1. North RTCC
“Big Red”

2. Geographic
Largest RTCC
33% of the State

3. Geographic
Least populated (12%) very rural & remote

4. Geographic
Agricultural

5. 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

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

7. 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

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

9. 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

10. 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

11. 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

12. 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

13. 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

14. How can we foster trauma care in our Region
16 Challenge Areas