Text: SF00117 Text: SF00119 Text: SF00100 - SF00199 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. NEW SECTION. 147A.20 TITLE OF DIVISION.
1 2 This division may be cited as the "Iowa Trauma Care System
1 3 Development Act".
1 4 Sec. 2. NEW SECTION. 147A.21 DEFINITIONS.
1 5 As used in this division, unless the context otherwise
1 6 requires:
1 7 1. "Categorization" means a preliminary determination by
1 8 the department that a hospital or emergency care facility is
1 9 capable of providing trauma care in accordance with criteria
1 10 adopted pursuant to chapter 17A for level I, II, III, and IV
1 11 care capabilities.
1 12 2. "Department" means the Iowa department of public
1 13 health.
1 14 3. "Director" means the director of public health.
1 15 4. "Emergency care facility" means a physician's office,
1 16 clinic, or other health care center which provides emergency
1 17 medical care in conjunction with other primary care services.
1 18 5. "Hospital" means a facility licensed under chapter
1 19 135B, or a comparable emergency care facility located and
1 20 licensed in another state.
1 21 6. "Trauma" means a single or multisystem life-threatening
1 22 or limb-threatening injury, or an injury requiring immediate
1 23 medical or surgical intervention or treatment to prevent death
1 24 or permanent disability.
1 25 7. "Trauma care facility" means a hospital or emergency
1 26 care facility which provides trauma care and has been verified
1 27 by the department as having level I, II, III, or IV care
1 28 capabilities and issued a certificate of verification pursuant
1 29 to section 147A.23, subsection 2, paragraph "c".
1 30 8. "Trauma care system" means an organized approach to
1 31 providing personnel, facilities, and equipment for effective
1 32 and coordinated trauma care.
1 33 9. "Verification" means a formal process by which the
1 34 department certifies a hospital or emergency care facility's
1 35 capacity to provide trauma care in accordance with criteria
2 1 established for level I, II, III, and IV trauma care
2 2 facilities.
2 3 Sec. 3. NEW SECTION. 147A.22 LEGISLATIVE FINDINGS AND
2 4 INTENT &endash; PURPOSE.
2 5 The general assembly finds the following:
2 6 1. Trauma is a serious health problem in the state of Iowa
2 7 and is the leading cause of death of younger Iowans. The
2 8 death and disability associated with traumatic injury
2 9 contributes to the significant medical expenses and lost work,
2 10 and adversely affects the productivity of Iowans.
2 11 2. Optimal trauma care is limited in many parts of the
2 12 state. With health care delivery in transition, access to
2 13 quality trauma and emergency medical care continues to
2 14 challenge our rural communities.
2 15 3. The goal of a statewide trauma care system is to
2 16 coordinate the medical needs of the injured person with an
2 17 integrated system of optimal and cost-effective trauma care.
2 18 The result of a well-coordinated statewide trauma care system
2 19 is to reduce the incidences of inadequate trauma care and
2 20 preventable deaths, minimize human suffering, and decrease the
2 21 costs associated with preventable mortality and morbidity.
2 22 4. The development of the Iowa trauma care system will
2 23 achieve these goals while meeting the unique needs of the
2 24 rural residents of the state.
2 25 Sec. 4. NEW SECTION. 147A.23 TRAUMA CARE SYSTEM
2 26 DEVELOPMENT.
2 27 1. The department is designated as a lead agency in this
2 28 state responsible for the development of a statewide trauma
2 29 care system.
2 30 2. The department, in consultation with the trauma system
2 31 advisory council, shall develop, coordinate, and monitor a
2 32 statewide trauma care system. This system shall include, but
2 33 not be limited to, the following:
2 34 a. The categorization of all hospitals and emergency care
2 35 facilities by the department as to their capacity to provide
3 1 trauma care services. The categorization shall be determined
3 2 by the department from self-reported information provided to
3 3 the department by the hospital or emergency care facility.
3 4 This categorization shall not be construed to imply any
3 5 guarantee on the part of the department as to the level of
3 6 trauma care services available at the hospital or emergency
3 7 care facility.
3 8 b. The issuance of a certificate of verification of all
3 9 categorized hospitals and emergency care facilities from the
3 10 department at the level preferred by the hospital or emergency
3 11 care facility. The standards and verification process shall
3 12 be established by rule and may vary as appropriate by level of
3 13 trauma care capability. To the extent possible, the standards
3 14 and verification process shall be coordinated with other
3 15 applicable accreditation and licensing standards.
3 16 c. Upon verification and the issuance of a certificate of
3 17 verification, a hospital or emergency care facility agrees to
3 18 maintain a level of commitment and resources sufficient to
3 19 meet responsibilities and standards as required by the trauma
3 20 care criteria established by rule under this division.
3 21 Verifications are valid for a period of three years or as
3 22 determined by the department and are renewable. As part of
3 23 the verification and renewal process, the department may
3 24 conduct periodic on-site reviews of the services and
3 25 facilities of the hospital or emergency care facility.
3 26 d. The department is responsible for the funding of the
3 27 administrative costs of this division. Any funds received by
3 28 the department for this purpose shall be deposited in the
3 29 emergency medical services fund established in section 135.25.
3 30 e. This section shall not be construed to limit the number
3 31 and distribution of level I, II, III, and IV categorized and
3 32 verified trauma care facilities in a community or region.
3 33 Sec. 5. NEW SECTION. 147A.24 TRAUMA SYSTEM ADVISORY
3 34 COUNCIL ESTABLISHED.
3 35 1. A trauma system advisory council is established. The
4 1 following organizations or officials may recommend a
4 2 representative to the council:
4 3 a. American academy of pediatrics.
4 4 b. American college of emergency physicians, Iowa chapter.
4 5 c. American college of surgeons, Iowa chapter.
4 6 d. Department of public health.
4 7 e. Governor's traffic safety bureau.
4 8 f. Iowa academy of family physicians.
4 9 g. Iowa emergency medical services association.
4 10 h. Iowa emergency nurses association.
4 11 i. Iowa hospital association representing rural hospitals.
4 12 j. Iowa hospital association representing urban hospitals.
4 13 k. Iowa medical society.
4 14 l. Iowa osteopathic medical society.
4 15 m. Iowa physician assistant society.
4 16 n. Iowa society of anesthesiologists.
4 17 o. Orthopedic system advisory council of the American
4 18 academy of orthopedic surgeons, Iowa representative.
4 19 p. Rehabilitation services delivery representative.
4 20 q. State emergency medical services medical director.
4 21 r. State medical examiner.
4 22 s. Trauma nurse coordinator representing a trauma registry
4 23 hospital.
4 24 t. University of Iowa, injury prevention research center.
4 25 2. The council shall be appointed by the director from the
4 26 recommendations of the organizations in subsection 1 for terms
4 27 of two years. Vacancies on the council shall be filled for
4 28 the remainder of the term of the original appointment.
4 29 Members whose terms expire may be reappointed.
4 30 3. The voting members of the council shall elect a
4 31 chairperson and a vice chairperson and other officers as the
4 32 council deems necessary. The officers shall serve until their
4 33 successors are elected and qualified.
4 34 4. The council shall do all of the following:
4 35 a. Advise the department on issues and strategies to
5 1 achieve optimal trauma care delivery throughout the state.
5 2 b. Assist the department in the implementation of an Iowa
5 3 trauma care plan.
5 4 c. Develop criteria for the categorization of all
5 5 hospitals and emergency care facilities according to their
5 6 trauma care capabilities. These categories shall be for
5 7 levels I, II, III, and IV, based on the most current
5 8 guidelines published by the American college of surgeons
5 9 committee on trauma, the American college of emergency
5 10 physicians, and the model trauma care plan of the United
5 11 States department of health and human services' health
5 12 resources and services administration.
5 13 d. Develop a process for the verification of the trauma
5 14 care capacity of each facility and the issuance of a
5 15 certificate of verification.
5 16 e. Develop standards for medical direction, trauma care,
5 17 triage and transfer protocols, and trauma registries.
5 18 f. Promote public information and education activities for
5 19 injury prevention.
5 20 g. Review the rules adopted under this division and make
5 21 recommendations to the director for changes to further promote
5 22 optimal trauma care.
5 23 Sec. 6. NEW SECTION. 147A.25 SYSTEM EVALUATION AND
5 24 QUALITY IMPROVEMENT COMMITTEE.
5 25 1. The department shall create a system evaluation and
5 26 quality improvement committee to develop, implement, and
5 27 conduct trauma care system evaluation, quality assessment, and
5 28 quality improvement. The director shall appoint the members
5 29 of the committee which shall include the following:
5 30 a. Two trauma surgeons.
5 31 b. One neurologic surgeon and one orthopedic surgeon.
5 32 c. Two emergency physicians.
5 33 d. Two trauma nurse coordinators.
5 34 e. Two emergency nurses.
5 35 f. Two out-of-hospital emergency medical care providers.
6 1 g. Department of public health trauma coordinator.
6 2 h. Iowa foundation of medical care director.
6 3 i. State emergency medical services medical director.
6 4 j. Two anesthesiologists.
6 5 k. Two family physicians.
6 6 l. Two physician assistants.
6 7 2. Proceedings, records, and reports developed pursuant to
6 8 this section constitute peer review records under section
6 9 147.135, and are not subject to discovery by subpoena or
6 10 admissible as evidence. All information and documents
6 11 received from a hospital or emergency care facility under this
6 12 division shall be confidential pursuant to section 272C.6,
6 13 subsection 4.
6 14 Sec. 7. NEW SECTION. 147A.26 TRAUMA REGISTRY.
6 15 1. The department shall maintain a statewide trauma
6 16 reporting system by which the system evaluation and quality
6 17 improvement committee, the trauma system advisory council, and
6 18 the department may monitor the effectiveness of the statewide
6 19 trauma care system.
6 20 2. The data collected by and furnished to the department
6 21 pursuant to this section shall not be public records under
6 22 chapter 22. The compilations prepared for release or
6 23 dissemination from the data collected shall be public records
6 24 under chapter 22, which are not subject to section 22.7,
6 25 subsection 2. However, the confidentiality of patients is to
6 26 be protected and the laws of this state apply with regard to
6 27 patient confidentiality.
6 28 3. To the extent possible, activities under this section
6 29 shall be coordinated with other health data collection
6 30 methods.
6 31 Sec. 8. NEW SECTION. 147A.27 DEPARTMENT TO ADOPT RULES.
6 32 The department shall adopt rules, pursuant to chapter 17A,
6 33 to implement the Iowa trauma care system plan, which specify
6 34 all of the following:
6 35 1. Standards for trauma care.
7 1 2. Triage and transfer protocols.
7 2 3. Trauma registry procedures and policies.
7 3 4. Trauma care education and training requirements.
7 4 5. Hospital and emergency care facility categorization
7 5 criteria.
7 6 6. Procedures for approval, denial, probation, and
7 7 revocation of certificates of verification.
7 8 Sec. 9. NEW SECTION. 147A.28 PROHIBITED ACTS.
7 9 A hospital or emergency care facility that imparts or
7 10 conveys, or causes to be imparted or conveyed, that it is a
7 11 trauma care facility, or that uses any other term to indicate
7 12 or imply that the hospital or emergency care facility is a
7 13 trauma care facility without having obtained a certificate of
7 14 verification under this division is subject to a civil penalty
7 15 not to exceed one hundred dollars per day for each offense.
7 16 In addition, the director may apply to the district court for
7 17 a writ of injunction to restrain the use of the term "trauma
7 18 health facility". However, nothing in this division shall be
7 19 construed to restrict a hospital or emergency facility from
7 20 providing any services for which it is duly authorized.
7 21 Sec. 10. IMPLEMENTATION. The trauma system advisory
7 22 council and the Iowa department of public health, in
7 23 implementing the Iowa trauma care system plan under this Act,
7 24 shall utilize the findings and recommendation contained in the
7 25 Iowa trauma care plan developed and adopted by the Iowa trauma
7 26 systems project planning consortium. The consortium was
7 27 organized through the Iowa department of public health in
7 28 October 1992 to develop a statewide trauma care delivery
7 29 system. The consortium included representatives from
7 30 hospitals, physician groups, other health care professionals,
7 31 and state departments involved in health care delivery. The
7 32 consortium is abolished upon establishment of the trauma
7 33 system advisory council.
7 34 SF 118
7 35 cl/cc/26
Text: SF00117 Text: SF00119 Text: SF00100 - SF00199 Text: SF Index Bills and Amendments: General Index Bill History: General Index
Iowa General Assembly
Search: Senate Bills and Amendments (76th General Assembly)
© 1996 Cornell College and League of Women Voters of Iowa
Comments? webmaster@legis.iowa.gov.
Last update: Mon Mar 4 09:39:45 CST 1996
URL: /DOCS/GA/76GA/Legislation/SF/00100/SF00118/950412.html
jhf