Section 325.132. Trauma regions.

(1) The department, with the advice and recommendations of the state trauma advisory subcommittee and emergency medical services coordinating committee, and contingent  upon   sufficient  funding   being appropriated, shall support the establishment and operational activities of the trauma regions through the commitment of staff resources consistent with recommendations of the 2004 Michigan trauma systems plan.

(2)        Each region shall establish a regional trauma network as prescribed and defined by R 325.125 to R 325.135.

(3)   All MCAs within a region must participate in the regional trauma advisory network, and life support agencies that care for trauma patients shall be offered membership on the regional trauma advisory committee. Regional trauma advisory committees shall be operated in a manner that maximizes inclusion of their constituents. All of the following apply:

(a)   At least quarterly, a regional trauma network shall submit evidence of ongoing activity, such as meeting notices and minutes, to the department. Annually, the regional trauma advisory committee shall file a report with the department which describes progress toward system  development,  demonstrates

on-going  activity,  and  include  evidence  that   members  of  the    regional      trauma advisory committee are currently involved in trauma care.

(b)        The regional trauma network shall develop a system plan for comprehensive system development. The system plan is subject to review of the State trauma advisory subcommittee and emergency medical services coordinating committee and approval by the department.

(c)   The department shall review the plan to assure that it contains at a minimum, all of the following:

(i)   All counties within the regional trauma advisory committee have been included unless a specific county, or portion thereof, has been aligned within an adjacent network, and all health care entities and MCAs, life support agencies have been given  an  opportunity to  participate  in  the planning process.

(ii)   All of the following components have been addressed:

(A)  Injury prevention.

(B)  Access to the system.

(C)  Communications.

(D)  ) Medical oversight.

(E)  ) Pre-hospital triage criteria.

(F)  Trauma diversion policies.

(G)  Trauma bypass protocols.

(H)  ) Regional trauma treatment guidelines.

(I)  ) Regional quality improvement plans.

(J)   Trauma education.

(4)   Each regional trauma network shall appoint a regional professional standards review organization as defined in R 325.127(e).

(5)        Each regional trauma advisory committee shall develop performance improvement plans that are based on standards that are incorporated by reference in these rules, pursuant to R 325.129(2)(l) and R  325.135,  and shall be reviewed annually by the state trauma advisory subcommittee and emergency medical services coordinating committee for recommendations to  the department.

(6)   Recommendations, which are developed and proposed for implementation by a regional trauma advisory committee shall meet or exceed those that have been established by the department with the advice and recommendations of the state trauma advisory  subcommittee   and   emergency   medical   services coordinating committee, as based on standards that are incorporated by reference in these rules, pursuant to R 325.129(2)(l).

(7)    Once the department approves a completed regional trauma plan, the department shall recognize the regional trauma network. The regional trauma network approval process shall consist of the following phases:

(a)  The first phase is the application phase, which begins with the submission to the department of a completed regional plan  for the regional trauma network.

(b)    The second phase is the review phase, which begins with the receipt of the regional plan, and ends with a department recommendation to approve the regional trauma network.

(c)   The third phase is the final phase, with the department making a final decision regarding the regional trauma network plan. This phase also includes an appeal procedure for the denial of an approval of application in accordance with the department's administrative hearings requirements.

(8)    If the application phase results in a recommendation to the department for approval by the statewide trauma advisory subcommittee and the emergency medical services coordinating committee, and the    department   approves,   then the department

shall notify the regional  trauma  network  applicant   of  the recommended action within 90 days from receipt by the department.

(9)   Upon approval, a regional trauma advisory committee shall implement the plan to include the following:

(a)  Education of all entities about the plan components.

(b)   On-going review of resources, process, and outcome data.

(c)   If necessary, revision and re-approval of the plan or plan components by the department.

History: 2007 AACS.