North RTCC “Big Red”

Geographic Largest RTCC 33% of the State

Geographic Least populated (12%) very rural & remote

Geographic Agricultural

RTCC Composition 7 LEMSAs 4 members from each LEMSA CHA representative from the LEMSA and stakeholders CHA representative CalAAMS representative CHP Airmedical representative Telemedicine representative

Communication Developed a listserve for email communication Conference calls Will begin web conferencing

Goals Initial goals Right patient: Standardize trauma triage criteria across LEMSAs Right place: Develop guidelines for appropriate patient destination – guidelines for regional approach to airmedical transport Right time: Develop guidelines for transfer to definitive care and repatriation

Gap Analysis Three tools distributed Trauma centers Non-trauma centers Prehospital providers

Short and Long term goals Will develop working document Targets Web-conferencing to enhance conference calls Develop a more uniform triage criteria Streamline transfers Possible use of LEAN process

Successes Committee is inclusive and has worked well together Two new trauma centers have been designated with more planned Several focus areas have been identified to enhance trauma care

Challenges Difficult to meet face-to-face d/t size of region and budgets Turnover in key personnel delayed progress in trauma triage criteria workgroup Some LEMSAs have been unable and/or unwilling to participate adequately

How can our region foster California’s State Trauma System Unclear unless California mandates trauma center designation, and provides funding or other incentives to key facilities

How can we foster trauma care in our region Encourage use of teams and other innovative patient care directed enhancements at non-designated centers Utilization of telemedicine Joint educational opportunities Establish mechanism for regional review of cases to enhance care

How can we foster trauma care in our Region www.dot.ca.gov/SHSP 16 Challenge Areas