Section 325.133. Data collection.

(1) The department, with the advice and recommendations of the state trauma advisory subcommittee and emergency medical services coordinating committee, shall develop and maintain a statewide trauma data collection system, and contingent upon sufficient funding being appropriated, shall do all of the following, which will include development of a state trauma data oversight committee, a subcommittee of the state:

(a)   Adopt the national trauma data elements and definitions as a minimum set of elements for data collection, the following standards are incorporated by reference in these rules, as identified in the National Trauma Registry Data Dictionary August 2006, Version 2.2, and available free online at http://www.facs.org/trauma/ntdb/ datadictionary.pdf. A copy may be obtained at no cost by writing the EMS & Trauma Systems Section, 201 Townsend Street, Lansing, MI 48913. Additional required data elements that shall be submitted include both of the following:

(i)   Destination medical record number.

(ii)   Patient care report number.

(b)     Develop procedures to meet the 5-year data implementation plan, as set forth in the following, based on the effective date of these rules:

(i)   Year 1 - Establish regions, define data dictionary, and define the data download and data verification process. Establish regional and state committee structure. Download all ACS verified trauma facility data to a regional trauma registry. Generate reports and evaluate uniformity of data.All of the following apply:

(A)   Data related to a trauma response shall be submitted to the department on a quarterly basis. Initially, data may be submitted in either paper form, or as an electronic file.

(B)  The initial data submission requirements only apply to trauma response patients who have a mechanism of injury that may have resulted from a criminal act. A healthcare facility need not determine whether the acts related to the mechanism of a patients injuries result in any criminal proceedings to include an arrest, prosecution, or conviction.

(C)   For those trauma response patients who meet the criteria identified for initial data submission, the following data elements shall be submitted to the department:

(1)  Patient identification number.

(2)    A mechanism of injury code - ICD9, e-code, or another comparable alternative.

(3)   Date of treatment.

(4)   Facility federal identification number.

(ii)    Year 2 - Work towards uploading regional data to state registry. Identify all healthcare facilities for data submission. Establish a data collection process for community trauma facilities, and trauma support facilities. Initial evaluation of regional data by regional  committees and upload the data to the state trauma registry.

(iii)    Year 3 - Develop annual reports using regional and state data defined by the state trauma data oversight committee, a subcommittee of the STAC. Assess the state trauma system and regional trauma network.

(iv)     Year 4 -Expand the trauma data  collection  system  to  include   all participating healthcare facilities.

(v)   Year 5 - Evaluate and import additional data from existing databases on a needs basis.

(2)   The department will support the data collection and analysis process through the commitment of staff resources consistent with the  advice   and recommendations of the state trauma advisory subcommittee and the emergency medical services coordinating committee.

(3)    Both of the following shall apply to healthcare facility participation in data collection:

(a)     All healthcare facilities with an emergency center shall participate in data submission.

(b)   The confidentiality and protection of patient data collected as part of the creation and operation of the trauma system shall be provided and maintained through the creation of regional professional standards review organization, as provided in 1967 PA 270, MCL 331.531 to 331.533.

History: 2007 AACS.