16 Del. Admin. Code § 4305-4.0

Current through Register Vol. 28, No. 7, January 1, 2025

Section 4305-4.0 - Trauma System Committee ("TSC")

4.1 Membership. The minimum membership requirements of the Trauma System Committee membership are defined by 16 Del.C. § 9704(f).

4.2 Purpose. The TSC shall act as an advisory group to the Division Director pursuant to 16 Del.C. § 9704(g) and shall:

4.2.1 Maintain a system-wide perspective and communicate with other committees to encourage open dialogue and problem-solving system-wide;

4.2.2 Model a collaborative approach between Committee members and Division of Public Health/Office of Emergency Medical Services (OEMS) personnel; and

4.2.3 Provide coordination, oversight, and guidance for all components of the Trauma System in Delaware and with the support of the Trauma System of Care Coordinator, and shall be responsible for the development and maintenance of the Trauma System Plan.

4.3 Committee Leadership

4.3.1 The Division Director shall appoint Committee and, as necessary, Subcommittee chairpersons for 4-year terms. Chairpersons may be appointed to subsequent terms and shall:

4.3.1.1 Collaborate with the Office of EMS or OEMS contractors to develop meeting agendas, presentations, and minutes; and

4.3.1.2 Preside at respective committee meetings and perform related administrative duties according to Roberts' Rules of Order.

4.4 Trauma System of Care Medical Advisor

4.4.1 The Trauma System of Care Medical Advisor shall serve as a non-voting member of the TSC and must have the following qualifications:

4.4.1.1 Have a minimum of 1 year of active involvement in state Trauma System development or management;

4.4.1.2 Be a Board certified trauma or trauma subspecialty surgeon or Emergency Medicine physician; and

4.4.1.3 Have experience in medical leadership in a role such as physician chairperson or medical director.

4.4.2 The Trauma System of Care Medical Advisor shall:

4.4.2.1 Serve as an advisor on both specific and general trauma clinical and patient care issues which are brought to the TSC or its subcommittees;

4.4.2.2 Assist the TSC and its subcommittees in developing clinical-oriented trauma system policies and protocols;

4.4.2.3 Serve as a leader in injury prevention and injury control activities;

4.4.2.4 Serve as a liaison to the Trauma System Quality Evaluation Committee for medical issues requiring physician input; and

4.4.2.5 Serve as moderator of the Trauma System Quality Educational Forum.

4.5 Standing Committees and Subcommittees. The TSC's standing committees and subcommittees include the following:

4.5.1 Trauma System Quality Evaluation Committee ("Quality Committee").

4.5.1.1 The Quality Committee is a standing subcommittee of the TSC and shall focus on trauma system performance improvement.

4.5.1.2 Membership consists of representatives from each component of the statewide Trauma System.

4.5.1.2.1 Standing members shall be available for frequent working meetings and have access to the Quality Management Process of the agency which they represent. The Committee and Division may designate ad hoc Quality Management project members as needed.

4.5.1.1.2 After 3 unexcused absences in a calendar year, a member will be automatically terminated from the Committee and the Division will name a replacement.

4.5.1.3 Specific tasks and duties of the Quality Committee are as listed in subsection 8.8.

4.5.2 Trauma Center Designation Subcommittee ("Designation Committee"). The Designation Committee shall review reports of Trauma Center site visits and make recommendations through the Trauma System Coordinator to the Division Director on state Trauma Center designation.

4.5.3 Trauma Registrar Network

4.5.3.1 The Trauma Registrar Network is a standing committee of the TSC and its membership consists of Trauma Registrars from designated Trauma Centers in Delaware.

4.5.3.2 The Trauma Registrar Network shall:

4.5.3.2.1 Ensure timely and accurate trauma registry data submissions;

4.5.3.2.2 Provide trauma registry-related education to the Registrars; and

4.5.3.2.3 Refer trauma registry data and quality issues identified through this Network to the Quality Committee for consideration and potential action.

4.5.4 Delaware Coalition for Injury Prevention ("Coalition")

4.5.4.1 The Delaware Coalition for Injury Prevention is a standing committee of the TSC and its membership consists of volunteers from agencies involved with injury prevention.

4.5.4.2 The Coalition's primary purpose is to decrease death and disability from injury through public education.

4.5.4.3 The Coalition shall support statewide injury prevention efforts and develop the prevention component of the Delaware State Trauma System Plan.

4.5.5 Ad hoc subcommittees and work groups.

16 Del. Admin. Code § 4305-4.0

27 DE Reg. 529( 1/1/2024) (Final)