Celebrating 30 Yearsof Excellence

PTSF/PaCOT Annual Conference and MeetingOctober 27th and 28th, 2016

Harrisburg, PA

Juliet Altenburg, RN, MSN Executive Director

Pennsylvania Trauma System Foundation

William Hoff, MDPTSF Board Chairman

Chief, Division of Trauma & Acute Care SurgeryST. Luke’s University Health Network

Denise Torres, MDTrauma Medical Director

Geisinger Medical Center, Danville PA

Celebrating the PTSF Board of Directors

Who they represent• Hospital and Health System Assoc. 0f PA (5)

• Pa Medical Society (5)

• Pa State Nurses Association(2)

• Pa Trauma Nurse Advisory Council

• Pa Department of Health

• Pa Emergency Health Services Council

• Pa Chapter of American College of Emergency Physicians

• Legislators

Dr. William E. DeMuth, Jr

Celebrating our Trauma Centers

Lehigh Valley Hospital Hazleton

Level IV Trauma Center

11/1/15

St. Luke’s Quakertown

Level IV Trauma Center

11/1/16

Guthrie Troy Community Hospital

First Level IV Critical Access Hospital

11/1/16

Meadville Medical Center

Level III Trauma Center

9/1/16

Lankenau Medical Center

Level II Trauma Center

9/1/16

Celebrating our Staff

Data: Nate, Lyndsey, Gaby, StephanieAccreditation/PI: Amy, Terry, Dave

Operations: Kevin, Linda, Dor

NEWTrauma CenterDevelopmentSpecialist

NEWTrauma RegistryAuditor

Celebrating our Accomplishments:

The PTSF Strategic Plan

Strategic Imperatives2015-2017

• Trauma System Development and Enhancement

• Using Data to Enhance Clinical Outcomes, PI and Research

• Optimizing the Use of Technology

• Quantifying the Value of a Trauma Center

Trauma System DevelopmentGoals

• Improving Access to Trauma Center Care

• Improving Standards of Care

• Education

Hospitals Pursuing Trauma Center

Accreditation

Total Number of Trauma Centers: 38Adult Level I = 10 Adult Level II = 15Pediatric Level I = 3 Combined Adult 1/Peds II = 2Combined Adult I/Peds I = 1 Level III = 2

Level IV = 5

Gold Pursuing L4 accreditation (12)

White Pursuing L2 accreditation (3)

Updated October 7, 2016

11/1/16

Using Data to Enhance Clinical Outcomes, PI and Research

• Promote Trauma Research

• Optimize the Collection of Key Data

• Efficiently and Effectively Analyze and Report Data

Research/Data Collection

• Establish annual research priorities• Geriatric Trauma

• Radiation exposure in trauma patients

• Impact of Level III/IV trauma center accreditation on patient outcomes

• Capturing of trauma data from non-trauma centers to measure quality of care.

• Support publication and presentation

• Create PTSF Website research area

• Explore funding opportunities

Data Reporting and Analysis

• Create additional risk adjusted data sets…and benchmarking reports.

• Integrate POPIMS into Collector database

• Create POPIMS reports to showcase best practices…

Promoting Quality

Denise Torres, MD

PTSF history of quality assurance

• 1996 Ad Hoc Committee to develop site survey outcome measures

• 2003 Renamed Outcomes Committee

• 2006 POPIMS Standardization Committee

• 2007 Use of POPIMS software mandated

Outcomes Committee

• Chair: Patrick Reilly, MD

• Vice Chair: Denise Torres, MD

• Charged with developing a standardized system for performance improvement enabling outcomes approach to accreditation

• TQIP PA Collaborative resides under the auspices of this committee

PIPS Committee

• Formerly POPIMS Standardization Committee (founded in 2006)

• Aims to position PA for success in meeting new ACS standards and embrace a broader focus of inclusive, multidisciplinary, collaborative performance improvement.

PIPS CommitteeWork Groups

• POPIMS Central Site Standardization

• PIPS Core Measure Report Reference

• Management Guidelines (ACS/PTSF required)

• POPIMS Software Standardization

POPIMS Central Site Standardization

• Group Leader: Sandi Garrett

• Goals:

– Analyze data points previously submitted to the Central Site Pilot to identify utility and impact of trending practice & care events, and evaluating outcomes

– Establish standardized data and submission process

PIPS Core Measure Report Reference

• Group Leader: Kerry Larkin

• Goal:

– Compile, review, standardize and create a reference tool of currently used reports by POPIMS/Collector software users that meet required PIPS Core Measures

– Create gap analysis of content in current reports and data needed to satisfy Standard VI PIPS indicators requirement

Management Guideline Committee

• Group Leader: Terry Snavely

• Goals:

– Obtain, submit and post a minimum sampling of various ACS practice management guidelines

– Obtain and post variance indicators for each guideline to illustrate methods of variance trending and utilization to improve patient care outcomes

POPIMS Software Standardization

• Group Leader: Nathan McWilliams

• Goals:

– Review proposed POPIMS carve out from current V5 Collector

– Active involvement in the design process, beta testing and implementation

– Continue to analyze, design and refine POPIMS fields and data elements

State Risk PTOS Adjusted Mortality Report

• Second annual report will be sent out to every trauma center by Nov 18.

• Satisfies requirement that all centers have risk-stratified data

• Replaced with TQIP report going forward

• Compare report to last years report

Future Meetings and Networking• PA-TQIP Collaborative Luncheon

– Sunday, November 6, 2016 from Noon until 1 p.m. at TQIP meeting in Orlando

PA-TQIP Meeting—First in-state meeting!

– Thursday, December 1, 2016 from 1p.m. until 2:30 p.m., Meeting details, RSVP—to be posted

– Sheraton Harrisburg-Hershey Hotel

– Review the Collaborative Report in detail, identify and discuss opportunities, and establish State goals – ALL PA TRAUMA CENTERS ARE WELCOME

Thank You!