Legislation Would Evaluate State’s Trauma Care System, Create Comprehensive Plan to Standardize Practices at Trauma Care Providers
TRENTON – Legislation sponsored by Senate Health, Human Services and Senior Citizens Chairman Joseph F. Vitale and Vice Chairman Fred Madden that would create a plan for the state’s trauma care system to ensure individuals no matter where they live in New Jersey have access to optimal care to match the severity of their injury was approved today by the full Senate.
“When someone reaches out for emergency care, they should know that they are being treated by those who are best trained and prepared to deal with their particular traumatic injuries,” said Senator Vitale, D-Middlesex. “Unfortunately without the proper statewide oversight and evaluation, injured New Jerseyans may be taken to a hospital that does not have the resources to effectively treat the injuries. By implementing a statewide trauma plan, we can improve the effectiveness and efficiencies in the state’s trauma care system and ultimately, improve the health and wellbeing of patients across New Jersey.”
The bill is derived from recommendations in a 2008 report by the AmericanCollege of Surgeons Committee on Trauma that suggests that under the current state trauma system timely transport to a trauma center is not assured. The report also states that the New Jersey trauma system is vulnerable due to a lack of statewide trauma data collection to determine system performance and a lack of enforcement and monitoring of current statutes or regulations within the state trauma system. This bill will begin to address these and other issues outlined in the report.
“New Jersey has some fantastic trauma care centers that are skilled and prepared to treat patients when they are injured,” said Senator Madden, D-Gloucester and Camden. “But ensuring that someone is sent to the correct hospital to care for their injury is vital for their survival and their recovery. This legislation will establish a plan for our statewide trauma care system to help ensure that people will receive appropriate trauma treatment throughout New Jersey.”
The bill, S-3027, would require the Commissioner of Health to appoint a state Trauma Medical Director to oversee the planning, development, ongoing maintenance and enhancement of a statewide formal trauma system that is consistent with the recommendations of the American College of Surgeons Committee on Trauma.
Additionally, the bill would require the Trauma Medical Director to establish a State Trauma System Advisory Committee (STSAC) with representatives from the state’s trauma centers, burn treatment facilities and rehabilitation facilities as well as licensed physicians, nurses and pre-hospital care providers. The Committee would be tasked with analyzing data related to trauma care in the state; designing a formal system of trauma care with system-wide standards of pre-hospital triage and hospital based care; continually evaluating the state’s trauma system; and indentifying strategies to ensure optimal coordination of the state’s trauma system. The bill would require the Committee to submit a comprehensive state trauma plan to the Health Commissioner and the Trauma Medical Director within one year of enactment of the bill.
The Senators note that an in-house evaluation of hospital admission data related to trauma-related ICD-9 codes shows that many traumas are incorrectly admitted to non-trauma system hospitals. This is especially alarming since there is clear data correlation with the number of procedures a surgeon performs and the patient outcome – a clear indication that adequate experience with life-threatening or urgent cases by the medical team can improve the outcome for the injured.
The state currently has ten strategically-located AmericanCollege of Surgeons verified trauma centers, which guarantee immediate availability of specialized personnel, equipment and capabilities 24 hours a day to care for seriously injured patients. UniversityHospital in Newark, RobertWoodJohnsonUniversityHospital in New Brunswick and CooperUniversityHospital in Camden all serve as level one trauma centers in New Jersey. Level one trauma centers are regional resource facilities that have the capability to provide total care for all aspects of trauma – from prevention through rehabilitation. To receive this distinction, a trauma center must treat a minimum of 600 patients per year. Additionally, in New Jersey there are level two trauma centers located in Hackensack, Paterson, Jersey City, Morristown, Trenton, Neptune and Atlantic City.
Injury accounts for more than 60,000 emergency department visits yearly in New Jersey and more than 3,500 people die each year from injury including those sustained during motor vehicles crashes, poisonings and falls.
The bill was approved with a vote of 37-0. It is expected to be voted on by the Assembly later today before heading to the governor.
