Five Core Components for a Hospital-based Injury Preven:on Program

Five Core Components for a Hospital-based Injury Preven:on Program

Mul$ple Texas Trauma Organiza$ons Conduc$ng Injury Preven$on Governor s EMS & Trauma Advisory Council (GETAC) Injury Preven$on CommiCee Texas EMS & Acute Care Founda:on (TETAF) Injury Preven:on Division Texas Trauma Coordinators Forum (TTCF) Regional Advisory Councils (RACs)

GETAC Injury Preven$on CommiCee Objec$ves Iden:fy opportuni:es to impact and prevent injuries and violence within the state of Texas Incorporate safety and injury preven:on into the fabric of organiza:onal culture and opera:ons Facilitate collabora:on among injury preven:on professionals and advocates in the state Enhance the knowledge and skills of the Texas injury preven$on work force Elevate the awareness and need for injury and violence preven:on in the state of Texas Provide access to evidence-based injury preven$on strategies to increase an individual s capacity for a safe and healthy lifestyle in Texas

EXPECTATIONS.5-1 FTE PATIENTS COMMUNITY

Iden$fied need to pursue standardized recommenda$ons for a hospital-based injury program

Program: Should be understood as: The unit or department that provides infrastructure and support for preven:on efforts I am not referring to ini-a-ves (aka programs): e.g. ma6er of balance, stop the bleed

Common Ground Clinical Public Health Develop surveillance and monitoring tools Iden:fy causes and factors of injuries Partner with other organiza:ons Target community Embrace the media Be poli:cally savvy Collect, analyze and disseminate injury and violence data Build and sustain a solid, stable infrastructure Engage partners for collabora:on Select, implement, and evaluate effec:ve policy and program strategies Effec:vely communicate informa:on to key stakeholders Provide training and technical assistance Sources: The American College of Surgeons, 2006 Resources for Op:mal Care of the Injured Pa:ent (AKA Green Book) The American College of Surgeons, 2014 Resources for Op:mal Care of the Injured Pa:ent (AKA Orange Book) Sources: Standards and Indicators for Local Health Department Injury & Violence Preven:on Programs, July 2011, NACCHO & Safe States Alliance Building Safer States: Core Components of State Injury Violence Preven:on Programs, 2013 Edi:on, Safe States Alliance

GETAC IP Commi^ee established a workgroup Representa:ves: GETAC, TETAF, TTCF, RACs Developed standard recommended components of a hospital-based injury preven:on program Suppor:ng materials Gathered public comment Presented to GETAC for endorsement Texas Process

Document Layout Each component is a separate chapter: Explana:on of the component Suggested items to strongly consider Iden:fied resources to u:lize Realis:c example Literature references that support material

Use data to iden$fy and/or determine program focus areas Evaluate program processes and strategies 5 Core Components for Hospital-based Injury Preven$on Programs Select and implement evidence-informed strategies Engage partners for collabora$on Training to build professional capacity

5 Core Components Using data to iden:fy and/or determine program focus areas Engaging partners for collabora:on Training to build professional capacity Selec:ng and implemen:ng evidenceinformed strategies Evalua:ng program processes and strategies to demonstrate value

1 st Evalua$on (forma$ve & process) U:liza:on evalua:on conducted in 2015 Feedback collected: Was the component explana:on helpful Iden:fied which chapter sec:on was most helpful The inten:onal sharing of this document The desire for addi:onal informa:on Sugges:ons to help future versions Layout, design, content, etc.

IP Researchers Grants Manager IP Manager IP Evaluators 5 POPULATION HEALTH APPROACH IP Coordinators IP Health Educators IP Health Promoters IP Social Workers Data Analyst (Epidemiologist)

Addi$onal Work Core Components User Guide Quick reference guide that helps IP staff to review their program using key indicators that relate to the core component. CORE COMPONENT The specific core component defini$on will be found here. COMPONENT INDICATORS - CHECKLIST! Key indicators that relate to the specific core component will be found here.! These indicators will help users to assess current program func:ons related to the core component.! These indicators may assist users to iden:fy weakness and opportuni:es to strengthen and/or grow the program in this core component. o High func:oning programs will typically have most and/or all of these indicators o Developing programs will typically have one and/or a few of these indicators Suggested Resources: Resources, specific to the core component will be listed here. These lists are not allinclusive. However, the resources that are listed are well noted and frequently used in the field of injury and violence preven:on. Users are encouraged to explore these resources.

Addi$onal Work Evidence Based Strategies Documents Topic Based Literature Review & Categoriza:on Well Supported Implement Insufficient Support Use cau:on when implemen:ng Harmful or Nega:ve Results STOP - Do Not Implement No evalua:on Literature was reviewed and categorized based on the overall results of the study as well as the study design/methods

Safe States Alliance Development of the Hospital-based Injury Preven:on Special Interest Group (HIP-SIG) Over 80 hospital-based injury preven:on members Monthly calls (range from 20-40 par:cipants) Series of exploratory sessions Webinars In person mee:ngs Webinar Series (over 5 months) exploring each of the Texas core components with members

What has resulted: The HIP-SIG constructed a formal recommenda:on to the Execu:ve Commi^ee to seek funding for a special project. The recommenda:on suggested the need to convene a na:onal stakeholder group (constructed of many organiza:ons) to explore standards and indicators for hospital-based injury programs.

The Safe States Alliance (Safe States), a member of the Trauma Preven:on Coali:on, received funding from the Centers for Disease Control and Preven:on (CDC) through the Na:onal Associa:on of County and City Health Officials (NACCHO) to explore the exis:ng capacity of hospital-based IVP programs and to iden:fy ways that standards and indicators could strengthen them. By building consensus among stakeholders regarding key elements of model programs, the project will strengthen Trauma Center IVP programs and increase the alignment of these efforts with public health prac:ce.

Project Steering CommiCee Safe States Alliance Dimensions Healthcare System / Prince George's Hospital Center Society of Trauma Nurses Indiana Department of Health; Safe States Alliance American College of Surgeons Commi^ee on Trauma Trauma Preven:on Coali:on American Trauma Society Trauma Center Associa:on of America Dell Children's Medical Center

Project Timeline Environmental Scan Feb 2017 Stakeholder Roundtable Mee:ng- Mar 2017 Online Survey Coming July 2017 Dram Standards and Indicators now thru Aug 2017 In-Person Mee:ng to validate and finalize Standards an Indicators Sept 2017 Publish report containing core components and standards and indicators - Fall 2017

Accomplishments

Core Components for LvL I & II Data Interven:ons Partnerships Leadership Resources

MORE TO COME