the EMS Service Directors and EMS stakeholders in implementation and education of the CDC field triage guidelines. Strategy 1: Determine number of PHTLS classes needed in the region annually (evaluate regional trauma training needs). Strategy 2: Develop a plan to allocate funding support (if available) for PHTLS based on need. Strategy 1: Integrate information on the state and regional trauma system into PHTLS classes. Strategy 2: Provide presentation at annual state EMS conferences (i.e. KEMTA, KEMSA). Strategy 3: Support an information exchange forum through social networking technology (i.e. Face book, Twitter, etc.). Strategy 4: Encourage trauma centers to network with EMS agencies to provide information on the trauma system SCKTR Regional Trauma Plan Page 15

27 Acute Hospital Goal 8 Establish and maintain a regional (statewide) network of trauma centers, meeting or exceeding standards, for operation and provision of quality trauma care in coordination with all other trauma system participants. Objective 1: Identify additional Trauma Center and Trauma System capacity needs within the region. Objective 2: All designated trauma and nondesignated trauma centers will actively participate in regional performance improvement programs. Objective 3: Assure the availability of an adequate, appropriately-trained, and diverse emergency and trauma care workforce. Strategy 1: The region will complete a system inventory that identifies the availability and distribution of current capabilities and resources. Strategy 2: Support a statewide how to level IV trauma center designation workshop. Strategy 3: Support non-designated participating hospitals to be brought up to Trauma Center designation status. Strategy 4: Encourage that all hospitals work with local EMS agency (ies) to develop trauma treatment protocols. Strategy 5: Ensure that all trauma centers work with local EMS agency (ies) to develop trauma treatment protocols including level IV trauma centers. Strategy 1: Designated trauma centers will have representation at annual meetings and specific regional PI meetings as identified by the regional PI committee leadership. Strategy 2: Encourage non-designated trauma center participation in specific regional PI meetings as identified by the regional PI committee leadership. Strategy 3: Encourage active participation in regional PI committees, processes, and planning. Strategy 4: Funding priority for education will be given to those hospitals that submit data to the statewide trauma registry. Strategy 1: Develop a sustainable regional trauma education plan to meet the needs of TNCC, ATLS, and RTTDC in the region. Strategy 2: Advocate and educate on the need for nursing personnel to be verified in TNCC. Strategy 3: Advocate and educate on the need for emergency department midlevel practitioner and physician personnel to be certified in ATLS. Strategy 4: Advocate and educate on the need for hospitals to host a RTTDC. Strategy 5: Establish a trauma telemedicine network to link trauma centers to rural/community hospitals to provide trauma education SCKTR Regional Trauma Plan Page 16

28 Special Populations Goal 9 The appropriate match of resources will be identified for injured patients with special needs, such as elderly, pediatric, and morbidly obese patients. Objective 1: Evaluate and identify the region s ability to meet the pediatric care needs and make recommendations for further system development. Objective 2: Evaluate and identify the region s ability to meet the geriatric care needs and make recommendations for further system development. Objective 3: Evaluate and identify the region s ability to meet the morbidly obese trauma care needs and make recommendations for further system development. Strategy 1: Review trauma registry data for the age group 0-14 to identify trends in injury patterns. Strategy 2: Utilize regional data to develop recommendations for meeting pediatric care needs for further trauma system planning. Strategy 3: Develop and distribute a pediatric resource guide. Strategy 1: Identify an age standard for a geriatric patient. Strategy 2: Collaborate with regional EMS Medical Directors in developing prehospital geriatric treatment protocols (example: treatment protocol of patient on anticoagulants). Strategy 3: Utilize regional data to develop recommendations for meeting geriatric care needs for further trauma system planning. Strategy 4: Develop and distribute a geriatric resource guide. Strategy 1: Identify available resources (such as CT scanners) that can accommodate the needs of the morbidly obese. Strategy 2: Identify prehospital transport systems that can accommodate the needs of the morbidly obese patient. Strategy 3: Promote utilization of EMResource for most current facility resources SCKTR Regional Trauma Plan Page 17

29 Rehabilitation Availability Goal 10 The region will have well-integrated rehab programs. Post-acute care will focus on helping patients achieve greater independence, a higher degree of functionality, and a faster return to productivity. Objective 1: Identify rehab programs that Strategy 1: Develop a rehab program resource provide rehab services for injured patients. guide and distribute to hospitals in the region SCKTR Regional Trauma Plan Page 18

30 System Evaluations Goal 11 Establish a regional trauma system evaluation and performance improvement process. Objective 1: Develop mechanisms that support Strategy 1: Review regional trauma data for prehospital agency participation in data submission of EMS records as required by state submission. statute. Strategy 2: Encourage completion and Objective 2: Review aggregate data on system performance to identify opportunities for improvement. Objective 3: There is an organized and regularly monitored system to ensure the patients are expeditiously transferred to the appropriate, system-defined trauma facility. Objective 4: Develop a trauma system data linkage system from all entities in the region to include EMS, trauma centers, other medical facilities, and other data sources that may be available. submission of a minimal data set to KEMSIS. Strategy 1: Assure trauma center/hospitals participate in the state trauma registry. Strategy 2: Review and analyze missing and under reported data. Strategy 3: Recommend and review regional benchmark indicators to evaluate system performance, improve care, and further system planning in the region. Strategy 1: Identify indicators for inclusion in regional PI committee trending reports. Strategy 2: Analyze data variances related to utilization of CDC field triage guidelines for EMS transport. Strategy 3: Analyze data variances related to transfer of severely injured patients. Strategy 1: Evaluate different methodologies linking trauma registry data and other data sets such as traffic records and death records SCKTR Regional Trauma Plan Page 19

31 Appendix A SCKTR Hospital Listing Anthony Medical Center Clara Barton Hospital 1101 E. Spring Street 250 West Ninth Anthony, Kansas Hoisington, Kansas Comanche County Hospital Edwards County Hospital 202 South Frisco 620 West Eighth Coldwater, Kansas Kinsley, Kansas Ellinwood District Hospital Great Bend Regional Hospital 605 North Main 514 Cleveland Street Ellinwood, Kansas Great Bend, Kansas Harper Hospital District #5 Hillsboro Community Hospital 700 West 13 th Street 701 South Main Harper, Kansas Hillsboro, Kansas Hutchinson Regional Medical Center Kingman Community Hospital 1701 East 23 rd Avenue 750 West D Avenue Hutchinson, Kansas Kingman, Kansas Kiowa County Memorial Hospital Kiowa District Hospital 721 W. Kansas 1002 South Fourth Street Greensburg, Kansas Kiowa, Kansas Lindsborg Community Hospital McPherson Hospital 605 West Lincoln 1000 Hospital Drive Lindsborg, Kansas McPherson, Kansas Medicine Lodge Memorial Hospital Mercy Hospital 710 North Walnut 218 Park Street Medicine Lodge, Kansas Moundridge, Kansas SCKTR Regional Trauma Plan Page 20

32 Newton Medical Center Pawnee Valley Community Hospital 600 Medical Center Drive 923 Carroll Avenue Newton, Kansas Larned, Kansas Pratt Regional Medical Center Rice County Hospital District #1 200 Commodore 619 South Clark Pratt, Kansas Lyons, Kansas St. Luke Hospital & Living Center South Central Kansas Medical Center 535 S. Freeborn 6401 Patterson Parkway Marion, Kansas Arkansas City, Kansas Stafford County Hospital Sumner County District #1 Hospital 502 South Buckeye 601 S. Osage Street Stafford, Kansas Caldwell, Kansas Sumner Regional Medical Center Susan B. Allen Memorial Hospital 1323 North A Street 720 W. Central Avenue Wellington, Kansas El Dorado, Kansas Via Christi Hospital St. Francis Via Christi St. Teresa 929 North St. Francis West St. Teresa Wichita, Kansas Wichita, Kansas Wesley Medical Center Wesley Galichia Heart Hospital 550 North Hillside 2601 North Woodlawn Wichita, Kansas Wichita, Kansas William Newton Hospital 1300 East Fifth Avenue Winfield, Kansas SCKTR Regional Trauma Plan Page 21

33 SCKTR Emergency Medical Services (EMS) Type Legend Type 1: Paramedic or Nurse staffed 24 hours Type 2A: BLS Service with the capability/availability to upgrade to Type 1 Type 2: BLS Service only Type 5: Air Ambulance MS Service Address City Zip Type Phone County BARBER COUNTY AMBULANCE SERVICE 740 MAIN STREET KIOWA A BARBER MEDICINE MEDICINE LODGE MEMORIAL HOSP AMB 710 NORTH WALNUT LODGE A BARBER BARTON COUNTY TRANSFER SERVICE PO BOX W FRONT CLAFLIN A BARTON CLAFLIN AMBULANCE SERVICE ASSOC 309 WEST FRONT PO BOX 387 CLAFLIN A BARTON ELLINWOOD EMS 209 W 1ST PO BOX 278 ELLINWOOD A BARTON GREAT BEND FIRE EMS DEPT CITY OF 1205 WILLIAMS GREAT BEND BARTON HOISINGTON AMBULANCE SERVICE PO BOX E BROADWAY HOISINGTON A BARTON BUTLER COUNTY EMS 701 N HAVERHILL ROAD EL DORADO BUTLER COMANCHE COUNTY AMBULANCE SERVICE 403 N CENTRAL PO BOX 55 COLDWATER A COMANCHE ARKANSAS CITY FIRE EMS DEPT 115 SOUTH D STREET ARKANSAS CITY COWLEY WINFIELD FIRE/EMS 817 FULLER STREET WINFIELD A COWLEY EDWARDS COUNTY AMBULANCE 620 WEST 8TH STREET PO BOX 99 KINSLEY A EDWARDS HARPER COUNTY EMS PO BOX S PENNSYLVAINIA ANTHONY A HARPER AIRMD LLC/LIFETEAM 516 NORTH OLIVER RD. HANGER J NEWTON HARVEY AIRMD LLC/LIFETEAM 516 NORTH OLIVER RD. HANGER NEWTON A HARVEY BURRTON CONSOLIDATED FIRE DIST #5 205 N BURRTON AVENUE PO BOX 2 BURRTON A HARVEY HALSTEAD FIRE/EMS 121 W 3RD PO BOX 312 HALSTEAD A HARVEY HESSTON AMBULANCE DEPARTMENT 115 EAST SMITH PO BOX 100 HESSTON A HARVEY NEWTON KS FIRE EMS DEPT 200 EAST THIRD NEWTON HARVEY SEDGWICK AMBULANCE SERVICE CITY OF 511 NORTH COMMERCIAL SEDGWICK A HARVEY SCKTR Regional Trauma Plan Page 22

34 KINGMAN EMS 332 NORTH MAIN STREET KINGMAN A KINGMAN NORWICH AMBULANCE SERVICE 226 SOUTH MAIN PO BOX 100 NORWICH A KINGMAN KIOWA COUNTY EMS 721 W KANSAS GREENSBURG A KIOWA MARION COUNTY EMS 202 S THIRD STE B MARION A MARION CANTON AMBULANCE SERVICE 201 S MAIN ST PO BOX 524 CANTON A MCPHERSON LINDSBORG EMS PO BOX 70 LINDSBORG A MCPHERSON MARQUETTE AMBULANCE SERVICE PO BOX SOUTH WASHINGTO MARQUETTE A MCPHERSON MCPHERSON EMS 315 WEST FOURTH MCPHERSON MCPHERSON MOUNDRIDGE EMS 225 N WEDEL MOUNDRIDGE A MCPHERSON BURDETT EMS CITY OF 207 ELM STREET PO BOX 288 BURDETT PAWNEE LARNED EMERGENCY MED SERV (CITY OF) 123 W 9TH ST LARNED A PAWNEE PRATT COUNTY EMS 1001 EAST FIRST PRATT PRATT HAVEN COMMUNITY EMS PO S KANSAS AVENUE HAVEN A RENO HUTCHINSON REG MED CTR/RENO CO EMS 1701 EAST 23RD HUTCHINSON RENO PRETTY PRAIRIE AMBULANCE SERVICE PO BOX 68 PRETTY PRAIRIE A RENO RICE COUNTY EMS PO BOX WEST HIGHWAY 5 LYONS RICE CLEARWATER EMERGENCY MED SERVICE 319 WEST ROSS CLEARWATER A SEDGWICK EAGLEMED LLC 6601 WEST PUEBLO WICHITA SEDGWICK EAGLEMED LLC 6601 W PUEBLO RD WICHITA SEDGWICK LIFEWATCH 550 NORTH HILLSIDE WICHITA SEDGWICK MT HOPE COMMUNITY AMB SERV INC BOX 424 EAST MAIN MT HOPE SEDGWICK SEDGWICK COUNTY EMS 1015 STILLWELL WICHITA SEDGWICK VIA CHRISTI CRITICAL CARE TRANSPORT 929 N ST FRANCIS WICHITA SEDGWICK STAFFORD COUNTY EMERG MED SERVICES 636 E FOURTH AVENUE ST JOHN A STAFFORD BELLE PLAINE EMS 112 W 4TH AVE PO BOX 157 BELLE PLAINE A SUMNER CONWAY CONWAY SPRINGS VOLUNTEER EMS 208 W SPRING SPRINGS A SUMNER MULVANE EMS 910 EAST MAIN MULVANE A SUMNER WELLINGTON FIRE AND EMS DEPARTMENT 200 N C ST SUITE 200 WELLINGTON A SUMNER SCKTR Regional Trauma Plan Page 23

35 Appendix B 2011 CDC Guidelines for Field Triage of Injured Patients SCKTR Regional Trauma Plan Page 24

36 South Central Kansas Trauma Region Established April 24, 2002 Bylaws Article 1 Name and Purpose Section 1: Name This Regional Trauma Council (RTC) shall be known as the South Central Kansas Trauma Region (SCKTR). It shall be comprised of the following Kansas counties, which shall be referred to in this document as the representative counties: Barber, Barton, Butler, Comanche, Cowley, Edwards, Harper, Harvey, Kingman, Kiowa, Marion, McPherson, Pawnee, Pratt, Reno, Rice, Sedgwick, Stafford, and Sumner. The SCKTR includes the Kansas hospitals, EMS services and Health Departments as contained in appendix A, B, and C. Section 2: Purpose Mission/Goals/ Purpose The SCKTR is organized for several purposes as specified in the Kansas Trauma System Plan. The mission is to participate in the development of standardized regional trauma care, as well as the establishment and maintenance of a coordinated trauma system to promote optimal trauma care for all citizens within the State of Kansas and specifically the SCKTR. The goal of the SCKTR shall be to facilitate the development, implementation, and operation of a comprehensive regional trauma care system based within the guidelines of the State Trauma System Plan. The SCKTR will solicit participation from health care facilities, organizations, entities and professional societies involved in health care, and community representatives within the representative counties. Additionally, the SCKTR will encourage multi-community participation in providing trauma care, work to promote the improvement of facilities and services, provide leadership and assistance with trauma education and cooperate with all member entities, agencies and organizations in the establishment of an efficient system of care for all injured patients. Article II General Membership and Qualifications Section 1. General Membership A. General Membership shall consist of members who represent a hospital, an EMS service or a local health department, within the representative counties. B. The SCKTR shall consist of the following entity groups, at a minimum: 1. Physician 2. Nurse April

37 3. EMS 4. Hospital Administrator 5. Local health departments C. Individual representation from hospitals shall include one physician, one nurse and one hospital administrator. D. Individual representation from each EMS service shall include two representatives. E. Individual representation from each health department shall include one representative. Section 2. Membership and voting privileges A. Membership Privileges Members who have joined the SCKTR shall have the right to: 1. Vote as outlined below in (B) 2. Attend all meetings 3. Work on assigned committees and Ad Hoc Committees 4. Provide input into the decision-making process 5. Recommend members for nomination B. Voting Privileges The SCKTR encourages attendance and input at its regular and special meetings from all interested parties. For the purposes of voting, however the following rules shall pertain: All members who fill the membership categories listed in Section 1 A & B of membership, shall be entitled to one vote. A proxy may be designated in writing and presented before or at any regular or special meeting. C. Conflict of Interest Members shall exercise good faith in all transactions touching upon their duties to the SCKTR. In their dealings with and on behalf of the SCKTR, members are each held to a rule of honest and fair dealings between themselves and other members of the organization. They shall not use their positions as members, or knowledge gained there from, to advance their personal benefit or to the detriment of the SCKTR. Any member having a conflict of interest on a matter shall disclose such interest and abstain from voting as appropriate. Section 3. Terms of Membership A. Terms Membership shall remain in effect until an individual resigns or is removed or is otherwise disqualified to serve, or until his/her successor is appointed/elected whichever occurs first. B. Removal and resignation of voting representative Any voting representative may resign by giving written notice to the presiding officer of April

38 the SCKTR, to be effective upon receipt or any later date specified in the notice. C. Vacancies A vacancy caused by death, resignation, and removal or otherwise, of any member shall be filled by a member of the same membership group. Article III Executive Committee Section 1. Executive Committee Membership The Executive Committee of the SCKTR shall be a 10-member committee. Per K.S.A each of the following entity groups shall be represented on the council. Two representatives from each entity group shall be elected to serve on the Executive Committee: 1. Physician 2. Nurse 3. EMS 4. Hospital Administrator 5. Local health department A. Terms of Office Members to the executive committee shall be nominated by the general membership and elected from the floor of the Annual, General, or Business Meetings. All members are allowed to vote for each position. All appointments shall be made for terms of two years. Following their initial appointments, term limits will not be imposed. B. Removal and Resignation Any Executive Committee member may resign by giving written notice to the Executive Committee chair, to be effective upon receipt or any later date specified in the notice. Any executive committee member who has two consecutive unexcused absences from the SCKTR meetings will be deemed voluntarily resigned. C. Vacancies Any vacancy caused by death, resignation, and removal or otherwise of any Executive Committee member shall be filled by appointment by the Chairperson for the remainder of the unexpired term. Article IV Officers and Duties of Officers Section 1. Designation of Officers A. The officers will be nominated and elected by the Executive Committee on an annual basis and shall begin their terms at the close of the Executive Committee meeting. Only those members elected to serve on the Executive Committee are eligible April

39 to serve as officers. B. The officers will consist of the following: Chairperson (1) Vice-Chairperson (1) Treasurer (1) Secretary (1) Section 2. Duties of the Officers The officers shall perform the duties usually performed by such officers and any other duties defined in these bylaws. A. Chairperson: 1. Shall preside at all membership and Executive Committee meetings. 2. Shall be empowered to call emergency or special meetings of the membership in situations where action is needed prior to the next scheduled meeting. 3. Shall be the official to execute and/or authorize such acts, including execution of documents, relating to the SCKTR operation issues. 4. Shall be empowered to nominate chairs of all Standing Committees, with consideration given to geographic balance in the appointment of such committees. 5. Shall be empowered to appoint the chairs of all Ad Hoc Committees. 6. Shall be empowered to appoint, from among the General Members, designees, subject to approval by the Executive Committee, officers to fill vacancies for officers who resign, retire, or who otherwise fail to complete their term. B. Vice- Chairperson 1. Shall assume activities of the Chairperson in his or her absence. C. Secretary 1. Keep minutes and attendance records of all membership and Executive Committee meetings. 2. Mail meeting notices, agenda and minutes of past meetings to all members a minimum of ten (10) days and not more than sixty (60) days prior to scheduled meetings. 3. Maintain a current membership list, including a listing of the designated voting members. 4. Maintain a record of reports, pertinent documents and correspondence. 5. Have a copy of Robert s Rules of Order at each meeting and provide an agenda. 6. Receive written ballots. 7. Sign contracts and/or agreements for the RTC with the Chair or Treasurer. D. Treasurer 1. Maintain accountability for all fiscal matters. 2. Sign contracts and/or agreements for the RTC with the Chair or Secretary. 3. Perform other duties as assigned by the Chair. April

40 Article V ACT Representative Section 1. Designation of ACT Representative One member from the membership or executive committee will be appointed by the Governor, to serve as a regional representative, to the Advisory Committee on Trauma. A. Appointment of ACT Representative At least 30 days prior to the expiration of the position, the SCKTR shall submit to the governor a list of three persons of recognized ability and qualification. B. Duties of ACT Representative 1. Shall preside at each quarterly ACT meeting. 2. Shall preside at executive committee meeting as an Ad Hoc member/voting privileges. 3. Shall preside at each membership meeting. 4. Shall provide a regional update at each ACT meeting. C. ACT Representative Privileges SCKTR ACT Representative shall have the right to: 1. Attend all meetings. 2. Work on assigned committees and subcommittees. 3. Provide input into the decision-making process. Article VI Expenditure Approval & Payment Process Section 1. Expenditure Approval 1. All expenditures will be approved by the executive committee. 2. An invoice will be presented to the fiscal agent for each approved expenditure. Section 2. Payment Process 1. The fiscal agent will issue a check for each approved expenditure. 2. Approved expenditures will be paid within the terms of the invoice or no later than 30 days of receiving the invoice if no payment terms are indicated. Article VII Meetings Section 1. General Meetings and Notice thereof A. Frequency & Location The SCKTR shall meet at least once a year or more often if necessary. Meetings shall be held at any place as may be designated by agreement of the membership. B. Notification April

41 Written notice of any general meeting shall be given to the General Membership at least ten days prior to the date of the meeting. The date, time and place shall be specified. C. Minutes Minutes shall be kept for each meeting and shall contain a record of what was done at the meeting. The administrative hospital program will support this duty. Section 2. Section 3. Special Meetings & Notice Thereof Special meetings of the membership may be called by vote of the Executive Committee by giving at least ten (10) days written or oral notice to the membership. The date, time and place shall be specified. Annual Meeting The Annual Business meeting of the SCKTR, for the purpose of elections and other business that may arise at that time, shall be held in April of each year. Section 4. Executive Committee Meetings A. The Executive Committee shall meet at least quarterly and after the annual General Membership business meeting. B. The Executive Committee may conduct business by , provided that a copy of all correspondence is printed and included in the organizations minutes, which would include the date, time, subject discussed and any action taken. A majority of members of the Executive Committee must respond for action to be taken. Article VIII Committees Section 1. Section 2. Performance Improvement and Patient Safety (PIPS) Committee The SCKTR PIPS is a multidisciplinary peer review committee comprised of representatives as outline in the PIPS policy and procedures. The PIPS, in functioning as a peer review committee, derives its authority and privilege from K.S.A Kansas trauma statute (cf., K.S.A and ) provides peer review protection to the regional trauma councils and the Advisory Committee on Trauma when reviewing incidents of trauma injury and trauma care. All PIPS committee meetings will follow the PIPS policy and procedures. Standing Committees A. Frequency & Notification Each committee shall meet as often as necessary to perform its duties. Sufficient oral or written notices of the date, time and place of any such meeting shall be given. B. Types of Standing committees shall include the following: *Nominating April

42 *Education *Prevention *Transport/Protocols *Acute Care/Rehabilitation C. Membership The chairperson of each Standing committee must be a voting member of the SCKTR and will be appointed by the Chairperson. The Standing Committee chairperson will convene meetings, plan agendas and report committee activities to the Executive Committee and the Chairperson of the SCKTR. Members of the Standing Committees may be comprised of the SCKTR voting members and other interested health care professionals from member hospitals, health departments and EMS providers. The Chairperson shall oversee the appointments to the Standing Committees. D. Minutes Minutes shall be kept for each committee meeting and submitted to the SCKTR Secretary for record. Section 3. AD HOC Committees A. Frequency and Notification Additional committees may be added as the need presents. Each committee shall meet as often as necessary to perform its duties. Sufficient oral or written notice of the date, time and place of any such meeting shall be given. B. Types Additional committees may include the following, with the understanding that additional ones may be added as necessary: *Planning and Bylaws *Legislation *Emergency Medicine C. Minutes Minutes shall be kept for each committee meeting and submitted to the SCKTR Secretary for record. Article IX Quorum Section 1. Attendance Records Attendance records shall be maintained for all SCKTR General, Standing Committee and Ad Hoc meetings. April

43 Section 2. General Membership, Executive Committee, Standing Committees & Ad Hoc Committees A. General Membership Meetings The Executive Committee Chairman shall determine if a quorum is present. B. Executive Committee Meetings For an Executive Committee meeting, a majority of the members shall constitute a quorum for the conduct of business, to include the Chairperson or Vice-Chairperson. C. Standing or Ad Hoc Committees A majority of the Standing or Ad Hoc committee members shall constitute a quorum for the conduct of business. Article X Calendar/Fiscal Year The Regional Trauma Council fiscal year shall be defined as January 1 to December 31. Article XI Parliamentary Procedure The rules contained in the Robert s Rules of Order, Revised shall govern meetings of the RTC and its committees in all cases to which they are applicable and in which they are not inconsistent with these Bylaws. Article XII Confidentiality Review of trauma cases may be performed by the SCKTR in furtherance of improving quality, cost or necessity of trauma care to citizens in the trauma region. Patient confidentiality shall be protected to the fullest extent possible. Article XIII Amendments to Bylaws These bylaws may be amended at any annual or general meeting by a 2/3 vote of those required for a quorum, provided the proposed amendments have been sent to all members at least ten days before the meeting. Article XIV Adoption of bylaws We, the undersigned, representing the membership of the South Central Kansas Trauma Region consent to and adopt the forgoing bylaws as the bylaws of this organization. April

44 Signatures: Officers, Executive Committee Chairman 7/11/13 (Name) (Title) (Date) Vice-chairman 7/11/13 (Name) (Title) (Date) Secretary 7/11/13 (Name) (Title) (Date) Treasurer 7/11/13 (Name) (Title) (Date) April

45 Appendix A Membership Counties & Hospital Organizations County Hospital Location Barber Medicine Lodge Memorial Hospital Medicine Lodge Kiowa District Hospital Kiowa Barton Clara Barton Hospital Hoisington Ellinwood District Hospital Ellinwood Great Bend Regional Hospital Great Bend Butler Susan B. Allen Memorial Hospital El Dorado Kansas Medical Center Andover Comanche Comanche County Hospital Coldwater Cowley South Kansas Regional Medical Center Arkansas City William Newton Hospital Winfield Edwards Edwards County Hospital Kinsley Harper Anthony Medical Center Anthony Harper County Hospital District #5 Harper Harvey Newton Medical Center Newton Kingman Kingman Community Hospital Kingman Kiowa Kiowa County Memorial Hospital Greensburg Marion St. Luke Hospital Marion Hillsboro Community Medical Center Hillsboro McPherson McPherson Hospital McPherson Lindsborg Community Hospital Lindsborg Mercy Hospital Moundridge Pratt Pratt Regional Medical Center Pratt Pawnee Pawnee Valley Community Hospital Larned Reno Hutchinson Regional Medical Center Hutchinson Rice Rice County Hospital District #1 Lyons Sedgwick Via Christi Hospital Wichita Wesley Medical Center Wichita Kansas Medical Center Wichita Stafford Stafford County Hospital Stafford Sumner Sumner County District Hospital #1 Caldwell Sumner Regional Medical Center Wellington April

46 Appendix B Membership Counties & Public Health Organizations County Barber Barton Butler Comanche Cowley Edwards Harper Harvey Kingman Kiowa Marion McPherson Pawnee Pratt Reno Rice Sedgwick Stafford Sumner Public Health Organization Barber County Health Department South Central Kansas Coalition Barton County Health Department Butler County Health Department Comanche County Health Department South Central Kansas Coalition City-Cowley County Health Department Edwards County Health Department South Central Kansas Coalition Harper County Health Department South Central Kansas Coalition Harvey County Health Department Kingman County Health Department South Central Kansas Coalition Kiowa County Health Department South Central Kansas Coalition Marion County Health Department McPherson County Health Department Pawnee County Health Department Pratt County Health Department South Central Kansas Coalition Reno County Health Department Rice County Health Department Sedgwick County Health Department Stafford County Health Department Sumner County Health Department April

47 Appendix C Membership Counties & EMS Organizations County Barber Barton Butler Comanche Cowley Edwards Harper Harvey Kingman Kiowa Marion McPherson Pratt Pawnee Reno Rice EMS Organization Barber County Ambulance Service Medicine Lodge Memorial Hospital Ambulance Service Great Bend Fire/EMS Claflin Ambulance Ellinwood Fire/Ambulance Department Hoisington Ambulance Service Butler County EMS Comanche County Ambulance Service Arkansas City Fire/EMS Department Winfield Area EMS Edwards County Ambulance Harper County EMS Burrton Ambulance Department Halstead EMS Hesston Ambulance Department Newton Fire/EMS Sedgwick Ambulance Service Kingman EMS Norwich Ambulance Service Kiowa County Ambulance Service Marion County EMS Canton Ambulance Service Lindsborg EMS Marquette Ambulance Service McPherson County EMS Moundridge EMS Pratt County EMS Burdett EMS Larned EMS Buhler Ambulance Service Haven Community EMS Pretty Prairie Ambulance Service Hutchinson Regional Medical Center EMS/Reno County EMS Rice County Emergency Medical Services April

48 Sedgwick Stafford Sumner Boeing Fire/EMS Department Clearwater EMS EagleMed Lifewatch Midwest Lifeteam Mt. Hope Community Ambulance Service Mulvane EMS Sedgwick County EMS Via Christi Critical Care Transport Stafford County EMS Belle Plaine EMS Conway Springs Volunteer EMS Sumner County Hospital District #1 Ambulance Service Wellington Fire/EMS Department April

49 Status Summary October 1, 2016-December 31, 2016 Status Type Resource Status Total Hours % of Total Hours ED Status Newton Medical Center Air Trauma Diversion 0 0 ED Status Newton Medical Center Caution ED Status Newton Medical Center Closed to Ambulances 0 0 ED Status Newton Medical Center Open ED Status Newton Medical Center Out of Service 0 0 ED Status Newton Medical Center Trauma Diversion 0 0 ED Status Newton Medical Center Trauma Only 0 0 ED Status Anthony Medical Center Air Trauma Diversion 0 0 ED Status Anthony Medical Center Caution ED Status Anthony Medical Center Closed to Ambulances 0 0 ED Status Anthony Medical Center Open ED Status Anthony Medical Center Out of Service ED Status Anthony Medical Center Trauma Diversion 0 0 ED Status Anthony Medical Center Trauma Only ED Status S. Central Kansas Med Ctr-Arkansas City Air Trauma Diversion 0 0 ED Status S. Central Kansas Med Ctr-Arkansas City Caution 0 0 ED Status S. Central Kansas Med Ctr-Arkansas City Closed to Ambulances 0 0 ED Status S. Central Kansas Med Ctr-Arkansas City Open ED Status S. Central Kansas Med Ctr-Arkansas City Out of Service 0 0 ED Status S. Central Kansas Med Ctr-Arkansas City Trauma Diversion 0 0 ED Status S. Central Kansas Med Ctr-Arkansas City Trauma Only 0 0 ED Status Sumner County Dist. No. 1 - Caldwell Air Trauma Diversion 0 0 ED Status Sumner County Dist. No. 1 - Caldwell Caution 0 0 ED Status Sumner County Dist. No. 1 - Caldwell Closed to Ambulances 0 0 ED Status Sumner County Dist. No. 1 - Caldwell Open ED Status Sumner County Dist. No. 1 - Caldwell Out of Service 0 0 ED Status Sumner County Dist. No. 1 - Caldwell Trauma Diversion 0 0 ED Status Sumner County Dist. No. 1 - Caldwell Trauma Only 0 0 ED Status Comanche County Hospital - Coldwater Air Trauma Diversion 0 0 ED Status Comanche County Hospital - Coldwater Caution 0 0 ED Status Comanche County Hospital - Coldwater Closed to Ambulances 0 0 ED Status Comanche County Hospital - Coldwater Open ED Status Comanche County Hospital - Coldwater Out of Service 0 0 ED Status Comanche County Hospital - Coldwater Trauma Diversion 0 0 ED Status Comanche County Hospital - Coldwater Trauma Only 0 0

50 ED Status Susan B. Allen Mem. Hospital - El Dorado Air Trauma Diversion 0 0 ED Status Susan B. Allen Mem. Hospital - El Dorado Caution 0 0 ED Status Susan B. Allen Mem. Hospital - El Dorado Closed to Ambulances 0 0 ED Status Susan B. Allen Mem. Hospital - El Dorado Open ED Status Susan B. Allen Mem. Hospital - El Dorado Out of Service 0 0 ED Status Susan B. Allen Mem. Hospital - El Dorado Trauma Diversion 0 0 ED Status Susan B. Allen Mem. Hospital - El Dorado Trauma Only 0 0 ED Status Ellinwood District Hospital Air Trauma Diversion 0 0 ED Status Ellinwood District Hospital Caution 0 0 ED Status Ellinwood District Hospital Closed to Ambulances 0 0 ED Status Ellinwood District Hospital Open ED Status Ellinwood District Hospital Out of Service 0 0 ED Status Ellinwood District Hospital Trauma Diversion 0 0 ED Status Ellinwood District Hospital Trauma Only 0 0 ED Status Kiowa County Mem. Hospital - Greensburg Air Trauma Diversion 0 0 ED Status Kiowa County Mem. Hospital - Greensburg Caution 0 0 ED Status Kiowa County Mem. Hospital - Greensburg Closed to Ambulances 0 0 ED Status Kiowa County Mem. Hospital - Greensburg Open ED Status Kiowa County Mem. Hospital - Greensburg Out of Service 0 0 ED Status Kiowa County Mem. Hospital - Greensburg Trauma Diversion 0 0 ED Status Kiowa County Mem. Hospital - Greensburg Trauma Only 0 0 ED Status Harper Hospital District #5 Air Trauma Diversion 0 0 ED Status Harper Hospital District #5 Caution 0 0 ED Status Harper Hospital District #5 Closed to Ambulances 0 0 ED Status Harper Hospital District #5 Open ED Status Harper Hospital District #5 Out of Service 0 0 ED Status Harper Hospital District #5 Trauma Diversion 0 0 ED Status Harper Hospital District #5 Trauma Only 0 0 ED Status Hillsboro Community Hospital Air Trauma Diversion 0 0 ED Status Hillsboro Community Hospital Caution ED Status Hillsboro Community Hospital Closed to Ambulances 0 0 ED Status Hillsboro Community Hospital Open ED Status Hillsboro Community Hospital Out of Service 0 0 ED Status Hillsboro Community Hospital Trauma Diversion 0 0 ED Status Hillsboro Community Hospital Trauma Only 0 0

51 ED Status Clara Barton Hospital - Hoisington Air Trauma Diversion 0 0 ED Status Clara Barton Hospital - Hoisington Caution 0 0 ED Status Clara Barton Hospital - Hoisington Closed to Ambulances 0 0 ED Status Clara Barton Hospital - Hoisington Open ED Status Clara Barton Hospital - Hoisington Out of Service 0 0 ED Status Clara Barton Hospital - Hoisington Trauma Diversion 0 0 ED Status Clara Barton Hospital - Hoisington Trauma Only 0 0 ED Status Hutchinson Regional Medical Center Air Trauma Diversion 0 0 ED Status Hutchinson Regional Medical Center Caution 0 0 ED Status Hutchinson Regional Medical Center Closed to Ambulances 0 0 ED Status Hutchinson Regional Medical Center Open ED Status Hutchinson Regional Medical Center Out of Service 0 0 ED Status Hutchinson Regional Medical Center Trauma Diversion 0 0 ED Status Hutchinson Regional Medical Center Trauma Only 0 0 ED Status Kingman Community Hospital Air Trauma Diversion 0 0 ED Status Kingman Community Hospital Caution 0 0 ED Status Kingman Community Hospital Closed to Ambulances 0 0 ED Status Kingman Community Hospital Open ED Status Kingman Community Hospital Out of Service 0 0 ED Status Kingman Community Hospital Trauma Diversion 0 0 ED Status Kingman Community Hospital Trauma Only 0 0 ED Status Edwards Co. Hosp. & HC Ctr. - Kinsley Air Trauma Diversion 0 0 ED Status Edwards Co. Hosp. & HC Ctr. - Kinsley Caution 0 0 ED Status Edwards Co. Hosp. & HC Ctr. - Kinsley Closed to Ambulances 0 0 ED Status Edwards Co. Hosp. & HC Ctr. - Kinsley Open ED Status Edwards Co. Hosp. & HC Ctr. - Kinsley Out of Service 0 0 ED Status Edwards Co. Hosp. & HC Ctr. - Kinsley Trauma Diversion 0 0 ED Status Edwards Co. Hosp. & HC Ctr. - Kinsley Trauma Only 0 0 ED Status Kiowa District Hospital - Kiowa Air Trauma Diversion 0 0 ED Status Kiowa District Hospital - Kiowa Caution 0 0 ED Status Kiowa District Hospital - Kiowa Closed to Ambulances ED Status Kiowa District Hospital - Kiowa Open ED Status Kiowa District Hospital - Kiowa Out of Service 0 0 ED Status Kiowa District Hospital - Kiowa Trauma Diversion 0 0 ED Status Kiowa District Hospital - Kiowa Trauma Only 0 0

52 ED Status Pawnee Valley Community Hospital- Larned Air Trauma Diversion ED Status Pawnee Valley Community Hospital- Larned Caution 0 0 ED Status Pawnee Valley Community Hospital- Larned Closed to Ambulances 0 0 ED Status Pawnee Valley Community Hospital- Larned Open ED Status Pawnee Valley Community Hospital- Larned Out of Service 0 0 ED Status Pawnee Valley Community Hospital- Larned Trauma Diversion 0 0 ED Status Pawnee Valley Community Hospital- Larned Trauma Only ED Status Lindsborg Community Hospital Air Trauma Diversion 0 0 ED Status Lindsborg Community Hospital Caution 0 0 ED Status Lindsborg Community Hospital Closed to Ambulances ED Status Lindsborg Community Hospital Open ED Status Lindsborg Community Hospital Out of Service 0 0 ED Status Lindsborg Community Hospital Trauma Diversion 0 0 ED Status Lindsborg Community Hospital Trauma Only 0 0 ED Status Rice County District Hospital-Lyons Air Trauma Diversion 0 0 ED Status Rice County District Hospital-Lyons Caution 0 0 ED Status Rice County District Hospital-Lyons Closed to Ambulances ED Status Rice County District Hospital-Lyons Open ED Status Rice County District Hospital-Lyons Out of Service 0 0 ED Status Rice County District Hospital-Lyons Trauma Diversion 0 0 ED Status Rice County District Hospital-Lyons Trauma Only 0 0 ED Status St. Luke Hospital & Living Ctr - Marion Air Trauma Diversion 0 0 ED Status St. Luke Hospital & Living Ctr - Marion Caution 0 0 ED Status St. Luke Hospital & Living Ctr - Marion Closed to Ambulances 0 0 ED Status St. Luke Hospital & Living Ctr - Marion Open ED Status St. Luke Hospital & Living Ctr - Marion Out of Service 0 0 ED Status St. Luke Hospital & Living Ctr - Marion Trauma Diversion 0 0 ED Status St. Luke Hospital & Living Ctr - Marion Trauma Only 0 0 ED Status McPherson Hospital Air Trauma Diversion 0 0 ED Status McPherson Hospital Caution 0 0 ED Status McPherson Hospital Closed to Ambulances ED Status McPherson Hospital Open ED Status McPherson Hospital Out of Service 0 0 ED Status McPherson Hospital Trauma Diversion 0 0 ED Status McPherson Hospital Trauma Only 0 0

53 ED Status Medicine Lodge Memorial Hospital Air Trauma Diversion 0 0 ED Status Medicine Lodge Memorial Hospital Caution 0 0 ED Status Medicine Lodge Memorial Hospital Closed to Ambulances ED Status Medicine Lodge Memorial Hospital Open ED Status Medicine Lodge Memorial Hospital Out of Service ED Status Medicine Lodge Memorial Hospital Trauma Diversion 0 0 ED Status Medicine Lodge Memorial Hospital Trauma Only 0 0 ED Status Mercy Hospital - Moundridge Air Trauma Diversion 0 0 ED Status Mercy Hospital - Moundridge Caution 0 0 ED Status Mercy Hospital - Moundridge Closed to Ambulances 0 0 ED Status Mercy Hospital - Moundridge Open ED Status Mercy Hospital - Moundridge Out of Service 0 0 ED Status Mercy Hospital - Moundridge Trauma Diversion 0 0 ED Status Mercy Hospital - Moundridge Trauma Only 0 0 ED Status Pratt Regional Medical Center Air Trauma Diversion 0 0 ED Status Pratt Regional Medical Center Caution 0 0 ED Status Pratt Regional Medical Center Closed to Ambulances 0 0 ED Status Pratt Regional Medical Center Open ED Status Pratt Regional Medical Center Out of Service 0 0 ED Status Pratt Regional Medical Center Trauma Diversion 0 0 ED Status Pratt Regional Medical Center Trauma Only 0 0 ED Status Stafford District Hospital Air Trauma Diversion 0 0 ED Status Stafford District Hospital Caution 0 0 ED Status Stafford District Hospital Closed to Ambulances 0 0 ED Status Stafford District Hospital Open ED Status Stafford District Hospital Out of Service 0 0 ED Status Stafford District Hospital Trauma Diversion 0 0 ED Status Stafford District Hospital Trauma Only 0 0 ED Status Sumner Regional Medical Ctr - Wellington Air Trauma Diversion 0 0 ED Status Sumner Regional Medical Ctr - Wellington Caution 0 0 ED Status Sumner Regional Medical Ctr - Wellington Closed to Ambulances 0 0 ED Status Sumner Regional Medical Ctr - Wellington Open ED Status Sumner Regional Medical Ctr - Wellington Out of Service 0 0 ED Status Sumner Regional Medical Ctr - Wellington Trauma Diversion 0 0 ED Status Sumner Regional Medical Ctr - Wellington Trauma Only 0 0

54 ED Status Via Christi Hospital - St. Francis Air Trauma Diversion ED Status Via Christi Hospital - St. Francis Caution ED Status Via Christi Hospital - St. Francis Closed to Ambulances ED Status Via Christi Hospital - St. Francis Open ED Status Via Christi Hospital - St. Francis Out of Service 0 0 ED Status Via Christi Hospital - St. Francis Trauma Diversion 0 0 ED Status Via Christi Hospital - St. Francis Trauma Only 0 0 ED Status Wesley Medical Center - Wichita Air Trauma Diversion 0 0 ED Status Wesley Medical Center - Wichita Caution ED Status Wesley Medical Center - Wichita Closed to Ambulances ED Status Wesley Medical Center - Wichita Open ED Status Wesley Medical Center - Wichita Out of Service 0 0 ED Status Wesley Medical Center - Wichita Trauma Diversion 0 0 ED Status Wesley Medical Center - Wichita Trauma Only ED Status William Newton Hospital - Winfield Air Trauma Diversion 0 0 ED Status William Newton Hospital - Winfield Caution 0 0 ED Status William Newton Hospital - Winfield Closed to Ambulances 0 0 ED Status William Newton Hospital - Winfield Open ED Status William Newton Hospital - Winfield Out of Service 0 0 ED Status William Newton Hospital - Winfield Trauma Diversion 0 0 ED Status William Newton Hospital - Winfield Trauma Only 0 0 ED Status Wesley Woodlawn Hospital & ER Air Trauma Diversion 0 0 ED Status Wesley Woodlawn Hospital & ER Caution ED Status Wesley Woodlawn Hospital & ER Closed to Ambulances 0 0 ED Status Wesley Woodlawn Hospital & ER Open ED Status Wesley Woodlawn Hospital & ER Out of Service 0 0 ED Status Wesley Woodlawn Hospital & ER Trauma Diversion 0 0 ED Status Wesley Woodlawn Hospital & ER Trauma Only 0 0 ED Status Wesley Med Ctr WEST ED Air Trauma Diversion 0 0 ED Status Wesley Med Ctr WEST ED Caution ED Status Wesley Med Ctr WEST ED Closed to Ambulances 0 0 ED Status Wesley Med Ctr WEST ED Open ED Status Wesley Med Ctr WEST ED Out of Service 0 0 ED Status Wesley Med Ctr WEST ED Trauma Diversion 0 0 ED Status Wesley Med Ctr WEST ED Trauma Only 0 0

55 ED Status Kansas Medical Center-Andover Air Trauma Diversion 0 0 ED Status Kansas Medical Center-Andover Caution 0 0 ED Status Kansas Medical Center-Andover Closed to Ambulances 0 0 ED Status Kansas Medical Center-Andover Open ED Status Kansas Medical Center-Andover Out of Service 0 0 ED Status Kansas Medical Center-Andover Trauma Diversion 0 0 ED Status Kansas Medical Center-Andover Trauma Only 0 0 ED Status Great Bend Regional Hospital Air Trauma Diversion 0 0 ED Status Great Bend Regional Hospital Caution 0 0 ED Status Great Bend Regional Hospital Closed to Ambulances 0 0 ED Status Great Bend Regional Hospital Open ED Status Great Bend Regional Hospital Out of Service 0 0 ED Status Great Bend Regional Hospital Trauma Diversion 0 0 ED Status Great Bend Regional Hospital Trauma Only 0 0 ED Status Via Christi Hospital - St. Teresa Air Trauma Diversion 0 0 ED Status Via Christi Hospital - St. Teresa Caution 0 0 ED Status Via Christi Hospital - St. Teresa Closed to Ambulances 0 0 ED Status Via Christi Hospital - St. Teresa Open ED Status Via Christi Hospital - St. Teresa Out of Service 0 0 ED Status Via Christi Hospital - St. Teresa Trauma Diversion 0 0 ED Status Via Christi Hospital - St. Teresa Trauma Only 0 0 ED Status Via Christi Hospital - St. Joseph Air Trauma Diversion 0 0 ED Status Via Christi Hospital - St. Joseph Caution 0 0 ED Status Via Christi Hospital - St. Joseph Closed to Ambulances 0 0 ED Status Via Christi Hospital - St. Joseph Open ED Status Via Christi Hospital - St. Joseph Out of Service 0 0 ED Status Via Christi Hospital - St. Joseph Trauma Diversion 0 0 ED Status Via Christi Hospital - St. Joseph Trauma Only 0 0 Aggregate Status Summary Status Type Resource Type Status Total Hours % of Total Hours ED Status South Central Open ED Status South Central Closed to Ambulances ED Status South Central Out of Service ED Status South Central Air Trauma Diversion ED Status South Central Caution ED Status South Central Trauma Diversion ED Status South Central Trauma Only

56 Data Submission Results - South Central Region 1 Kansas Trauma Registry Based on hospital reports as of: Monday, January 23, Hospitals City 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter 1st Quarter 2nd Quarter 3rd Quarter Anthony Medical Center Anthony Y Y Y Y Y Y Y Clara Barton Hosp Hoisington Y Y Y Y Y Y Y Comanche County Hosp Coldwater Y Y Y Y Y Y Y Edwards County Hosp Kinsley Y Y Y Y Y Y Y Ellinwood District Hosp Ellinwood Y Y Y Y Y Y Y Galichia Heart Hospital Wichita Y Y Y Y Y Y N Great Bend Regional Hospital Great Bend Y Y Y Y Y Y Y Harper Hosp Dist #5 Harper Y Y Y Y Y Y Y Hillsboro Comm Med Ctr Hillsboro Y Y Y Y Y Y Y Hutchinson Regional Medical CenHutchinson Y Y Y Y Y Y Y Kansas Medical Center, LLC Andover Y Y Y Y Y Y Y Kingman Community Hospital Kingman Y Y Y Y Y Y Y Kiowa Co Mem Hosp Greensburg Y Y Y Y Y Y Y Kiowa Dist Hosp Kiowa Y Y Y Y Y Y Y Lindsborg Comm Hosp Lindsborg Y Y Y Y Y Y Y McPherson Hospital McPherson Y Y Y Y Y Y Y Medicine Lodge Mem Hsp Medicine Lodge Y Y Y Y Y Y Y Mercy Hospital Moundridge Y Y Y Y Y Y Y Newton Med Ctr Newton Y Y Y Y Y Y Y Pawnee Valley Community Hosp. Larned Y Y Y Y Y Y Y Pratt Reg Med Ctr Pratt Y Y Y Y Y Y Y Rice County Hospital Lyons Y Y Y Y Y Y Y Saint Luke Hosp. Marion Y Y Y Y Y Y Y South Central KS Reg Med Ctr Arkansas City Y Y Y N N N N Stafford County Hosp Stafford Y Y Y Y Y Y Y Sumner Co Hosp Dist #1 Caldwell Y Y Y Y Y Y N Sumner Reg Med Ctr Wellington Y Y Y Y Y Y Y Susan B. Allen Mem Hosp El Dorado Y Y Y Y Y Y N Via Christi-RMC-St Francis Wichita Y Y Y Y Y Y Y Via Christi-RMC-St. Teresa Wichta Y Y Y Y Y Y Y Wesley Med Ctr Wichita Y Y Y Y Y Y Y William Newton Mem Hosp Winfield Y Y Y Y Y Y Y Central KS Med Ctr Great Bend 4th Quarter Total Number Hospitals Number Reporting Submission Rate 100% 100% 100% 97% 97% 97% 88% 0% 1/23/ Galichia Heart - sent Jessica an asking if they have cases to submit 01/0/ South Central KS Regional - cases have to be closed to be counted for submission 1/23/17 - Sumner Co. Hosp - sent Teresa an asking if they have cases to submit. 01/03/ Susan B. Allen - working on catching up, caught up through June 2016 Source: Bureau of Community Health Systems

57 South Central Kansas Trauma Region Executive Committee James Haan, MD, FACS Chairperson Via Christi Hospital David Acuna, DO Vice-Chairperson Wesley Medical Center Memorandum To: South Central Kansas Law Enforcement Agencies Date: January 2017 Re: SAFE Program Mike Valdez Secretary Wesley Medical Center Nancy Zimmerman Treasurer Comanche County Hospital Kris Hill ACT Representative Via Christi Hospital Scott Fleming Hoisington EMS Cara Magness Via Christi Hospital Diedre Serene Marion County Health Department Frank Williams Life Team The Kansas Trauma Program and the South Central Kansas Trauma Region (SCKTR) wish to encourage all law enforcement agencies to support to SAFE Program. During the school year, 142 high school/junior high schools in 62 Kansas counties participated in the SAFE program. Without the support of law enforcement and other safety advocates, the growth across the state and success in increasing seatbelt use among the teen population wouldn t be possible. Since 2009 when the SAFE program was established in Crawford County Kansas, there has been a 24.5% increase in teen seatbelt usage. Along with that, the number of teens killed and/or seriously injured in traffic crashes has decreased dramatically. In 2009, there were 21 unbelted fatalities compared to 2015 that number decreased to 6. With your continued support of the program, we want to see that number continue on the downward trend! We sincerely thank the departments and agencies that have shown support to SAFE over the years and congratulate schools that continue to participate. We also look forward to continuing to support the program ourselves and hope to partner with more law enforcement both locally and state wide. Thank you for your time. For more information on SAFE, please visit Pam Kvas Newton Medical Center Mai Nguyen Sedgwick County Health Department Kansas Department of Health and Environment Bureau of Community Health Systems-Kansas Trauma Program 1000 SW Jackson, Suite 340, Topeka, Kansas Tel Fax