Tami Lichtenberg, Program Director Rural Health Resource Center

1
Tami Lichtenberg, Program DirectorRural Health
Resource Center Duluth, Minnesota
2
Alaska

• Support the Rural Trauma Team Development (RTTD)
  course training
• Courses in Central Peninsula, Seward, Unalaska,
  and Klawock.

3
North Dakota

• Assist 7 remaining CAHs not currently part of the
  ND Trauma System.
• Issued RFP and funded 3 CAH grants to cover locum
  services, travel, and minor equipment- each
  receiving 9K.
• Invited to a statewide trauma system assessment
  by the American College of Surgeons. Shared the
  role of Flex, SORH, Center of Rural Health, and
  how we could support the trauma system.
• Next year money is set aside to cover
  subscription fee for the state to offer online
  training of medical directors.

4
Arizona

• Funded three CAHs to apply for Level IV Trauma
  Designation. Grants 3,500 each
• In next grant period, will contract with a trauma
  team at Banner Health System to do ACS critical
  care trauma Training. Training will be provided
  to every CAH and CAH eligible hospital

5
Kansas

• Working with a diverse but physician driven work
  group to develop and deliver a EMS medical
  Director Training and Support program.
• Completing a statewide BIS through Trauma Program

6
West Virginia

• Sponsored American College of Surgeons course
• at four separate CAHs to develop rural trauma
• teams and provide education in stabilizing and
• proper transfer of trauma patients
• Sponsored two Emergency Nurses Association
• courses called Trauma Nurse Core Course to be
• held at Level I, II III trauma centers.
• The program will continue into the next grant
  cycle to make sure all CAHs get to participate

7
North Carolina

• Pilot project established An intensive 2 day
  trauma training session at each hospitals ED.
  Sessions are geared to the individual hospitals
  ED level of service in dealing with trauma
  patients.
• Training included physicians, nurses, and allied
  care givers. The program will be carried into
  next fiscal year.
• Participated in an assessment of the statewide
  trauma system, conducted by American College of
  Surgeons Committee on Trauma.
• Resulted in a statewide survey that underscored
  areas of improvement. Special emphasis was paid
  to rural preparedness. The end results led to new
  Objectives developed by the office.
• Develop certified Trauma IV and V facilities in
  NC CAHs. None currently exist.

8
Pennsylvania

• Participate in the statewide assessment of the
  trauma system and use the results based upon the
  BIS criteria to address gaps in readiness and
  performance.
• PA Trauma Systems Foundation annual conference
  will include education geared toward the rural
  needs of the state as it relates to injury
  treatment and management.
• Trauma Center outreach to rural hospitals for
  education and prevention

9
Indiana

• Process of establishing a voluntary, statewide
  system of trauma care. Three BIS assessments will
  e conducted. The results will be used to
  implement trauma improvement activities.
• The State Trauma Registrar will coordinate with
  Indiana Health and Hospital Association and
  Indiana Rural Health Association to recruit
  hospitals to receive registry training and
  technical support.
• Development of Statewide Rural EMS
  Plan/Partnerships to address rural EMS workforce
  needs.

10
Utah

• Rural Trauma Team Development course given to
  every CAH intend to improve morbidity and
  mortality from trauma
• PI workshops for every CAH community increase
  ability of CAH/non-CAH and EMS to conduct
  meaningful PI
• 2006 Workshop for Medical Directors now working
  on two year plan to train and educate EMS in
  every CAH and non-CAH community
• Rural Preventable Mortality Study determine
  epidemiology of trauma in CAH and non- CAH
  communities
• BIS study 2006 assessed status of trauma care
  and capability

11
West Virginia

• Sponsored American College of Surgeons course at
  four separate CAHs to develop rural trauma teams
  and provide education in stabilizing and proper
  transfer of trauma patients
• Sponsored two Emergency Nurses Association
  courses called Trauma Nurse Core Course to be
  held at Level I, II III trauma centers.