Long-Term Acute Care (LTAC) Rehab

Emergency Medical Services and Trauma Registries (EMSTR) Reporting Requirements

What are Long-term Acute Care (LTAC) or rehabilitation facilities required to report?

LTACs and rehabilitation facilities must report all traumatic brain injuries (TBIs) and spinal cord injuries (SCIs) to the EMS and Trauma Registries (EMSTR).

Data Dictionary
Traumatic Brain Injury (TBI) / Spinal Cord Injury (SCI) Data Dictionary

LTAC Flyer

Long Term Acute Care Job Aid (PDF)

What are the reportable data elements?
For TBIs and SCIs, all required fields are listed in the data dictionary in the file format described in the data dictionary.

How does a LTAC or Rehabilitation facility send data?
All TBI and SCI data should be sent electronically. The appropriate method is to establish an account with EMSTR and use the online system for submitting data.

How often does a LTAC or Rehabilitation facility send data?
Data should be submitted within 90 days from the date of discharge. EMSTR recommends LTACs, rehabilitation facilities, and authorized business associates submit data monthly. 

If a LTAC or rehabilitation facility has just started submitting data, do they have to send records from previous months?
The rules require LTACs and rehabilitation facilities to submit all data. The amount and quality of data sent in will affect data reports generated by EMSTR.

May a LTAC or rehabilitation facility submit data through a business associate, e.g., regional advisory council (RAC), billing agency, etc.?
Yes, LTACs and rehabilitation facilities are allowed to submit through a business associate. However, it is the responsibility of the individual LTAC or rehabilitation facility to ensure data is accepted into the EMSTR. LTACs and rehabilitation facilities must have a signed business associate agreement (BAA) on file with EMSTR before EMSTR will accept records from a 3rd party source.

BAA Process 

Sample BAA

This is a sample BAA only. Each 3rd party/billing company should have their own BAA forms to provide customers. BAAs must include the effective date and be signed and dated by both parties.