Three Options Direct hospital participation Third party submits data for hospitals according to new policies Third parties and hospitals “share” data submission task

Shared Data Submission Hospital will provide facility information Third party may submit data file for hospital Either hospital or third party may sign HIPAA agreement Both parties will have access to error reports, benchmarking, etc.

Facility Information

Hospital characteristics Trauma level Bed size Teaching status Staffing AIS coding versions Inclusion/exclusion criteria

Questions Possible with Facility Information Injury severity/type by admitting hospital designation (i.e., an assessment of over-under triage). The prevalence of injury severity/type presenting to frontier, rural, suburban and urban hospitals by bed size and available resources. Procedure types by admitting hospital designation. Length of stay by injury type and hospital designation. Resource utilization by injury characteristics (e.g., procedures, ICU LOS, insurance, etc.) and hospital size and designation. Frequency of inter-facility transfer after hospitalization by injury severity and hospital trauma designation. Hospital complications by injury characteristics, hospital designation and patient age.

Benchmarking Filtered on trauma level and bed size Age LOS ICU LOS ISS Transfer status Gender Discharge disposition Discharge status Principal payment source Injury type Intentionality Mechanism Alcohol/drugs ED disposition

Injury Information in NTDS Injury Location (Zip Code or FIPS code) Trauma type (blunt, penetrating, burn) Injury intentionality EMS GCS ED GCS EMS Revised Trauma Score ED Revised Trauma Score AIS (calculated) AIS (inferred from ICD-9-CM) ISS (calculated and inferred) Co-morbid conditions

Process Information in NTDS Total EMS response time Total EMS scene time Total EMS time Total ED time

Outcomes Information in NTDS Total ICU length of stay Total ventilator days Hospital complications Total hospital length of stay Hospital discharge disposition Functional Capacity Index Type of ED death

Systems Benchmarking Encourage state wide participation Define/collect systems demographics Establish benchmark report based on NTDS data elements

Systems Information