1. SW RTCC Southwest Regional Trauma Coordinating Committee: Representing the Counties of: San Luis Obispo – Santa Barbara Ventura – Los Angeles – Orange Santa Barbara Ventura Los Angeles San Luis Obispo Orange

2. Southwest RTCC Diverse Large Urban & Rural Areas Well Developed Trauma Systems No Trauma System 14,607 Sq. Miles 14 million Total Population 25,306 Trauma Patients

3. Each Thread in the Safety Net is Critical Pediatrics Dispatch Air Transport Critical Care Transport Ambulance Transport Trauma Centers Fire Services Hospitals Specialty Care Physicians Rehabilitation Services Injury Prevention Emergency Medical Services Critical Care It’s Essential to Work Together to Prevent Trauma Victims from Falling Through the Net

4. Southwest RTCC Getting Started Formed a Leadership Group Bi-Monthly Conference Calls Planned Stakeholder Meeting 1-18-09 Over 80 Participants Good Representation Formed into Work Groups to Flush Out Issues

5. Interim Leadership: Southwest Regional Trauma Coordinating Committee  Gil Cryer, MD, PhD  Cathy Chidester  Tim Ernst, EMT-P  Barry Fisher  Heidi A. Hotz, RN  David Hoyt, MD, FACS  Johnathan Jones, RN, BSN  Nancy Lapolla, MPH  Jennifer Shay  Connie Stalcup, RN,MN  Samuel Stratton, MD, MHP  Jeffery S, Upperman, MD, FACS, FAAP SW RTCC

6. Southwest RTCC Conducted Survey of LEMSA’s Conducted Survey of Hospitals Developed Mission/Value Statement Identified 4 Focus A reas to Target

7. Survey 145 Hospitals Received the Survey 47 (31%) Completed the Survey –12 Designated Trauma Centers –35 Non-Trauma Center Purpose: Get a General Overview of Regional Trauma System –Where Are the Gaps/Barriers

8. Southwest RTCC Structure Stakeholders Meeting – 3 Break Out Sessions Discuss Organization Structure Focus Areas

9. Structure Steering Committee Access to Care QI & Data MCI Disaster

10. Mission Statement “To promote a coordinated region-wide trauma system that reduces overall morbidity and mortality through coordinated prevention, comprehensive quality pre-hospital and hospital trauma care services that is cost-effective to individuals in Orange, Los Angeles, Ventura, Santa Barbara and San Luis Obispo Counties.”

11. Vision Statement “All patients needing trauma services receive high quality, readily, accessible and well coordinated trauma care.”

12. Steering Committee Southwest Regional Trauma Coordinating Committee Nancy Lapolla, MPH Gil Cryer, MD, PhD Barry Fisher Heidi A. Hotz, RN David Hoyt, MD, FACS Gerry Arcuri Angelo Salvucci, MD Tom Hale, MD Greg Boswell, RN Samuel Stratton, MD, MPH Jeffery S, Upperman, MD, FACS, FAAP Steve Fellows SW RTCC “I never thought it could happen to my daughter” “I never thought it could happen to my sister” “I never thought it could happen to my dad” “I never thought it could happen to me”

13. Project Charters Access to Care Quality Improvement Data MCI/Disaster

14. Access to Care Clinical/System Case –Expected Improvements –No Preventable Deaths for trauma –Right Patient to right center Team Members –Steve Fellows, Angelo Salvucci, Gill Cryer, David Hoyt, Tom Hale Objectives –Develop trauma system infrastructure (SLO, VTA & SB) –Assure adequate resources in LA & Orange –Inter-county triage & transfer agree Metrics –Prepare gap analysis/needs assessment –Process measurement –Outcome measurement –Create state outcome measurement The Big Picture

15. QI Objectives –Establish regional PI process –Catalogue existing data sources –Establish mechanism to review deaths –Verify trauma centers –Regional PI Committee –Assess current QI process Metrics –Prepare gag analysis/needs assessment –Identify QA activities and indicators Clinical/System Case –Expected Improvement –Appropriate level of trauma team activations Team Members –Heidi Hotz, Kelly Kam, Connie Stalcup, Gil Cryer,Stephanie Lush,Christy Preston, Mike Lekawa The Big Picture

16. Data Objectives –Ensure validated data collection at hospital level –Participation in State Trauma Registry –Adherence to data dictionary –AIS trauma registrar training standardization Metrics –Prepare gag analysis/needs assessment Clinical/System Case –Not yet defined Team Members –Greg Boswell, Lead, other not identified yet The Big Picture

17. MCI/Disaster Objectives –Region-wide approach to large scale event –Triage determination & transport protocols –Review LEMSA plans for Mass Events Metrics –Prepare Gag analysis needs assessment Clinical System Case –Not yet defined Team Members –Sam Stratton, Jeff Upperman, Barry Fisher, Bryan Hanley, Ryan Burgess The Big Picture

18. Southwest RTCC What's working –Wealth of experience –Willingness to share expertise –Great people –Dedicated to improving trauma care & access Challenges –Busy Schedule –Distance for face-to-face meetings –Keeping groups motivated –not having previous experiences/guidance to draw from