1. Trauma System Site Visit Presentation Template
Use this template to build your presentation for the opening conference of your trauma hospital designation site visit.
Use as many or as few of the slides as you like. The more you use, the better the reviewers will understand your program.
Many slides suggest pasting a trauma registry report onto the slide. Follow the instructions and you’ll be a pro!
Contact the trauma system designation coordinators with questions about your presentation.

2. Level [3, 4] Trauma Site Visit Designation or Redesignation
[Hospital Name]
Level [3, 4] Trauma Site Visit
Designation or Redesignation

3. Trauma Program Leadership
Trauma Medical Director
Trauma Program Manager/Coordinator
Trauma Registrar

4. About [HOSPITAL] Approximate population of catchment area
Cities and towns within the catchment area

5. About [HOSPITAL]
[INSERT MAP OF CATCHMENT AREA]

6. About [HOSPITAL]
# of physician and/or provider staff and specialty composition
# and composition (RN, LPN) of nursing staff

7. About [HOSPITAL]
List hospital players (other than trauma program leadership) that support the trauma program (e.g., administration, HIM, trauma registry, key department leaders, EMS, quality)

8. About [HOSPITAL]
List other specialties available at your hospital (e.g., OB, Critical Care, Surgery, Radiology)

9. About [HOSPITAL]
Note any changes in leadership or operations since the last site visit
Significant facility changes/equipment upgrades

10. Trauma Volumes (monthly trend)
[Insert chart of trauma volumes for the most recent calendar year]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “16-01 Number of Trauma Registry Records”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

11. Trauma Volumes (annual trend)
[Insert chart of trauma volumes for the most recent calendar year]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “Number of Trauma Registry Records Trend”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

12. Causes of Injury
[Insert chart of mechanisms of injury for reporting year]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “16-02 Top 10 Causes of Injury”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

13. Emergency Department Disposition
[Insert chart of trauma patient ED dispositions for the reporting year]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “16-03 Emergency Department Discharge Disposition”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

14. Trauma Transfers In (trend)
[Insert chart of the # of transfers in to the facility during the reporting year (if applicable)]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “Transfers In”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

15. Trauma Transfers Out (trend)
[Insert chart of the # of transfers out of the facility during the reporting year]
Log into MNTrauma
Report Writer >> All Reports folder >> Site Visit folder >> “Transfers Out”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

16. Trauma Admits/Consults
[Insert chart of the # of trauma patients admitted to each respective service during the reporting year]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “16-04 Admission Service”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.
And/Or
[Insert chart of the # of trauma patients receiving a consult from each respective service during the reporting year]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “16-05 Consulting Service”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

17. Trauma Team Activations (trend)
[Insert chart of the trauma team activations for the reporting year]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “Trauma Team Activations”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

18. Average ED Provider Response Time (trend)
[Insert chart showing ED provider response times]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “ED Avg. Provider Response Time”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

19. General Surgeon Response Time (trend)
[Insert chart showing general surgeon provider response times]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “Avg. General Surgeon Response Time”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.

20. For Level 3 trauma hospitals only
Surgeon Response Time
For Level 3 trauma hospitals only
[Insert data showing general surgeon response time compliance to the highest-tier trauma team activations for the reporting year]
30 minute response time criteria
60 minute response time criteria

21. [Level 3 trauma hospitals only]
Surgeon Involvement
[Level 3 trauma hospitals only]
# of admitted cases with and without surgeon involvement for each of the following conditions
Hemothorax/pneumothorax
Pelvic fracture
Two or more rib fractures
Pulmonary contusion
Significant fall (>15 feet, >65 years old and fall from elevation or down stairs, Pediatric <10 years old: >2x patient’s height)

22. Trauma Program Leadership Networking
Outline Participation In:
Regional Trauma Advisory Committee (RTAC)
Statewide and/or Regional Trauma Program Manager Meetings
Statewide Trauma Advisory Committee (STAC)

23. Trauma Program Leadership Education
Outline Participation In:
RTAC Educational Offerings
Provided by any RTAC
State Trauma System Training
Trauma Program 101
PI Education
Trauma Registry Training
Other?

24. [Insert chart showing the average record submission time]
Trauma Registry
[Insert chart showing the average record submission time]
Log into MNTrauma
Report Writer >> Shared Reports folder >> Site Visit folder >> “16-06 Avg. Registry Record Submission Time”
To export the report, select ‘Actions’ tab, ‘Export’, and then either ‘PNG Image’ or ‘JPG Image’. Copy and paste the image into this PowerPoint.
If greater than 60 days, address causes and solutions.

25. Current Criteria Issues
Essential criteria currently not being met, if any

26. Previous Visit Information
Prior site visit
Deficiencies and Opportunities for Improvement and actions taken to address
This list should include all of the summary recommendations from the previous site visit report.

27. Performance Improvement
Current Initiatives
List current PI initiatives and status of those projects

28. Performance Improvement
Past Initiatives
List PI initiatives from the recent past that have been successfully resolved

29. Injury Prevention
List any injury prevention activities that the hospital has led or was involved in over the past designation cycle
Describe how registry data is used to identify the need for injury prevention activities

30. Final
Anything else you would like the review team to know