ACS Trauma Assessment Documents- Texas Department of State Health Services, EMS & Trauma Systems

American College of Surgeons (ACS) completed an assessment of the Texas Trauma Systems in May 2010.

**AVAILABLE REPORTS**
American College of Surgeons Committee on Trauma: Trauma Systems Consultation
Trauma Facility Study: An Analysis of the need for Additional Level I & Level II Trauma Facilities in Texas (Updated December 2010)
ACS Letter from Health Commissioner David Lakey, MD
ACS Errata Information
ACS Errata Letter
ACS Recommendations - Stakeholder Comments to date
ACS Exit Presentation ( May 28, 2010)
DSHS Texas Trauma System Overview (May 27, 2010)

**AGENDAS**
May 18, 2010
May 19, 2010

ACS has asked the Office of EMS/Trauma Systems Coordination (OEMS/TS) to gather supporting documentation in the form of a Prereview Questionnaire (PRQ) to educate ACS surveyors about the Texas Trauma System. The PRQ was sent to ACS in early April.

**PREREVIEW QUESTIONNAIRE (PRQ)**
Final Print Quality TSC Guide
Skip to Section 1: Trauma System Assessment
Skip to Section 2: Trauma System Policy Development
Skip to Section 3: Trauma System Assurance
Section 1: Trauma System Assessment
DSHS Injury Epidemiology
DSHS Indicators as a Tool for System Assessment
Section 2: Trauma System Policy Development
Statutory Authority and Administrative Rules
System Leadership
Coalition Building and Community Support CBCS Attachment 1.0.A Strategic Plan CBCS Attachment 1.1 Texas EMS & Acute Care Foundation CBCS Attachment 1a.0 Governor's EMS and Trauma Advisory Council and Committees CBCS Attachment 1a.1 Governor's EMS and Trauma Advisory Council Procedural Rules CBCS Attachment 2a.0 Top 5 Causes of Injury Hospitalizations by TSA CBCS Attachment 2b.0 MTG Executive Summary CBCS Attachment 2b.1 Registry Solutions Workgroup CBCS Attachment 2b.2 Figure 25 TAC 157.23 CBCS Attachment 2b.3 A Strategic Plan CBCS Attachment 2b.4 The Texas Tribune CBCS Attachment BSV.0a Governor's EMS and Trauma Advisory Council and Committees CBCS Attachment BSV.0b RAC Contact List CBCS Attachment BSV.0c RAC Contacts Email Distribution List
Lead Agency and Human Resources Within the Lead Agency Attachment 1.0 PandP Attachment 4.0 Org Chart Attachment 4.1 Job Description
Trauma System Plan TSP Response TSP Attachment 1.0 Texas Trauma System TSP Attachment 1.1 NHTSA Technical Assist Recomendations TSP Attachment 1.2 EMS Plan & Status 2001 TSP Attachment 1.3 Policy Brief TSP Attachment 1.4 Primer TSP Attachment 1.5 A Strategic Plan TSP Attachment 1.6 Appendix G TSP Attachment 1.7 J RAC (frontier) TSP Attachment 1.8 Piney Woods RAC G (rural) TSP Attachment 1.9 RAC P (mixed) TSP Attachment 1.10 RAC E (urban) TSP Attachment 1.11 RAC I (multi-state) TSP Attachment 2.0 Figure 25 TAC TSP Attachment 2.1 Annual Report Format TSP Attachment 2.2 Contract TSP Attachment 2.4 Desktop Review Tool TSP Attachment 2.5 Modification Letter TSP Attachment 2.6 Compliance Letter TSP Attachment 3a.0 Contracts TSP Attachment 3a.1 Annual Report Format TSP Attachment 3a.2 Desktop Review Tool TSP Attachment 3a.3 Modification Letter TSP Attachment 3a.4 Compliance Letter TSP Attachment 3c.0 TAC Trauma Facility Designation TSP Attachment 3c.1 Brazos Valley RAC N TSP Attachment 3c.2 Central Texas RAC L
System Integration Attachment 1.0 Texas EMS & Acute Care Foundation Attachment 1a.0 Central Texas RAC-TSA L Attachment 1b.0 Central Texas RAC-TSA L Attachment 1b.1 Heart of Texas-TSA M
Financing Attachment 3.0 EMS/TS Funding Programs Attachment 3.1 EMS/TS System Funding Streams Attachment 4a.0 EMS/TS Application Attachment DRB.1 Budget
Section 3: Trauma System Assurance
Prevention and Outreach Attachment 2.0 Prevention and Outreach Attachment 2.1 EMS/TS System Funding Streams Attachment 2.2 Figure 25 TAC 157.123c Attachment 2.4 Contract Attachment 2.5 Annual Report Format Attachment 2a.0 Top 5 Causes of Injury Hospitalization by TSA Attachment 2c.0 Funding Programs Attachment 2c.1 Texas EMSTS System Funding Streams Attachment 3.0 Desktop Review Tool Attachment 3.1 Required Modification Letter Blank Attachment 3.2 Compliance Letter
Emergency Medical Services Attachment 1a.0 Texas EMS History Timeline
Definitive Care Facilities Attachment 1.0 Complete Application Attachment 3.0 Requirements Attachment 5.0 NCTTRAC Trauma System Plan Attachment 5.1 SETTRAC_MH Diversion Attachment 7a.1 Texas EMS and Acute Care Foundation Attachment 7a.2 TETAF Injury Prevention Symposium (TIPS) Attachment 7a.3 2009 Texas EMS Conference Attachment OSV.0 Designation Letter Attachment OSV.1 Designation Certificate Attachment OSV.3 Contracts Attachment OSV.4 Austin Trauma CCC Attachment OSV.5 Annual Texas EMS Conference Attachment OSV.6 CTRAC Attachment OSV.7 RAC F-G-H WebEOC-Final Brochure Attachment OSV.8 Harris County Trauma Brochure
System Coordination and Patient Flow Attachment 1.4 CDC Field Triage Card Attachment 1.0 NCTRAC Trauma Triage Protocol Attachment 1.1 NCTRAC Hospital Bypass Protocol Attachment 1.2 NCTRAC Facility Bypass Protocol Attachment 1.3 STRAC Prehospital Trauma and Bypass Algorithm Attachment 1a.1 RAC G Triage Decision Scheme Attachment 1a.2 NCTRAC Traumatic Brain Injury Protocol Attachment 1a.3 NCTRAC Pediatric Traumatic Brain Injury
DSHS Rehabilitation. Response Attachment BSV.1 Registry Hospital RAC Discharge Data Attachment BSV.2 THS list of Rehabilitation Hospitals Attachment BSV.3 CARFAccreditation
DSHS Disaster Preparedness Response Attachment 1.1 A Strategic Plan for the Texas EMS/Trauma System Attachment 1.2 Central Texas, TSA-L, Emergency Healthcare System Plan, 2009 Attachment 1.3 TSA-Q, Pre-hospital Patient Triage and Facility Bypass Guidelines Attachment 1.4 TSA-Q, Air Medical Activation Guidelines Attachment 1.5 SETTRAC response to Memorial Hermann Hospital Increased Diversion Time Post Ike Attachment 2.1 Hurricane Ike Attachment 2.2 Regional Hospital Exercise Attachment 2.3 Functional Pandemic Flu Exercise Attachment 3.1 EMS/Trauma System Plan Attachment 3.2 Piney Woods, TSA G, Trauma Plan Attachment 4.1 ESF Organization Chart Attachment 4.2 MACC Organization Chart Attachment 5.1 HPP Hospital Communication Status Attachment 5.2 HPP Minutes Attachment 5.3 Texas WebEOC Interoperability Project Attachment 0.0 Description of Org Charts Attachment 0.1 State Plan Attachment 0.2 Texas Disaster Districts
System-wide Evaluation and Quality Assurance Attachment 1.0 Figure 25 TAC 157.123c Attachment 1.1 Contracts Attachment 1.2 Annual Report Format Attachment 1.3 Desktop Review Tool Attachment 1.4 Required Modification Letter Blank Attachment 1.5 Compliance Letter Attachment 2d.1 Responsibilities for Trauma Facility Designation Attachment 2e.1 Health & Safety Code.Rehabilitation Attachment 3.1 EMS Data Dictionary Attachment 3.2 Hospital Data Dictionary
DSHS Trauma Management Information Systems Response
DSHS Research Response