REGIONAL TRAUMA PLAN
TSA-V
Rio Grande Valley Trauma Service Area “V”
Date: 12-6-2013
TABLE OF CONTENTS
I. Cover Page 1
II. Table of Contents 2
III. Introduction 3
IV. Trauma, Stroke, PCI capable and SANE Designations 4-6
V. Organizational Structure 7
VI. Member Counties 8
VII. List of TRAC Board of Directors 9-10
VIII. Subcommittees of TRAC V 11-19
IX. TRAC-V Bylaws 20-31
X. List of TSA Active Emergency Medical Services Providers 32-39
XI. List of TSA Hospitals and Designations 40-50
XII. Other Participants with TSA 51-52
XIII. List of Non participants in TSA 53
XIII. Plan Components 54
System Access 55-56
Communications 56-57
Medical Oversight, Medical Direction and Quality Management 58
Pre-Hospital Triage Criteria 59
Triage Decision Scheme 60
Pre-Hospital Stroke Transportation Plan 61
Air Medical Activation Guidelines 62
Map of Trauma Designated Hospitals and EMS Providers 63
Diversion Policy 64-65
By-Pass Protocols 66
Regional Medical Control 67
Facility Triage Criteria 68
Inter-Hospital Transfers 69 Trauma Transfer Checklist 70
Quality Management Program 71-72
Quality Improvement Flow Sheet 73
Quality Assurance Performance Improvement Panel Review Form 74
Quality Assurance Complaint Log 75
TRAC-V Inquiry Report form 76
Confidential Records Form 80
Mutual Aid and Disaster Planning 81-120
Regional Trauma Registry 121
Regional Education 122 Active Participation Guidelines and Distribution List 123
Executive Director Job Description 127
TRAC Secretary/Office Manager 129 Policy for Check Request and Reimbursement 131
Web Page 131
INTRODUCTION
A Regional Advisory Council (RAC) is an organized group of local citizens representing all health care entities within a specified Trauma Service Area (TSA). These health care entities include all trauma facilities, physicians, nurses and EMS Providers. A RAC is a formal organization chartered by the Bureau of Emergency Management under legislative mandate to develop and implement a regional emergency medical service/trauma system plan and to oversee trauma system networking with others in the Trauma Service Area. All counties in the State of Texas have been grouped into 22 TSA's lettered A through V. The Areas are all multi-county and contain a minimum of three counties.
The Rio Grande Valley "RAC" Trauma Regional Advisory Council for TSA "V" Inc. was recognized by Department of State Health Services (DSHS) in 1995. The primary purpose of the RAC is to address trauma system development and trauma care in the Rio Grande Valley. Trauma Service Area V is the geographic area which lies at the southern most tip of Texas. It consists of four counties, Cameron, Hidalgo and Starr which border Mexico and Willacy County which lies to the north of Cameron County. There are 14 Hospitals within the region, 12 of which are now trauma designated facilities. Cameron County contains Valley Baptist Medical Center at Brownsville, Valley Regional Medical Center in Brownsville, Harlingen Medical Center, and Valley Baptist Medical Center in Harlingen. Hidalgo County contains Knapp Medical Center in Weslaco, McAllen Medical Center, Rio Grande Regional Hospital in McAllen, McAllen Heart Hospital, Edinburg Regional Medical Center, and Mission Regional Hospital. Willacy County contains no hospitals and Starr County Memorial Hospital in Rio Grande City.
Trauma Service Area V represents a classic example of specialized challenges in delivering care to the trauma patient in a rural setting, since there is no Level I or II Trauma center within the service area. Many transfers for specialized care are transported outside the region. However since the development of the regional trauma system the communication between provider and hospital has increased tremendously and the quality of care provided to the victims of trauma has improved.
TRAC V Trauma and Stroke Designation Area Facilities
Primary (Level II) Stroke Facilities
Doctors Hospital at Renaissance
Edinburg, 78539 (TSA: V)
Expires: 6/1/2014
Edinburg Regional Medical Center
Edinburg, 78935 (TSA-V)
Expires 3/1/2014
Knapp Medical Center
Weslaco, 78599 (TSA-V)
Expires 8/1/2015
McAllen Medical Center
McAllen, 78503 (TSA-V)
Expires 3/1/2014
Valley Baptist Medical Center - Brownsville
Brownsville, 78520 (TSA-V)
Expires 11/1/2013
Valley Baptist Medical Center – Harlingen
Harlingen, 78550 (TSA: V)
Expires 3/1/2014
Valley Regional Medical Center – Brownsville
Brownsville, 78526 (TSA-V)
Expires 7/1/2016
Level III Advanced Trauma Facilities
McAllen Medical Center Knapp Medical Center
McAllen , 78503 (TSA-V) Weslaco, 78596 (TSA-V)
Expires 2/1/2015 Expires 8/1/2016
Rio Grande Regional Hospital
McAllen, 78503 (TSA-V)
Expires 6/1/2016
Valley Baptist Medical Center – Brownsville
Brownsville 78520 (TSA-V)
Expires 5/1/2016
Valley Baptist Medical Center – Harlingen
Harlingen, 78550 (TSA-V)
Expires 7/1/2015
Valley Regional Medical Center
Brownsville, 78526 (TSA-V)
Expires 8/1/2014
Level IV (Basic) Trauma Facilities
Doctors Hospital at Renaissance McAllen Heart Hospital
McAllen, 78503 (TSA-V) Edinburg, 78539 (TSA-V)
Expires 4/1/2015 Expires 9/1/2016
Edinburg Regional Medical Center Mission Regional Medical Ctr
Edinburg, 78540 (TSA-V) Mission, 78572 (TSA-V)
Expires 8/1/2014 Expires 3/1/2016
Harlingen Medical Center Starr County Memorial Hospital
Harlingen, 78550 (TSA-V) Rio Grande City, 78582 (TSA-V
Expires 10/1/2016 Expires 7/1/2016
Catheterization Lab with PCI Capabilities
Harlingen Medical Center-Harlingen, TX 78550 (TSA-V)
Knapp Medical Center-Weslaco, TX 78599 (TSA-V)
Rio Grande Regional Hospital-McAllen, TX 78503 (TSA-V)
Valley Baptist Medical Center-Brownsville, TX 78520 (TSA-V)
Valley Baptist Medical Center-Harlingen, TX 78550 (TSA-V)
McAllen Heart Hospital-McAllen, TX 78503 (TSA-V)
Doctors Hospital at Renaissance-Edinburg, TX 78539 (TSA-V)
Edinburg Regional Medical Center-Edinburg, TX 78935 (TSA-V)
Mission Regional Medical Center-Mission, TX 78572 (TSA-V)
Valley Regional Medical Center-Brownsville, TX 78521 (TSA-V)
Sexual Assault Nurse Examiner (SANE) Designation
Valley Baptist Medical Center-Harlingen
McAllen Medical Center-McAllen
Mission Regional Medical Center
TRAC V ORGANIZATIONAL STRUCTURE
Current Detailed Board and General Membership lists are included within Plan.
TRAC V MEMBER COUNTIES
Cameron County
Cameron County has a population of 414,123 residents. Valley Baptist Medical Center - Brownsville and Valley Regional Medical Center service the areas from Rancho Viejo and Los Fresnos East to South Padre Island and often receive patients from Mexico. Harlingen Medical Center and Valley Baptist Medical Center – Harlingen, generally handle patients from Willacy County and the Harlingen Area as far west as Mercedes. Valley Baptist Medical Center-Harlingen serves as the lead facility for Cameron County and often accommodates traumatic patients from across the Rio Grande Valley.
All Cameron County Hospitals Utilize tertiary specialty facilities for transfer including but not limited to Driscoll Children’s Hospital in Corpus Christi, Santo Rosa Children’s Hospital in San Antonio, San Antonio Military Medical Center SAMMC, UTMB Medical Center in Galveston, UT Health Science Center in San Antonio, and Shriner’s Hospital in Galveston.
Hidalgo County
Hidalgo County has a population of 797,810 residents. Knapp Medical Center provides services for the residents of Weslaco and its surrounding area including Mercedes to the East and West to Alamo. Edinburg Regional Medical Center provides medical care to residents of Southern Brooks County and North of Pharr. Mission Hospital provides care for residents of Mission and its surrounding areas as far west to Starr County line and east to Ware Rd. in McAllen. McAllen Medical Center and Rio Grande Regional Hospital provide services to the residents of McAllen and its surrounding communities including Pharr and San Juan. McAllen Medical Center and Rio Grande Regional Hospital serve as trauma centers for the Hidalgo County area.
Hidalgo County also utilizes specialty tertiary care facilities as named above, including but not limited to SAMC Burn Unit, Shriner’s, Driscoll, UTMB, and UT Health Science Center San Antonio.
Starr County
Starr County has a population of 61,715 residents. Starr County Memorial Hospital is a rural facility. After initial stabilization, patients are transferred to the nearest appropriate facility. Neuro-surgical cases may be transferred to McAllen Medical, Rio Grande Regional Hospital, Valley Baptist-Harlingen, or North to San Antonio. Orthopedic and surgical cases are generally transferred to McAllen, Edinburg, or Mission.
Starr County also utilizes specialty tertiary care facilities as named above, including but not limited to SAMC Burn Unit, Shriner’s, Driscoll, UTMB, and UT Health Science Center San Antonio.
Willacy County Willacy County has a population of 22, 095 residents. Willacy County has no hospitals. The patients from this region are generally transported to Valley Baptist Medical Center-Harlingen or Harlingen Medical Center.
TRAUMA REGIONAL ADVISORY COUNCIL
BOARD OF DIRECTORS
Chair Vice Chair/Parliamentarian
Deborah Meeks, RN, MSN, CCRN, CEN Noel Garcia
Chief Nursing Officer Director
Harlingen Medical Center Starr County EMS
5501 S Expressway 77 PO Box 78
Harlingen, Texas 78550 Rio Grande City, Texas 78582
(956) 365-1030 956-487-9003
Secretary Treasurer
Dawn Woods Frank Torres, EMT-P
Trauma Manager Executive Director
Rio Grande Regional Hospital Willacy County EMS.
101 East Ridge Road 683 S. 7th
McAllen, Texas 78501 Raymondville, Texas 78580
(956)632-6512 (956) 689-5456
Jorge Trevino Dr. Carlos Barba
VP of Clinical Improvements Cameron County Physician Rep Valley Baptist Medical Center - Hgn Valley Baptist Medical Center-Hgn 800 W. Jefferson St.
2101 Pease St. Harlingen, TX 78550
Harlingen, Texas 78550 956-621-4981
(956) 389-1454
Connie Manley Dr. Ruben Lopez
Trauma Coordinator Valley Baptist Medical Center - Hgn
Valley Regional Medical Center 2101 Pease Street
100 A Alton Gloor Blvd. Harlingen, Texas 78550
Brownsville, Texas 78520 956-425-5144
(956)350-7153 office
(956) 350-7163 fax
Rudy Garza, Fire Chief Dr. Rolando Guerrero City of Weslaco Fire/EMS Starr County Hospital
901 North Airport (956) 494-3763
Weslaco, TX 78596 (956) 487-9085 ER
956-968-7581
956-968-7621
Lutano Villarreal Erin Teskey
Trauma Coordinator Trauma Coordinator
Starr County Memorial Hospital Doctors Hospital at Renaissance
PO Box 78 5501 South McColl
Rio Grande City, Texas 78582 Edinburg, Texas 78539
(956) 487-5561 956-362-5120
Rene Perez Dr. Carlos Garcia-Cantu
Director of Patient Transport Svcs Willacy County Physician Representative
South Texas Emergency Care Foundation Rio Grande Regional Medical Center
1705 Vermont 301 W. Expressway 83
Harlingen, Texas 78552 McAllen, TX 78503
Elmo Lopez Ceasar Rodriguez
CEO
McAllen Medical Center McAllen Heart Hospital
301 W. 83 1900 S. D Street
McAllen, TX 78503 McAllen, Tx 78503
956-632-4000 956-994-2723
William Adams
Regional CEO
Knapp Medical Center
1401 E. 8th Street
Weslaco, Texas 78596
(956) 969-2500
Cynthia A. Shartle, RN MSN
Emergency Department Director
Mission Regional Medical Center
900 South Bryan Road
Mission, Texas 78572
(956) 323-1002 fax (956) 323-1010
Dr. Raul Barreda
Hidalgo County Physician Representative
Trauma Medical Director
5501 S. McColl rd
Edinburg, TX 78539
Mack Gilbert Javier Quiroga, Lieutenant
Director of Operations Brownsville Fire/EMS
Med Care EMS 625 East 12th
PO Box 6767 Brownsville, Texas 78520
(956) 661-4100 (956) 661-4101 fax (956) 547-6587 office
McAllen, Texas 78502 (956) 546-8539 fax
Jason Chang
COO
Edinburg Regional/Edinburg Children’s
100 W. Trenton Rd
Edinburg, Texas 78539
(956) 388-6604
TRAC-V SYSTEM PLANNING AND PARTICIPATION
SUB COMMITTEE
ALLIED HEALTH
Chair: Emily Wren – South TX Emergency Care Foundation
Co-Chair: Mario Montez – Harlingen Fire Department
Members:
Ginger Cunningham – Harlingen Regional Medical Center
Martha Sustathia – McAllen Medical Center
Cris Silva-Mission Regional Medical Center
Javier Quiroga - City of Brownsville EMS
Dawn Woods – Rio Grande Regional Hospital
Raul Torres - Willacy County EMS
Ruben Pena – Knapp Medical Center
Connie Manley – Valley Regional Medical Center
Frank Torres – Willacy County EMS
Wesley Milam-Valley Baptist Medical Center-Brownsville
Roy Tomayo-Valley Baptist Medical Center-Harlingen
Frank Torres-Willacy County EMS
MISSION
To improve all emergency healthcare throughout TRAC-V through education by facilitating the development and implementation of education programs including but not limited to the Annual South Padre Island Symposium.
Goal: To increase participation and attendance at the South Padre Island Trauma Symposium by
· Recruitment of state and nationally known trauma physicians who are knowledgeable of various trauma related topics
· Increase the number of attendees at all professional levels by recruiting state and nationally known speakers
· Increase the number of attendees at all professional levels by advertising in local, regional and Mexican newspapers (Bi-lingual capabilities available)
· Increase the number of vendors exhibiting their products by beginning early vendor recruitment
· Expand to a 3 day event to provide hands-on training to fire, EMS and law enforcement
· Holding future symposiums in conjunction with Texas Ambulance Association annual meeting
· Expand educational opportunities within the region
Objectives:
· Increase exposure of TRAC-V to the local and regional medical community
· Disseminate information and education to address standards of care through evidence based practices to decrease morbidity and mortality within the region.
TRAC-V SYSTEM PLANNING AND PARTICIPATION
SUB COMMITTEE
By-Law Committee:
Chair: Deborah Meeks – Harlingen Medical Center
Co-Chair: Frank Torres – Willacy County EMS
Members: Rene Perez – South Texas Emergency Care Foundation
Noel Garcia – Starr County EMS
Jorge Trevino-Valley Baptist Medical Center-Harlingen
Mission: Conduct at least one annual review of the Trauma Regional Advisory Council’s bylaws and make recommendations for changes and updates.
Finance Committee
Chair: Frank Torres – Willacy County EMS
Co-chair:
Members: Dawn Woods – Rio Grande Regional
Rudy Garza – Weslaco Fire/EMS
Deborah Meeks-Harlingen Medical Center
Noel Garcia-Starr County EMS
Mission:
To conduct a yearly review of the Trauma Regional Advisory Councils Financial Statements and make recommendations for investments and/or money management of the TRAC accounts.
Responsibilities:
The responsibilities for the Financial Committee include but are not limited to:
Review the accounts and transactions of the TRAC’s accounts on an annual basis
Work in conjunction with the TRAC’s accountants to maintain the account in good standing
Develop recommendations for the TRAC board to invest the surplus funds.
TRAC-V SYSTEM PLANNING AND PARTICIPATION
SUB COMMITTEE
Injury Prevention Public/Education/Special Populations
Chair: Rick Diaz – Medical & Trauma Svcs
Co-Chair: Salvador Saucedo – TX State Technical College
Members:
Cindy Ramon-Ambulance Transportation Svc.
Rachel Rodriguez- McAllen Fire Dept
Rene Alaniz – McAllen Fire Dept.
Cris Silva – Mission Regional Medical Center
Javier Quiroga – Brownsville Fire/EMS