Section 325.127. Definitions; P to T.

Rule 3. As used in this part:

(a)   "Pediatric trauma facility" means a facility that has obtained an additional level of verification as a trauma facility, as provided by the American college of surgeons, as well as those requirements to be designated as a trauma facility in Michigan, as set forth in R 325.127 to R 325.138.

(b)   "Pediatric trauma patient" means an injured individual that is, or reasonably appears to be, 14 years of age or under.

(c)   "Physician" means a doctor of medicine (MD) or a doctor  of osteopathy

(DO) who possesses a valid current license to practice medicine in the     state of Michigan.

(d)  "Protocol" means a patient care standard, standing orders, policy, or procedure for providing emergency medical services that is established by a medical control authority and approved by the department under MCL 333.20919.

(e)             "Professional standards review  organization"  means  a  committee established by a life support agency or a medical control authority for the purpose of improving the quality of medical care, as provided in MCL 331.531 to 331.533.

(f)  "Quality improvement program" means actions taken by a life support agency, medical control authority, trauma facility, or jointly between a life support agency, medical control authority, or trauma facility with a goal of continuous improvement of medical care in accordance with the code. Actions shall take place under a professional standards review organization, as provided in MCL 331.531 to 331.533.

(g)    "Regional Professional Standards Review Organization" means a committee established by the regional trauma network for the purpose of improving the quality of trauma care within a recognized trauma region as provided  in  MCL 331.531 to 331.533.

(h)  "Regional trauma advisory council (RTAC)" means a committee established by a regional trauma network and comprised of MCA personnel, EMS personnel, life support agency representatives, healthcare facility representatives, physicians, nurses, and consumers. The functions of the RTAC are to provide leadership and direction in matters related to trauma systems development in their region, and monitor the performance of the trauma agencies and healthcare facilities within the region, including, but not limited to, the review of trauma deaths and preventable complications.

(i)   "Regional trauma network" means an organized group comprised of the local MCA's within a region, which integrates  into   existing  regional  emergency preparedness, and is responsible for appointing a regional trauma advisory council and creating a regional trauma plan.

(j)   "Regional trauma plan" means a written plan prepared by a regional trauma advisory council, and approved by the regional trauma network, that is based on minimum criteria established by the department, and addresses each of the following trauma system components: leadership; public information & prevention; human resources; communications; medical  direction;  triage;  transport;  trauma  care facilities; inter-facility transfers; rehabilitation; and evaluation of patient care within the system.

(k)     "Rotary aircraft" means a helicopter that is licensed under the code as an ambulance.

(l)    "Service area" means a geographic area in which a life support agency is licensed to provide emergency medical  services  for responding to  an emergency.

(m)    "StatewideTrauma Care Advisory Subcommittee (STAC)" as used in these rules means the statewide trauma care advisory subcommittee as defined in MCL 333.20917a, 333.20908, and 333.20910, that acts as the department's subject matter experts with regard to the  clinical  and  operational  components  of trauma care.

(n)    "Statewide trauma care system" means a comprehensive and integrated arrangement of emergency services personnel, facilities, equipment, services, communications, medical control authorities, and organizations necessary to provide trauma care to all patients within a particular geographic region.

(o)   "Statewide trauma registry" means a system for collecting data from trauma facilities and life support agencies for which the department manages and analyzes the data and disseminates results.

(p)   "Trauma" means bodily injury caused  by the  application  of external forces.

(q)  "Trauma bypass" means to forego delivery of a patient to the nearest healthcare facility for a healthcare facility whose  resources   are  more appropriate to  the patient's injury pursuant to direction given to a pre-hospital emergency medical service  by  online   medical  direction  or predetermined  triage   criteria  as  established by department-approved protocols. However, trauma care still must be provided to patients  as necessary pursuant to 42 USC §1395dd or other applicable laws.

(r)   "Trauma care system" means a comprehensive and integrated arrangement of emergency services  personnel,  facilities,   equipment,  services, communications, medical control authorities, and organizations necessary to provide trauma care to all patients within a particular geographic region.

(s)   "Trauma facility" means  a   healthcare  facility   designated  by  the department as having met the criteria set forth in the code as being either a level I regional trauma research facility, level II regional trauma facility, level III community trauma facility, or level IV trauma support facility.

(t)  "Trauma response" means a patient who presents as having been  bodily injured as a result of the application of external forces and requires the utilization of emergency department resources.

(u)     "Trauma team" means a team of multidisciplinary health care providers established and defined by a healthcare facility or emergency care facility that provides trauma care.

(v)   "Triage" means classifying patients according to the severity of their medical conditions.

History: 2007 AACS.