Ginger Floerchinger-Franks, Dr.P.H Director, Idaho Trauma Registry.

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Presentation transcript:

Ginger Floerchinger-Franks, Dr.P.H Director, Idaho Trauma Registry

The Idaho Dataset and the National Trauma Data Standards

Idaho Trauma Registry Background Established by Idaho Code § All acute care hospitals All patients meeting inclusion criteria Injury surveillance system At minimum identify Access to care issues Performance of emergency medical systems Costs of trauma care Outcomes for trauma victims

Inclusion Criteria Include: Dislocations, sprains, strains, fractures Open wounds / Crushing injuries Internal injuries / Intracranial injuries Drowning / nonfatal submersions Asphyxiation / strangulation Electric current Additionally: Admission as in-patient Transfer between acute care hospitals by EMS Death

ITR Dataset and Data Dictionary Developed by TRAC Minimum dataset (147 items) Hospitals – NTR (all common elements), TRAC (Idaho-specific elements) EMS – PCR / NEMSIS Transportation – VCR Vital Statistics – death certificate

Standardized Hospital Data Entry Idaho Data Dictionary NTR – for common data items TRAC / other standard definitions for Idaho- specific data items Menu choices / reporting options Injury coding software Text ICD-9 codes ITR data entry QC

Hospital Data Subset Patient demographics Injury demographics Initial hospital assessment Injury description Patient outcomes

Patient Demographics Age Gender Race / ethnicity Linking elements Personal identifiers

Injury Demographics When Where (county, type of location) Cause (E-codes) Safety equipment use Linking elements EMS agency Injury county Injury date and time Transfer hospital(s)

Initial Patient Assessment In-hospital vital signs / time taken GCS (all patients) to calculate RTS, P(s) Procedures Initial diagnostic radiology Invasive procedures FAQ

Injury Description Text description (detailed) ICD-9 codes Complications (ACS) Co-morbidities (ACS)

Outcomes Proxy measures Discharge location Discharge GCS (all patients) Disabilities scores

For More Information ITR Data Dictionary ITR FAQs Idaho Trauma Registry extension 221 National Trauma Data Standards html