Mich. Admin. Code R. 325.132

Current through Vol. 24-21, December 1, 2024
Section R. 325.132 - Trauma regions

Rule 8.

(1) The department, with the advice and recommendations of the state trauma advisory subcommittee and emergency medical services coordination committee, shall support the establishment and operational activities of the trauma regions through the commitment of resources.
(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 network, and life support agencies that care for trauma patients shall be offered membership on the regional trauma advisory council. Regional trauma advisory councils shall be operated in a manner that maximizes inclusion of their constituents. All of the following must 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 council shall file a report with the department which describes progress toward system development, demonstrates on-going activity, and includes evidence that members of the regional trauma advisory council are currently involved in trauma care.
(b) The regional trauma network shall develop a system regional trauma plan. The plan is subject to review of the STAC and emergency medical services coordination 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 council 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) Communications.
(C) Regional performance improvement.
(D) Trauma education.
(E) Infrastructure.
(F) Continuum of care.
(4) Each regional trauma network shall appoint a RPSRO as defined in R 325.127(g).
(5) Each regional trauma advisory council shall develop performance improvement plans that are based on standards that are incorporated by reference in these rules, pursuant to R 325.129(1)(e), R 325.129(1)(k), and R 325.135, and shall be reviewed annually by the state trauma advisory subcommittee and emergency medical services coordination committee for recommendations to the department.
(6) Recommendations, which are developed and proposed for implementation by a regional trauma advisory council, 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 coordination committee, as based on standards that are incorporated by reference in these rules, pursuant to R 325.129(1)(e) and R 325.129(1)(k).
(7) The department shall recognize the regional trauma network once it approves a completed regional trauma plan. 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 coordination 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 council 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.
(10) The regional trauma network approval is in effect for 3 years.

Mich. Admin. Code R. 325.132

2007 AACS; 2017 MR 10, Eff. 5/31/2017